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.

Four Corners Community Behavioral Health Inc (NPI 1164048492)

Field	Value
Entity Type	Organization
Organization	Four Corners Community Behavioral Health Inc
Address	77 S 600 E
City	Price
State	UT
ZIP	84501
Taxonomy	Methadone Clinic
NPI Enumerated	June 23, 2020

Payer Source	Total Paid
Medicaid	$817.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	101,930	$10	$713.5K
T1001	Nursing assessment / evaluation	1,920	$40	$70.9K
H0046	Mental health services, not otherwise specified	390	$20	$7.8K
H2019	Therapeutic behavioral services, per 15 minutes	300	$20	$6.6K
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…	40	$140	$5.4K
H0006	Alcohol and/or drug services; case management	90	$60	$4.8K
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…	20	$140	$2.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	230	$10	$2.1K
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…	50	$40	$1.9K
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…	20	$70	$1.5K

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

Four Corners Community Behavioral Health Inc — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0046	Mental health services, not otherwise specified	14	30	350	$100	$1.7M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	7	20	42,000	$10	$1.2M
H2019	Therapeutic behavioral services, per 15 minutes	57	90	560	$80	$649.9K
T1001	Nursing assessment / evaluation	21	70	700	$80	$603.4K
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…	131	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…	106	110	270	$120	$439.4K
H0006	Alcohol and/or drug services; case management	36	40	1,300	$40	$215.9K
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…	87	90	270	$70	$200.4K
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…	1,048	1,360	190	$70	$125K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	84	160	250	$50	$76.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Four Corners Community Behavioral Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four Corners Community Behavioral Health, Inc.	UT	Community/Behavioral Health Agency	$0	$19.5M
Four Corners Community Behavioral Health, Inc.	UT	Community/Behavioral Health Agency	$0	$2.8M

Nearby Providers

Other providers in the same ZIP code as Four Corners Community Behavioral Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castleview Hospital LLC	UT	Rural Acute Care Hospital	$0	$6M
Shane D Gagon Md, PC	UT	Family Medicine Physician	$0	$2.5M
County Of Carbon	UT	Land Ambulance	$322.9K	$1.8M
A Perfect Smile	UT	Dental Clinic/Center	$0	$1M
West Emergency Services, LLC	UT	Emergency Medicine Physician	$0	$810.3K
Southeastern Utah District Health Department	UT	Public Health or Welfare Agency	$28.8K	$666.5K
Castleview Physician Practice, LLC	UT	Family Medicine Physician	$0	$653.9K
Carbon School District	UT	Local Education Agency (LEA)	$0	$622.5K
Shane Gagon	UT	Family Medicine Physician	$535.8K	$0
Connie Quinton	UT	Family Nurse Practitioner	$0	$532.6K

Four Corners Community Behavioral Health Inc — Billing Profile & Reimbursement Data

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Four Corners Community Behavioral Health Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References