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.

Discovery House Uc, Inc (NPI 1184607400)

Field	Value
Entity Type	Organization
Organization	Discovery House Uc, Inc
Address	714 S State St
City	Orem
State	UT
ZIP	84058
Taxonomy	Methadone Clinic
NPI Enumerated	November 21, 2005

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 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)	112,910	$20	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	14,700	$20	$279.2K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	4,590	$10	$50.4K
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…	4,450	$10	$40.1K
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…	6,400	$1	$19.2K
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…	1,150	$10	$16.1K
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…	2,000	$10	$12K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	290	$20	$5.8K
99203	The provider sees a new 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 provider…	220	$20	$4.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$90	$1.5K

Showing 1–10 of 14

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

Discovery House Uc, Inc — 0 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	6	20	42,000	$10	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	83	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…	66	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	15	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…	35	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…	57	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.	83	140	160	$220	$374.1K
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…	23	90	270	$70	$200.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	211	240	220	$50	$145.2K
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…	261	1,360	190	$70	$125K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Discovery House Uc, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain View Retirement, Inc.	UT	Assisted Living Facility	$0	$3.9M
Advance Medical Services, Inc	UT	Oxygen Equipment & Supplies (DME)	$0	$1.7M
Wasatch Behavioral Health Special Service District	UT	Clinical Medical Laboratory	$0	$1.2M
Shruti Sanghvi	UT	Rheumatology Physician	$642.5K	$6.5K
Wilson Senior Solutions, Inc.	UT	In Home Supportive Care Agency	$0	$476.9K
Sandhill Operations LLC	UT	Substance Abuse Rehabilitation Facility	$0	$369.1K
Kimball Taylor	UT	Physical Therapist	$127.1K	$0
Eric Freeman	UT	Interventional Pain Medicine Physician	$108.8K	$9.1K
Bryan Hoelzer	UT	Interventional Pain Medicine Physician	$106.2K	$7.6K
Scott Peterson	UT	Family Medicine Physician	$66.2K	$6.5K

Discovery House Uc, Inc — Billing Profile & Reimbursement Data

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Discovery House Uc, 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

Nearby Providers

Frequently Asked Questions

References