Focus Residential Group, LLC

Focus Residential Group, LLC was paid $8.39M by Medicaid between Jan 2018 and Dec 2024, across 14 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 — 51% of everything it billed.

33Billing provider infoFOCUS RESIDENTIAL GROUP, LLC
FRANKLIN FURNACE, OH 45629

33aNPI1962801548assigned 08/19/2014

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$8.39M

24GClaims81,182

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in Ohio

Rank by total paid#22 of 63

Median peer was paid$5.10M

This provider vs. median1.6×

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	4,812	$1.13M
2019	7,371	$1.20M
2020	8,595	$950K
2021	8,872	$880K
2022	11,847	$1.08M
2023	19,021	$1.58M
2024incomplete	20,664	$1.58M

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	51%	27,421	3,287	$4.26M
H2036	Alcohol and/or other drug treatment program, per diem	24%	8,760	565	$1.97M
H0006	Alcohol and/or drug services; case management	7.6%	17,463	6,208	$636K
H0005	Alcohol and/or drug services; group counseling by a clinician	5.8%	11,432	2,676	$484K
H2034	Alcohol and/or drug abuse halfway house services, per diem	5.3%	2,932	240	$447K
T1002	Rn services, up to 15 minutes	3.2%	6,106	731	$271K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	2.9%	2,513	1,332	$239K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	<1%	3,548	1,665	$51K
T1003	Lpn/lvn services, up to 15 minutes	<1%	811	95	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	46	26	$3K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	53	16	$2K
99354		<1%	42	25	$2K

2 more codes

99407		<1%	43	$703.00
90853	Group psychotherapy (other than of a multiple-family group)	<1%	12	$309.32

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 officialGIFFORD, KELLY (OWNER, EXECUTIVE DIRECTOR)

Same official

Other billing entities under GIFFORD, KELLY

Full network →

Provider	Location	Paid
Focus Residential Group, LLC	Franklin Furnace, OH	$58K

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