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.

Orchard Place (NPI 1063402618)

Key Findings

Field	Value
Entity Type	Organization
Organization	Orchard Place
Address	808 5th Ave
City	Des Moines
State	IA
ZIP	50309
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 25, 2005

Payer Source	Total Paid
Medicaid	$30.5M
Medicare	$0

ORCHARD PLACE (DES MOINES, IA) is effectively a Medicaid-focused provider: there is no Medicare billing on file and the entity reports $30.5M in lifetime Medicaid revenue. The NPI was enumerated 2005-10-25 (~21 years ago), indicating an established presence in the state mental health market.

Revenue is highly concentrated: the precomputed top-three Medicaid codes account for 81.9% of the provider's total Medicaid revenue, with 90834 representing $15.3M (50.0%), 99490 $8.4M (27.6%), and 90847 $1.3M (4.3%). This concentration makes reimbursement or utilization changes to those codes a material business risk.

The code mix indicates an outpatient psychotherapy–centric operation: 90834 (psychotherapy, 38–52 minutes) is the single largest revenue driver and is supported by high volume in related therapy codes 90832, 90837 and group therapy 90853. Presence of 90791/90792 (psychiatric evaluations) and E/M codes 99214/99213 further shows the clinic provides diagnostic evaluation plus ongoing behavioral health follow-up rather than primarily inpatient or specialty testing services.

There is a clear emphasis on care coordination and chronic care management: 99490 generated $8.4M and ranks #8 of 57 providers in-state (88th percentile; described as typical volume), and related chronic care / coordinated-care codes (G2058, G0506, G9008, S0281, 99439) show substantial claim counts. Several of these care-coordination codes report high claim counts but $0 avg paid/claim and $0 revenue in the feed (for example G2058: 3.1K claims, $0 avg paid/claim, $0 revenue), which suggests use of these codes in administrative reporting or payer-specific reimbursement arrangements that should be reviewed in contract or audit contexts.

ORCHARD PLACE is a statewide dominant provider for key psychotherapy and family therapy codes: 90834 ranks #2 of 675 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and 90847 ranks #1 of 108 providers in-state (100th percentile; extreme outlier). Those rankings indicate the provider is a large-volume, leading clinician network in Iowa for these outpatient therapy services.

Other service lines are modest by comparison: psychological testing codes (96130, 96131, 96137, 96136) together contribute only small amounts of revenue (examples include 96130 $6.4K, 96131 $10.4K, 96137 $21.6K) and low-to-moderate state ranks, signifying testing and assessment are peripheral to the organization's primary psychotherapy and care-management business.

Telehealth and group offerings exist but are not major revenue drivers: Q3014 (telehealth originating site) appears with 1.8K claims and $40.8K (0.1% of Medicaid revenue), while 90853 (group psychotherapy) produced $371.1K (1.2% of Medicaid revenue) and ranks #23 of 124 (82nd percentile), showing these modalities supplement rather than anchor the clinic's revenue.

Operational and contracting implication: because 90834 and 99490 together represent the majority of billed Medicaid dollars and the top-three codes account for 81.9% of Medicaid revenue, payer negotiations, utilization management, or policy changes that affect psychotherapy session reimbursement or chronic care management fees would disproportionately impact ORCHARD PLACE's financials. The provider’s long tenure (~21 years) and dominant state ranks for core therapy codes suggest it is a critical partner for Medicaid behavioral health capacity in Iowa.

Medicaid: Complete Services Breakdown

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

27 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…	148,090	$100	$15.3M
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…	57,660	$150	$8.4M
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…	15,010	$90	$1.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,360	$140	$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…	11,280	$90	$1M
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…	14,670	$50	$792.1K
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…	9,900	$70	$732.8K
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…	2,090	$220	$454.4K
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.	4,910	$90	$436.6K
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…	3,800	$110	$402.4K

Showing 1–10 of 27

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

Orchard Place — 4 of 19 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

27 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…	8	60	16,120	$150	$3.8M
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…	2	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…	23	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…	75	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…	157	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…	26	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…	83	610	550	$70	$145.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	12	400	110	$100	$101.1K
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…	1	110	270	$70	$84.6K
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…	8	280	530	$40	$80.1K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$58M
Eyerly Ball Community Mental Health Services	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$57M
City Of Des Moines Iowa	IA	Land Ambulance	$1.1M	$47.2M
Woodward Youth Corporation	IA	Community/Behavioral Health Agency	$0	$28.2M
Dhs-targeted Case Management	IA	Case Management Agency	$0	$26.2M
Central Iowa Hospital Corporation	IA	Pediatrics Physician	$0	$25.4M
Central Iowa Hospital Corporation	IA	Emergency Medicine Physician	$0	$13.1M
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
Youth Emergency Services & Shelter Of Iowa	IA	Voluntary or Charitable Agency	$0	$4.7M
Sunrise Community Of Iowa Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$4.4M

Orchard Place — Billing Profile & Reimbursement Data

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Orchard 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orchard Place	IA	Adolescent and Children Mental Health Clinic/Center	$0	$6.6M
Kristy Harrison	IA	Clinical Social Worker	$17.1K	$0