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 Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Thrive Behavioral Health, LLC (NPI 1053733378)

Key Findings

Field	Value
Entity Type	Organization
Organization	Thrive Behavioral Health, LLC
Address	9627 Philadelphia Rd Ste 160
City	Rosedale
State	MD
ZIP	21237
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 7, 2014

Payer Source	Total Paid
Medicaid	$51.8M
Medicare	$0

THRIVE BEHAVIORAL HEALTH, LLC reports $51.8M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) operation at the Medicare/Medicaid level. The absence of Medicare revenue on file should be considered when evaluating payer diversification and contracting exposure for this entity.

Revenue is highly concentrated in a very small set of Medicaid codes: the top three codes (90834, 90847, 99214) account for 76.9% of the provider’s total Medicaid revenue. Specifically, 90834 accounts for $31.4M (60.7%), 90847 for $5.1M (9.8%), and 99214 for $3.3M (6.4%) of the $51.8M total.

The code mix and volumes indicate an outpatient psychotherapy-focused practice model with a strong emphasis on individual psychotherapy. High volume on 90834 (253.5K claims, $124 avg/claim) and material volumes on 90832 (42.4K claims, $3.1M, 6.0%) and 90837 (12.6K claims, $1.6M, 3.0%) show the provider delivers a range of session lengths (short, standard, and extended psychotherapy), while H0032 ($2.1M, 4.0%) signals regular mental health service plan development and care coordination by non-physicians.

THRIVE is a dominant statewide provider for several behavioral-health codes: 90834 ranks #1 of 2204 providers in-state (100th percentile; extreme outlier), 90847 ranks #6 of 451 (99th percentile; extreme outlier), and 99214 ranks #52 of 3673 (99th percentile; notably above typical state volume for this code). These rank and percentile positions indicate the provider operates at volumes far above typical peers for core psychotherapy and outpatient evaluation-and-management services.

Intake and diagnostic activity is substantial relative to the overall mix, supporting a high-throughput treatment pipeline: 90791 appears with 11.4K claims and $2.6M (5.0% of Medicaid revenue) and ranks #3 of 1093 providers in-state (100th percentile; extreme outlier). The combination of high evaluation volumes and continuing psychotherapy suggests sustained enrollment and recurring visit patterns rather than a one-off service model.

Group-based services and some higher-complexity new-patient visits represent a much smaller share of revenue, which underlines a primarily individual/family therapy orientation. For example, 90853 (group psychotherapy) accounts for $302.8K (0.6%), 99204 accounts for $202.4K (0.4%), and 99205 only $5.3K (0.0%), all of which are modest relative to the dominant individual psychotherapy codes.

Several non-visit or care-planning codes also show unusually high standing for a behavioral-health agency: H0032 is $2.1M (4.0%) and ranks #1 of 332 providers in-state (100th percentile; extreme outlier), indicating a meaningful volume of formal mental health service plan development activity compared with peers. This suggests the organization delivers not only session-based therapy but also systemized plan and care-management functions billed to Medicaid.

The provider’s NPI was enumerated on 2014-01-07 (~12 years ago), giving it an established presence in the market that aligns with the large claim volumes (for example, 253.5K claims for 90834). The combination of roughly a decade-plus tenure and extreme high-volume rankings on multiple core codes positions THRIVE as a major, specialized Medicaid behavioral-health provider in Maryland rather than a small or emerging clinic.

Medicaid: Complete Services Breakdown

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

16 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…	253,470	$120	$31.4M
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…	43,090	$120	$5.1M
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…	26,950	$120	$3.3M
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…	42,430	$70	$3.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	11,380	$230	$2.6M
H0032	Mental health service plan development by non-physician	19,440	$110	$2.1M
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…	12,620	$130	$1.6M
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…	3,940	$220	$878.2K
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…	7,200	$80	$539.8K
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.	3,300	$130	$419.4K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Thrive Behavioral Health, LLC — 8 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	1	2,200	890	$110	$596.1K
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…	6	450	510	$120	$393.2K
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…	52	3,670	680	$90	$310K
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…	19	450	730	$110	$298.2K
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…	401	3,280	610	$80	$296.1K
H0032	Mental health service plan development by non-physician	1	330	520	$100	$183K
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	610	520	$50	$178.2K
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…	56	440	510	$40	$128.6K
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.	11	160	150	$130	$113.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3	1,090	90	$200	$101.4K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Treatment Services LLC	MD	Methadone Clinic	$1M	$56.3M
Medstar Health Visiting Nurse Association, Inc.	MD	Home Health Agency	$0	$26.2M
Medstar Franklin Square Physicians LLC	MD	General Practice Physician	$0	$15.8M
Amedisys Hospice, LLC	MD	Community Based Hospice Care Agency	$0	$15.6M
Mosaic Community Services, Inc.	MD	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$13.9M
Advance Adult Day Care L.L.C.	MD	Adult Day Care Clinic/Center	$0	$7.9M
Franklin Square Hospital Center, Inc	MD	General Acute Care Hospital	$0	$7.2M
Medstar Medical Group Ii	MD	Psychiatry Physician	$0	$6.4M
Edwin F. Aguilar, M.d., P.C.	MD	Pediatrics Physician	$0	$5.6M
Procare Ambulance Of Maryland Inc	MD	Land Ambulance	$3.8M	$1.4M

Thrive Behavioral Health, LLC — Billing Profile & Reimbursement Data

Sign up for Thrive Behavioral Health, LLC — Billing Profile & Reimbursement Data policy alerts

Thrive Behavioral Health, LLC — Billing Profile & Reimbursement Data

Sign up for Thrive Behavioral Health, LLC — Billing Profile & Reimbursement Data policy alerts

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$51.6M
Miguel Macaoay	DC	Psychiatry Physician	$0	$17.3K