Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Iowa (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Tanager Place (NPI 1053467423)

Key Findings

Field	Value
Entity Type	Organization
Organization	Tanager Place
Address	2309 C St Sw
City	Cedar Rapids
State	IA
ZIP	52404
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$31.3M
Medicare	$0

This provider is effectively single‑payer: TANAGER PLACE has no Medicare billing on file and all reported legacy revenue is Medicaid‑based, with total Medicaid revenue of $31.3M. The absence of Medicare activity indicates the organization’s operations and revenue exposure are concentrated in state Medicaid programs rather than dual Medicare/Medicaid streams.

Revenue is highly concentrated in a few procedure lines: the precomputed top 3 Medicaid codes account for 88.1% of this provider’s total Medicaid revenue. Those three codes are 90834 ($19M revenue, 60.8% of total Medicaid revenue), 99490 ($6.5M revenue, 20.7% of total Medicaid revenue), and 90791 ($2.1M revenue, 6.6% of total Medicaid revenue).

The code mix indicates TANAGER PLACE operates as a high‑volume outpatient behavioral health provider with an emphasis on psychotherapy and care coordination. Large volumes of psychotherapy codes (90834, 90832, 90837) and family/group modalities (90847, 90846, 90853) alongside substantial use of chronic care management (99490) and psychiatric evaluation (90791) point to ongoing treatment relationships, multidisciplinary care coordination, and repeated session work rather than episodic acute care.

TANAGER PLACE is a dominant statewide player for several core behavioral health services: it ranks #1 of 675 providers in‑state for 90834 (100th percentile; "extreme outlier, far above typical state volume for this code") and #1 of 401 providers for 90791 (100th percentile; "extreme outlier, far above typical state volume for this code"). It also ranks #2 of 108 providers for 90847 (99th percentile; "extreme outlier, far above typical state volume for this code"), which together signal market leadership for psychotherapy and psychiatric evaluation in Iowa.

Not all high‑revenue codes reflect extreme outlier status: 99490 shows substantial revenue ($6.5M) with a rank of #10 of 57 providers (84th percentile; "typical, unremarkable volume for this code"), indicating strong but not singular leadership in chronic care management services. Other services such as 97153 (adaptive behavior treatment) and group psychotherapy 90853 appear at meaningful but much smaller revenue levels, and several assessment/test codes (96130, 96136, 96137) are present at modest volumes.

Claim volumes underscore sustained throughput and recurring care: 90834 has 198.3K claims, 99490 has 49.5K claims, and 90791 has 15.3K claims, reflecting a large patient panel and frequent, repeat encounters typical of outpatient therapy and care‑management programs. These claim counts align with the revenue concentration in a small number of high‑frequency codes rather than a broad, evenly distributed service mix.

TANAGER PLACE has an established presence, with its NPI enumerated on 2007-01-26 (~19 years ago), suggesting organizational tenure and operational scale that are consistent with its high statewide rankings and large claim volumes. The combination of long tenure and concentrated Medicaid revenue may support sustained payer relationships but also creates sensitivity to Medicaid policy or rate changes affecting the top codes.

From a payer or network strategy perspective, the provider’s reliance on a few dominant codes (90834, 99490, 90791) presents both opportunity and concentration risk: negotiators and care‑management planners should note that changes to reimbursement, prior‑authorization, or program rules for psychotherapy or chronic care management would disproportionately affect TANAGER PLACE’s revenue base. Monitoring utilization trends in these specific codes will give early signals of operational impact or shifts in referral patterns.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	198,330	$100	$19M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	49,550	$130	$6.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	15,270	$140	$2.1M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	13,340	$80	$1.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	11,310	$60	$712.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7,680	$50	$407.2K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	3,150	$110	$336.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	4,410	$60	$251.2K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	2,600	$90	$221.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,170	$90	$184.1K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

Claims Volume vs. Iowa Distribution

Tanager Place — 3 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	10	60	16,120	$150	$3.8M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	8	10	4,450	$130	$2.1M
H2019	Therapeutic behavioral services, per 15 minutes	74	90	5,380	$100	$1.5M
G9012	Other specified case management service not elsewhere classified	8	10	1,490	$120	$827.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1	680	670	$70	$343.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	34	120	980	$50	$230.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	276	1,060	480	$40	$154.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	146	1,310	760	$20	$153.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	64	140	210	$120	$152.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	134	610	550	$70	$145.9K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four Oaks Family And Children's Services	IA	Psychiatric Residential Treatment Facility	$0	$27.3M
Cedar Rapids Community School District	IA	Local Education Agency (LEA)	$0	$20.3M
American Baptist Homes Of The Midwest	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.2M
Crc Recovery, Inc.	IA	Methadone Clinic	$104K	$9.7M
Area Substance Abuse Council, Inc.	IA	Community/Behavioral Health Agency	$0	$9.3M
College Community School District	IA	Local Education Agency (LEA)	$0	$7M
Area Ambulance Authority	IA	Land Ambulance	$1.7M	$4.6M
Grace C Mae Advocate Center, Inc	IA	Community/Behavioral Health Agency	$0	$4.6M
Amenity Healthcare, LLC	IA	Community Based Hospice Care Agency	$0	$2.7M
Mercy Care Management, Inc	IA	Family Medicine Physician	$0	$2.2M

Tanager Place — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References