Agency
Firelands Regional Medical Center
Firelands Regional Medical Center was paid $17.59M by Medicaid between Jan 2018 and Apr 2024, across 22 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 29% of everything it billed.
33Billing provider infoFIRELANDS REGIONAL MEDICAL CENTER
SANDUSKY, OH 44870
SANDUSKY, OH 44870
33aNPI1316119019assigned 04/02/2008
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$17.59M
24GClaims251,595
24DCodes billed22
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Ohio
Rank by total paid#32 of 417
Median peer was paid$469K
This provider vs. median38×
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 | 52,880 | $3.57M | |
| 2019 | 43,876 | $3.31M | |
| 2020 | 44,068 | $3.09M | |
| 2021 | 45,569 | $3.10M | |
| 2022 | 46,297 | $3.25M | |
| 2023 | 18,875 | $1.26M | |
| 2024incomplete | 30 | $645.57 |
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 | 29% | 77,630 | 49,805 | $5.06M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 25% | 47,966 | 34,239 | $4.47M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 23,228 | 21,413 | $1.67M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 8.5% | 33,059 | 20,497 | $1.50M |
| 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 | 5.6% | 9,076 | 8,492 | $980K |
| 90839 | 4.3% | 6,477 | 5,602 | $752K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.2% | 11,480 | 9,564 | $738K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 9,234 | 7,375 | $464K |
| H2020 | Therapeutic behavioral services, per diem | 2.6% | 3,905 | 802 | $453K |
| 90840 | 2.4% | 3,856 | 3,455 | $428K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.5% | 2,703 | 2,483 | $265K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 1.3% | 8,204 | 5,918 | $226K |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 4,406 | $191K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,078 | $130K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,134 | $100K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 379 | $61K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,013 | $36K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 628 | $26K |
| 90785 | <1% | 1,277 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 60 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 754 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 48 | $4K |
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 officialRILEY, KEVIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Firelands Regional Medical Center | Sandusky, OH | $37.47M |
| Firelands Regional Medical Center | Sandusky, OH | $1.81M |
| Central Joint Fire-Ems District | Batavia, OH | $850K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.