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.

Helping Hand Association (NPI 1164521852)

Field	Value
Entity Type	Organization
Organization	Helping Hand Association
Address	974 East South Temple
City	Salt Lake City
State	UT
ZIP	84102
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicaid	$18.4M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available data: Total Medicare revenue is listed as none (no Medicare billing on file) while Total Medicaid revenue is $18.4M, indicating near-total reliance on Medicaid-funded activity for recorded revenue. Analysts should treat Medicaid reimbursement trends and state policy as the primary financial drivers for this entity.

Revenue is heavily concentrated in a few Medicaid codes: the top three Medicaid codes account for 81.7% of the provider’s Medicaid revenue. The largest single item is H0018 with $7.9M (42.7% of Medicaid revenue, 8.7K claims, $902 avg paid/claim), followed by H2036 with $3.7M (20.1%, 2.7K claims, $1393 avg) and 90853 with $3.5M (18.9%, 29K claims, $120 avg).

The code mix indicates a residential substance-abuse treatment model with a strong group-therapy component: H0018 (short-term residential per diem) and H2036 (AOD treatment per diem) together make up the majority of revenue, and 90853 reflects extremely large group psychotherapy volume (29K claims). This pattern is consistent with an operator running non-hospital residential treatment programs that combine per-diem clinical stays with high-volume group therapy sessions.

Competitive standing by code is mixed within Utah: H0018 ranks #9 of 30 in-state (72th percentile; typical, unremarkable volume for this code), and H2036 ranks #8 of 14 (46th percentile; typical, unremarkable volume for this code), suggesting ordinary market position for per-diem residential services. By contrast, 90853 ranks #8 of 150 in-state (95th percentile; typical, unremarkable volume for this code), which indicates a comparatively strong statewide presence for group psychotherapy relative to peers.

Beyond the top-three concentration, the provider also reports meaningful volumes for diagnostic and longer psychotherapy services: 90791 accounts for $1M (5.5% of Medicaid revenue; 4.8K claims) and ranks #8 of 135 in-state (95th percentile; typical, unremarkable volume for this code), while 90837 contributes $812.6K (4.4%; 8.1K claims) and ranks #39 of 372 (90th percentile; typical, unremarkable volume for this code). These entries show the operation includes evaluative and individual/extended psychotherapy capacity alongside its residential and group-track services.

Ancillary supports appear in the mix but represent smaller shares of revenue: H0006 (case management) is $611K (3.3%, 10.9K claims) and ranks #6 of 44 in-state (88th percentile; typical, unremarkable volume for this code), and H0038 (self-help/peer services) is $76.8K (0.4%, 2.4K claims) and ranks #15 of 51 (72th percentile; typical, unremarkable volume for this code). This suggests structured care coordination and peer supports are part of service delivery but are not primary revenue drivers.

The high concentration of Medicaid revenue in per-diem residential codes and a single dominant group-therapy code highlights operational sensitivity: with 81.7% of Medicaid revenue tied to the top three codes, changes in per-diem or group-therapy authorization, utilization, or state reimbursement policy could disproportionately affect the provider’s financial performance. Payers and contracting analysts should prioritize monitoring rates and utilization for H0018, H2036, and 90853 when evaluating financial risk or negotiating agreements.

The provider has an extended tenure in the data: NPI enumerated on 2006-09-21 (~20 years ago), indicating an established presence in the Utah behavioral health/substance-use treatment market. Combined with $18.4M in Medicaid revenue and the code mix above, this tenure supports characterization as an established residential-focused rehab provider within the state.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	8,720	$900	$7.9M
H2036	Alcohol and/or other drug treatment program, per diem	2,660	$1,390	$3.7M
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…	29,030	$120	$3.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,820	$210	$1M
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…	8,130	$100	$812.6K
H2013	Psychiatric health facility service, per diem	240	$3,420	$803.5K
H0006	Alcohol and/or drug services; case management	10,910	$60	$611K
H0038	Self‑help/peer services, per 15 minutes	2,400	$30	$76.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	200	$110	$20.5K
T1017	Targeted case management, each 15 minutes	150	$90	$13.7K

Showing 1–10 of 13

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

Helping Hand Association — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	9	30	1,340	$330	$5.8M
H2013	Psychiatric health facility service, per diem	8	10	1,960	$520	$3.5M
H2036	Alcohol and/or other drug treatment program, per diem	8	10	2,920	$330	$2M
H2014	Skills training and development, per 15 minutes	41	50	1,320	$130	$1.1M
T1017	Targeted case management, each 15 minutes	40	60	760	$70	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	56	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…	39	370	690	$140	$704.2K
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…	8	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…	88	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.	8	140	160	$220	$374.1K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Helping Hand Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Integrated Care, LLC	UT	Emergency Medicine Physician	$0	$31.2M
House Of Hope	UT	Substance Abuse Rehabilitation Facility	$0	$11.6M
Odyssey House Inc	UT	Family Medicine Physician	$0	$10.1M
Salt Lake Regional Medical Center LP	UT	General Acute Care Hospital	$0	$9.8M
Lyssa Inc	UT	Ambulatory Surgical Clinic/Center	$0	$7.2M
First Step House	UT	Clinical Medical Laboratory	$0	$2.3M
Planned Parenthood Association Of Utah	UT	Voluntary or Charitable Agency	$0	$1.4M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$1.3M
S-h Opco Salt Lake City, LLC	UT	Assisted Living Facility	$0	$879.2K
Ihc Health Services Inc	UT	Internal Medicine Physician	$0	$854K

Helping Hand Association — Billing Profile & Reimbursement Data

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Helping Hand Association — 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