Behavioral Concepts of Ohio

Behavioral Concepts of Ohio was paid $6.00M by Medicaid between Sep 2022 and Dec 2024, across 6 billing codes. Its largest line is 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 — 78% of everything it billed.

33Billing provider infoBEHAVIORAL CONCEPTS OF OHIO
FREMONT, OH 43420

33aNPI1376295287assigned 01/21/2022

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$6.00M

24GClaims88,280

24DCodes billed6

24AFirst – last monthSep 2022 – Dec 2024

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Ohio

Rank by total paid#29 of 63

Median peer was paid$5.10M

This provider vs. median1.2×

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
2022	457	$161K
2023	12,187	$806K
2024incomplete	75,636	$5.03M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	78%	30,441	1,626	$4.68M
90853	Group psychotherapy (other than of a multiple-family group)	14%	28,409	1,555	$833K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	7.0%	28,375	1,601	$419K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	934	394	$51K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	107	55	$10K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	14	12	$1K

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 officialGUARDIOLA, DAVID (EXECUTIVE DIRECTOR)

Same official

Other billing entities under GUARDIOLA, DAVID

Full network →

Provider	Location	Paid
Great Lakes Recovery Center LLC	Fremont, OH	$16.47M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.