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

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

Bridgeway Integrated Healthcare Services Inc (NPI 1104119619)

Field	Value
Entity Type	Organization
Organization	Bridgeway Integrated Healthcare Services Inc
Address	6013 S Redwood Rd
City	Taylorsville
State	UT
ZIP	84123
Taxonomy	Behavior Analyst
NPI Enumerated	May 17, 2011

Payer Source	Total Paid
Medicaid	$65.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer at scale: there is no Medicare billing on file while Medicaid revenue totals $65.7M, indicating the organization's entire reported Medicare/Medicaid footprint in the dataset is driven by Medicaid business. Analysts should treat BRIDGEWAY INTEGRATED HEALTHCARE SERVICES INC as a Medicaid-focused operation rather than a mixed‑payer practice.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 82.8% of this provider's total Medicaid revenue. Those top drivers are 97153 ($41.9M, 63.8% of Medicaid revenue), H2014 ($7.1M, 10.8%), and 97155 ($5.4M, 8.2%), which together form the dominant share of reported receipts.

The code mix points to a core business in applied behavior analysis and related skills training: 97153 and 97155 are adaptive behavior treatment codes (technician‑delivered and provider‑delivered/modification services, respectively) and H2014 maps to skills training and development. High volumes in technician‑delivered 97153 (208.3K claims, $201 avg paid/claim) alongside substantial claims for provider oversight (81.7K claims for 97155, $66 avg paid/claim) suggest an operational model centered on large technician caseloads supervised by certified clinicians.

BRIDGEWAY is a statewide market leader on several behavior‑treatment measures: 97153 ranks #2 of 29 providers in‑state (96th percentile) and 97155 also ranks #2 of 29 (96th percentile), while 0364T ranks #1 of 12 providers in‑state (100th percentile) and is labeled an "extreme outlier." These rank/percentile positions indicate the provider is a dominant participant in Utah for ABA and behavior‑treatment services rather than a marginal competitor.

There are clear statistical outliers and unique service footprints: 0364T (behavior treatment) is an "extreme outlier" with $4.9M revenue and rank #1 of 12, and 0359T (behavior identification assessment) ranks #1 of 6 providers in‑state (100th percentile) with $195.2K revenue — both described as "notably above typical state volume" or equivalent. The practice also bills codes with no state peer comparison (e.g., 0370T and 96146 each rank #1 of 1 provider), indicating some specialized services that have limited peer presence in the state.

Revenue‑per‑claim patterns show operational differentiation between technician and skilled clinician services: 97153 has a high claim volume (208.3K claims) with $201 avg paid/claim, whereas 97155 shows 81.7K claims at $66 avg paid/claim and H2014 is $269 avg paid/claim for 26.3K claims. This mix implies the business captures large quantities of lower‑unit clinical minutes delivered by technicians while also billing higher paid, lower‑volume skills‑training and supervisory encounters.

The provider offers supplemental psychotherapy and evaluation services in addition to ABA: psychotherapy code 90834 produced $2.1M (16.3K claims, 3.3% of Medicaid revenue, rank #9 of 111, 93th percentile) and 90837 produced $241.5K (1.8K claims); diagnostic/evaluation codes such as 90791 and 0359T are also present. These secondary codes represent a complementary behavioral‑health service bundle but are much smaller revenue contributors compared with the ABA/behavior‑treatment core.

The organization has an established enrollment history: the NPI was enumerated on 2011-05-17 (~15 years ago), which aligns with a sustained presence in the state market and helps explain the high facility in billing large volumes of Medicaid ABA services over time. Analysts should consider this tenure when assessing contracting leverage and referral relationships within the state behavioral‑health network.

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	208,290	$200	$41.9M
H2014	Skills training and development, per 15 minutes	26,340	$270	$7.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	81,720	$70	$5.4M
0364T	Behavior treatment	35,060	$140	$4.9M
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…	16,310	$130	$2.1M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	9,080	$220	$2M
0368T	Behavior treatment modified additional	10,340	$70	$754.9K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	4,590	$60	$289K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,140	$220	$247.6K
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…	1,760	$140	$241.5K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Bridgeway Integrated Healthcare Services Inc — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2	30	7,130	$260	$8.7M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	2	30	2,270	$140	$1.7M
H2014	Skills training and development, per 15 minutes	5	50	1,320	$130	$1.1M
0364T	Behavior treatment	1	10	5,310	$110	$855.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	62	90	340	$70	$713.8K
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…	116	370	690	$140	$704.2K
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…	9	110	270	$120	$439.4K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	2	10	340	$210	$437.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	18	140	160	$220	$374.1K
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…	23	70	320	$130	$258.8K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bridgeway Integrated Healthcare Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

Other providers in the same ZIP code as Bridgeway Integrated Healthcare Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopeful Beginnings	UT	Community/Behavioral Health Agency	$0	$9.6M
Kal Medical Supplies Inc.	UT	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Harmony Home Health Services, LLC	UT	Home Health Agency	$0	$6.1M
Jason Horgesheimer	UT	Pediatric Dentistry	$0	$3.9M
Discovery House Tv, Inc.	UT	Methadone Clinic	$59.2K	$3.6M
Integrated Autism Therapies	UT	Behavior Analyst	$0	$1.7M
Wellspring Child And Family Counseling Center, LLC	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.4M
Stephen Miller	UT	Cardiovascular Disease Physician	$1.1M	$4.2K
Eh Hospice Of The West, LLC	UT	Community Based Hospice Care Agency	$0	$753.1K
American Wellness & Rehab Clinic LLC	UT	Family Medicine Physician	$0	$689.6K

Bridgeway Integrated Healthcare Services Inc — 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