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.

Advanced Behavioral Health, Inc (NPI 1114364817)

Key Findings

Field	Value
Entity Type	Organization
Organization	Advanced Behavioral Health, Inc
Address	16220 Frederick Rd Ste 310
City	Gaithersburg
State	MD
ZIP	20877
Taxonomy	Child & Adolescent Psychiatry Physician
NPI Enumerated	June 4, 2013

Payer Source	Total Paid
Medicaid	$28.7M
Medicare	$0

This provider operates effectively as a Medicaid-only billing entity: Medicare revenue is listed as none and all reported lifetime revenue is $28.7M in Medicaid. The absence of Medicare billing on file indicates payer concentration toward state Medicaid programs rather than dual-payer outpatient Medicare work.

Revenue is highly concentrated in a small set of psychotherapy and evaluation codes: the precomputed top-3 Medicaid codes account for 87.7% of this provider’s total Medicaid revenue. Those top codes are 90834 ($18.6M, 64.7%), 90847 ($4.7M, 16.5%), and 99214 ($1.9M, 6.5%), showing the vast majority of revenue is captured by two psychotherapy codes plus a single E/M level.

The service mix is strongly psychotherapy-focused, consistent with the Child & Adolescent Psychiatry taxonomy: 90834 (in-session psychotherapy, 38–52 minutes) and 90847 (family psychotherapy with patient present) dominate revenue and claim volume, while 90832 (shorter psychotherapy sessions) and H0032 (mental health service plan development) appear as secondary services. Substantial revenues for 90791 ($671.9K) and 90792 ($140.5K) indicate the practice also performs intake psychiatric evaluations and some medically oriented evaluations.

This provider is a statewide outlier on its principal psychotherapy codes: 90834 ranks #8 of 2204 providers in-state (100th percentile; extreme outlier) and 90847 ranks #7 of 451 providers in-state (99th percentile; extreme outlier). Those rank/percentile positions indicate the organization is a dominant high-volume provider of individual and family psychotherapy in Maryland compared with peers.

Although psychotherapy dominates, routine evaluation-and-management visits are present at scale but are less concentrated: 99214 has 15.1K claims and $1.9M revenue, ranking #132 of 3673 providers in-state (96th percentile; typical, unremarkable volume). This suggests clinicians provide moderate-complexity E/M services alongside a heavier psychotherapy practice rather than primarily delivering medical E/M care.

Operationally, the practice runs at a very high outpatient psychotherapy throughput: 90834 alone shows 147.2K claims with an average paid/claim of $126, and 90847 shows 42.1K claims with $112 average paid/claim. Those claim counts and per-claim payments explain why a few psychotherapy codes produce the bulk of Medicaid revenue and imply a high-volume visit model rather than low-volume specialty consults.

Several ancillary behavioral-health service lines are meaningfully above typical state volume: H0032 (mental health service plan development) reports 9.5K claims and $975.9K revenue and ranks #10 of 332 providers (97th percentile; notably above typical), while 90832 and 90791 also rank in the mid-90s percentiles. This pattern indicates breadth across intake, care planning, and both short and standard-length psychotherapy sessions.

The provider has an established enrollment history: NPI enumerated (registered) 2013-06-04 (~13 years ago), which supports interpretation of these volume patterns as the result of an established outpatient behavioral-health operation rather than a recent practice spike.

Medicaid: Complete Services Breakdown

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

11 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…	147,250	$130	$18.6M
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…	42,120	$110	$4.7M
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…	15,090	$120	$1.9M
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…	18,520	$70	$1.3M
H0032	Mental health service plan development by non-physician	9,480	$100	$975.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,960	$230	$671.9K
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.	3,040	$130	$397.7K
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…	670	$210	$140.5K
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…	670	$60	$38.4K
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…	70	$80	$5.3K

Showing 1–10 of 11

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

Advanced Behavioral Health, Inc — 6 of 10 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

11 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…	8	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…	7	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…	132	3,670	680	$90	$310K
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…	2,630	3,280	610	$80	$296.1K
H0032	Mental health service plan development by non-physician	10	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…	25	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…	192	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.	14	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.	43	1,090	90	$200	$101.4K
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…	94	550	110	$190	$86.3K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genedx LLC	MD	Clinical Medical Laboratory	$4.7M	$215.3M
Ccacc Adult Day Healthcare Center	MD	Adult Day Care Clinic/Center	$0	$38.4M
Family Services, Inc	MD	Rehabilitation Clinic/Center	$0	$23.5M
Evergreen Adult Medical Day Care	MD	Adult Day Care Clinic/Center	$0	$21.3M
Montgomery Adult Day Care, Inc.	MD	Adult Day Care Clinic/Center	$0	$21M
Family Services, Inc	MD	Child & Adolescent Psychiatry Physician	$0	$16.7M
Loving Care, LLC	MD	Adult Day Care Clinic/Center	$0	$15.5M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$11.7M
Advanced Behavioral Health, Inc.	MD	Mental Health Counselor	$0	$4.7M
Community Support Services, Inc.	MD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.3M

Advanced Behavioral Health, Inc — Billing Profile & Reimbursement Data

Sign up for Advanced Behavioral Health, Inc — Billing Profile & Reimbursement Data policy alerts

Advanced Behavioral Health, Inc — Billing Profile & Reimbursement Data

Sign up for Advanced Behavioral Health, Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References