Is HAVENS OF OHIO LLC flagged for Medicaid fraud?

HAVENS OF OHIO LLC (NPI: 1700290301) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does HAVENS OF OHIO LLC bill Medicaid?

HAVENS OF OHIO LLC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Substance Abuse Rehabilitation Facility provider. Located in DAYTON, OH.

What is NPI 1700290301?

NPI 1700290301 is the National Provider Identifier for HAVENS OF OHIO LLC. They are a Substance Abuse Rehabilitation Facility provider based in DAYTON, OH. This NPI is registered with the CMS NPI Registry.

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HAVENS OF OHIO LLC

Substance Abuse Rehabilitation Facility·DAYTON, OH·NPI: 1700290301Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $85.9M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$85.9M

$85,921,739

Total Claims

386K

Beneficiaries

70K

5.5 claims/patient

Avg Cost/Claim

$223

Monthly Spending Trend

Yearly Spending

2018

$5.3M

+77%

2019

$9.4M

+31%

2020

$12.3M

+16%

2021

$14.3M

-1%

2022

$14.2M

+0%

2023

$14.2M

+14%

2024

$16.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 38% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2036Alcohol/drug treatment, per hourSee all providers →

$32.7M

154K claims

$212.09

$253.79

0.8×

Normal range

H2036Normal range

Alcohol/drug treatment, per hour

$32.7M

154K claims · 38.0%

Your Cost: $212.09/claim|Median: $253.79

0.8× median

H0011Alcohol and/or drug services, acute detoxification, per diemSee all providers →

$29.6M

76K claims

$387.73

$317.54

1.2×

Normal range

H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$29.6M

76K claims · 34.4%

Your Cost: $387.73/claim|Median: $317.54

1.2× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$20.1M

100K claims

$200.07

$129.75

1.5×

Top 25%

H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$20.1M

100K claims · 23.4%

Your Cost: $200.07/claim|Median: $129.75

1.5× median

H0010Alcohol and/or drug services, sub-acute detoxification, per diemSee all providers →

$865K

3,490 claims

$247.75

$369.55

0.7×

Normal range

H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$865K

3,490 claims · 1.0%

Your Cost: $247.75/claim|Median: $369.55

0.7× median

90837Psychotherapy, 60 minutesSee all providers →

$717K

7,229 claims

$99.21

$85.66

1.2×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$717K

7,229 claims · 0.8%

Your Cost: $99.21/claim|Median: $85.66

1.2× median

H0006Alcohol and/or drug services, case managementSee all providers →

$577K

12K claims

$46.80

$43.10

1.1×

Normal range

H0006Normal range

Alcohol and/or drug services, case management

$577K

12K claims · 0.7%

Your Cost: $46.80/claim|Median: $43.10

1.1× median

T1002RN services, per 15 minutesSee all providers →

$502K

13K claims

$37.62

$37.42

1.0×

Normal range

T1002Normal range

RN services, per 15 minutes

$502K

13K claims · 0.6%

Your Cost: $37.62/claim|Median: $37.42

1.0× median

J2315 See all providers →

$336K

279 claims

$1,203.03

$1,045.36

1.2×

Normal range

J2315Normal range

$336K

279 claims · 0.4%

Your Cost: $1,203.03/claim|Median: $1,045.36

1.2× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$181K

5,806 claims

$31.21

$55.04

0.6×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$181K

5,806 claims · 0.2%

Your Cost: $31.21/claim|Median: $55.04

0.6× median

H0005Alcohol and/or drug services, group counselingSee all providers →

$147K

2,682 claims

$54.71

$47.35

1.2×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$147K

2,682 claims · 0.2%

Your Cost: $54.71/claim|Median: $47.35

1.2× median

H0048 See all providers →

$103K

7,411 claims

$13.86

$13.25

1.0×

Normal range

H0048Normal range

$103K

7,411 claims · 0.1%

Your Cost: $13.86/claim|Median: $13.25

1.0× median

90834Psychotherapy, 45 minutesSee all providers →

$68K

1,009 claims

$67.16

$63.65

1.1×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$68K

1,009 claims · 0.1%

Your Cost: $67.16/claim|Median: $63.65

1.1× median

90832Psychotherapy, 30 minutesSee all providers →

$25K

470 claims

$52.68

$41.28

1.3×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$25K

470 claims · 0.0%

Your Cost: $52.68/claim|Median: $41.28

1.3× median

90791Psychiatric diagnostic evaluationSee all providers →

$12K

113 claims

$107.18

$99.21

1.1×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$12K

113 claims · 0.0%

Your Cost: $107.18/claim|Median: $99.21

1.1× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$8K

119 claims

$70.24

$37.81

1.9×

Top 25%

99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$8K

119 claims · 0.0%

Your Cost: $70.24/claim|Median: $37.81

1.9× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$8K

77 claims

$107.98

$53.41

2.0×

Top 10%

99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$8K

77 claims · 0.0%

Your Cost: $107.98/claim|Median: $53.41

2.0× median

T1003LPN/LVN services, per 15 minutesSee all providers →

$7K

168 claims

$39.85

$24.24

1.6×

Normal range

T1003Normal range

LPN/LVN services, per 15 minutes

$7K

168 claims · 0.0%

Your Cost: $39.85/claim|Median: $24.24

1.6× median

99212Office/outpatient visit, low complexitySee all providers →

$6K

141 claims

$43.54

$25.06

1.7×

Top 25%

99212Top 25%

Office/outpatient visit, low complexity

$6K

141 claims · 0.0%

Your Cost: $43.54/claim|Median: $25.06

1.7× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$5K

259 claims

$19.80

$9.56

2.1×

Top 25%

96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$5K

259 claims · 0.0%

Your Cost: $19.80/claim|Median: $9.56

2.1× median

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