Agency
Ohioguidestone
Ohioguidestone was paid $18.30M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 30% of everything it billed.
33Billing provider infoOHIOGUIDESTONE
BEREA, OH 44017
BEREA, OH 44017
33aNPI1295096758assigned 05/31/2012
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$18.30M
24GClaims227,465
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Ohio
Rank by total paid#26 of 417
Median peer was paid$469K
This provider vs. median39×
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 | 18,025 | $1.21M | |
| 2019 | 14,786 | $1.29M | |
| 2020 | 31,582 | $2.03M | |
| 2021 | 47,714 | $4.04M | |
| 2022 | 50,947 | $4.46M | |
| 2023 | 40,681 | $3.26M | |
| 2024incomplete | 23,730 | $2.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 30% | 30,426 | 1,687 | $5.49M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 22% | 31,832 | 7,580 | $3.98M |
| H0006 | Alcohol and/or drug services; case management | 11% | 39,341 | 15,228 | $1.99M |
| H0038 | Self-help/peer services, per 15 minutes | 8.5% | 27,729 | 8,191 | $1.56M |
| 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 | 8.2% | 13,994 | 9,882 | $1.50M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.2% | 15,108 | 7,564 | $1.31M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 5.2% | 14,677 | 5,456 | $946K |
| T1002 | Rn services, up to 15 minutes | 2.0% | 9,687 | 6,625 | $371K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 1.7% | 22,944 | 15,186 | $309K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 5,125 | 3,213 | $253K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 6,202 | 4,608 | $166K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,196 | 883 | $76K |
13 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,095 | $58K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 538 | $53K |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | <1% | 550 | $43K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 527 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 884 | $34K |
| 90785 | <1% | 3,162 | $31K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 225 | $31K |
| 99354 | <1% | 452 | $24K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,420 | $23K |
| 99205 | Prolong outpt/office vis | <1% | 28 | $5K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 194 | $2K |
| 81025 | <1% | 117 | $626.62 | |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 12 | $225.40 |
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 | $195.02M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.