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.

Hopeful Beginnings (NPI 1134465909)

Field	Value
Entity Type	Organization
Organization	Hopeful Beginnings
Address	5667 S Redwood Rd Unit 6b
City	Taylorsville
State	UT
ZIP	84123
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 22, 2012

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

Key Findings

HOPEFUL BEGINNINGS is effectively a Medicaid-focused provider with no Medicare billing on file and $9.6M in lifetime Medicaid revenue; its NPI was enumerated 2012-12-22 (~14 years ago), indicating over a decade of active billing under this taxonomy. The absence of Medicare revenue makes its financial exposure and competitive position highly dependent on Medicaid policy and reimbursement in Utah.

Revenue is highly concentrated: the top three Medicaid codes account for 74.3% of this provider’s Medicaid revenue. Specifically, 90837 generated $3.8M (39.5% of Medicaid revenue), S5150 generated $2.6M (26.9%), and 90847 generated $764.1K (7.9%), showing a small set of services drives most receipts.

The code mix indicates a core outpatient psychotherapy and family-therapy operation: large volume on 90837 (26.2K claims, $145 avg paid/claim, $3.8M) is complemented by 90847 (5.1K claims, $150 avg paid/claim, $764.1K), 90834 (4.7K claims, $119 avg paid/claim, $560K), and 90832 (3.8K claims, $70 avg paid/claim, $269K). These volumes and per-claim payments point to sustained one-on-one and family psychotherapy as the primary clinical service line.

S5150 (Unskilled respite care, per 15 minutes) is a major non-psychotherapy revenue stream (16.6K claims, $156 avg paid/claim, $2.6M, 26.9% of Medicaid revenue), signaling significant delivery of short-interval, per-15-minute community support or respite services alongside traditional psychotherapy. Supplemental codes—H2019 (therapeutic behavioral services, $256.1K), H2014 (skills training, $241.2K), and T1017 (targeted case management, $114.1K)—underscore an operational model that bundles psychotherapy with behavioral supports and case management.

Competitive standing by code is mixed but includes high-state rankings: 90837 ranks #11 of 372 providers (97th percentile), positioning HOPEFUL BEGINNINGS as a high-volume state player for long psychotherapy sessions. S5150 ranks #3 of 11 (80th percentile) among a small peer set, while 99214 ranks #135 of 1340 (90th percentile), indicating above-average use of moderate-complexity E/M visits compared with peers.

Two codes are statistical outliers in the state: T2002 (non-emergency transportation) ranks #1 of 5 (100th percentile) and is described as notably above typical state volume, and 90785 (psychotherapy add-on) ranks #1 of 8 (100th percentile) and is also noted as notably above typical; these suggest the provider bills substantially more than most peers for transportation and add-on psychotherapy intensity. Conversely, H2017 (psychosocial rehabilitation) is relatively low at 73 claims and ranks #78 of 94 (17th percentile), indicating limited activity on that particular service.

Operational intensity is evident from high claim counts and many per-15-minute units: 26.2K claims for 90837 and 16.6K claims for S5150 plus 12.9K claims for T2002 reflect a model relying on frequent, short-duration billable encounters. Use of add-on code 90785 (887 claims, $0 avg paid/claim) and 99417 (947 claims, $32 avg paid/claim, $30.3K) further suggests billing for extended or intensified psychotherapy encounters in addition to base session codes.

The provider’s concentration in a few high-volume codes creates financial and operational sensitivity: with 74.3% of Medicaid revenue coming from 90837, S5150, and 90847, changes to reimbursement policy or utilization management targeting these services could materially affect revenue. At the same time, the mix of psychotherapy, respite, transportation, and case management shows a diversified service offering within behavioral health that could support care-continuity contracts or Medicaid program partnerships despite the concentration risk.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	26,230	$150	$3.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	16,570	$160	$2.6M
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…	5,090	$150	$764.1K
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…	4,710	$120	$560K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,000	$420	$418.4K
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…	3,070	$100	$315.8K
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…	3,840	$70	$269K
H2019	Therapeutic behavioral services, per 15 minutes	1,710	$150	$256.1K
H2014	Skills training and development, per 15 minutes	2,650	$90	$241.2K
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.	1,050	$120	$125.4K

Showing 1–10 of 20

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

Hopeful Beginnings — 2 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	3	10	3,370	$90	$1.1M
H2014	Skills training and development, per 15 minutes	17	50	1,320	$130	$1.1M
T1017	Targeted case management, each 15 minutes	20	60	760	$70	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	78	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…	11	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	38	90	560	$80	$649.9K
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…	79	150	1,060	$70	$528.1K
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…	15	110	270	$120	$439.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	23	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…	9	70	320	$130	$258.8K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Hopeful Beginnings, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgeway Integrated Healthcare Services Inc	UT	Behavior Analyst	$0	$65.7M
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

Hopeful Beginnings — Billing Profile & Reimbursement Data

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Hopeful Beginnings — 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

Nearby Providers

Frequently Asked Questions

References