Agency
Ohioguidestone
Ohioguidestone was paid $195.02M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 53% of everything it billed.
33Billing provider infoOHIOGUIDESTONE
BEREA, OH 44017
BEREA, OH 44017
33aNPI1174680557assigned 01/03/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$195.02M
24GClaims2,216,965
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Ohio
Rank by total paid#1 of 417
Median peer was paid$469K
This provider vs. median416×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 322,670 | $27.80M | |
| 2019 | 289,768 | $27.49M | |
| 2020 | 324,904 | $29.05M | |
| 2021 | 294,958 | $25.38M | |
| 2022 | 296,800 | $26.53M | |
| 2023 | 367,380 | $28.98M | |
| 2024incomplete | 320,485 | $29.79M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 53% | 1,131,437 | 426,065 | $103.57M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 19% | 403,081 | 175,523 | $37.49M |
| H0040 | Assertive community treatment program, per diem | 5.4% | 39,834 | 28,788 | $10.58M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.8% | 87,932 | 76,834 | $9.30M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.2% | 124,795 | 64,381 | $6.26M |
| H2020 | Therapeutic behavioral services, per diem | 3.2% | 41,419 | 9,154 | $6.18M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.5% | 77,005 | 44,717 | $4.94M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 1.6% | 75,602 | 43,001 | $3.17M |
| 99354 | <1% | 28,078 | 13,507 | $1.89M | |
| T2022 | Case management, per month | <1% | 9,044 | 3,861 | $1.84M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 16,361 | 15,339 | $1.67M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | <1% | 41,080 | 30,900 | $1.55M |
34 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 21,670 | $1.22M |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14,964 | $1.02M |
| T2023 | Targeted case management; per month | <1% | 1,060 | $770K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 8,347 | $634K |
| 90785 | <1% | 51,155 | $555K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 3,430 | $545K |
| H2036 | Alcohol and/or other drug treatment program, per diem | <1% | 4,338 | $261K |
| H2012 | Behavioral health day treatment, per hour | <1% | 6,561 | $252K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 1,205 | $215K |
| 99205 | Prolong outpt/office vis | <1% | 954 | $195K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,119 | $165K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 1,816 | $144K |
| 90839 | <1% | 1,009 | $127K | |
| H0006 | Alcohol and/or drug services; case management | <1% | 3,288 | $124K |
| 96101 | <1% | 673 | $81K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 554 | $62K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 402 | $59K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,361 | $53K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,790 | $43K |
| 96118 | <1% | 355 | $33K | |
| 99355 | <1% | 204 | $18K | |
| 90836 | <1% | 191 | $14K | |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 737 | $5K |
| 99201 | <1% | 75 | $3K | |
| 90840 | <1% | 46 | $1K | |
| 90838 | <1% | 12 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $863.64 |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 115 | $247.94 |
| G9006 | Coordinated care fee, home monitoring | 0% | 8,027 | $0.00 |
| T1002 | Rn services, up to 15 minutes | 0% | 15 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 151 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 12 | $0.00 |
| G9002 | Coordinated care fee, maintenance rate | 0% | 5,634 | $0.00 |
| 81205 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialZIEMSKI, MARGIE (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Ohioguidestone | Berea, OH | $18.30M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.