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.

Confederated Tribes Of The Goshute Reservation (NPI 1194189233)

Field	Value
Entity Type	Organization
Organization	Confederated Tribes Of The Goshute Reservation
Address	660 S 200 E
City	Salt Lake City
State	UT
ZIP	84111
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 5, 2016

Payer Source	Total Paid
Medicaid	$13.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $13.9M. The NPI was enumerated 2016-04-05 (~10 years ago), indicating roughly a decade of recorded activity under this identifier.

Revenue is highly concentrated in psychotherapy codes: the top three Medicaid codes (90837, 90853, 90834) together account for 87.7% of this provider's total Medicaid revenue. Individually those codes represent $5.2M (37.8%) for 90837, $4.3M (30.6%) for 90853, and $2.7M (19.3%) for 90834, underscoring a dependence on a narrow set of service lines.

The service mix is predominantly psychotherapy-focused: 90837 (9.7K claims, $539 avg paid/claim), 90853 (7.9K claims, $541 avg paid/claim), and 90834 (4.3K claims, $624 avg paid/claim) together imply sustained delivery of extended individual and group psychotherapy for Medicaid patients. Support services appear as complements rather than primary revenue drivers, with therapeutic behavioral services (H2019) and brief E/M (99214) present but much smaller in dollar contribution.

Competitive standing on flagship codes is above median but not dominant statewide: 90837 ranks #34 of 372 in-state (91th percentile; typical, unremarkable volume for this code), 90853 ranks #32 of 150 (79th percentile; typical, unremarkable volume), and 90834 ranks #17 of 111 (85th percentile; typical, unremarkable volume). These placements indicate the provider is a higher-than-average volume performer for these psychotherapy services within Utah, but not among a handful of statewide leaders.

Non-psychotherapy codes make limited contributions but confirm breadth of outpatient capability: 99214 accounts for $251.7K (1.8% of Medicaid revenue) with 351 claims and ranks #547 of 1340 in-state (59th percentile), while 99347 (27 claims, $10.4K revenue) shows the provider also bills for some home/residence E/M visits. These line items suggest occasional medical management and home visit capacity alongside core behavioral health services.

Certain codes show low participation or reporting anomalies that merit attention when benchmarking: H0038 (27 claims, $9.9K revenue) ranks #45 of 51 in-state (12th percentile), indicating low relative activity in self-help/peer services, and 96127 shows 22 claims with $0 avg paid/claim and $0 revenue, which appears to be a payment-reporting anomaly or nonreimbursed activity in the dataset. Such low-volume or zero-paid entries should be interpreted cautiously.

The provider’s operational model appears to prioritize longer-duration psychotherapy and group modalities given the high volumes for 90837 and 90853; this mix aligns with the Mental Health Clinic/Center taxonomy and suggests programming centered on scheduled individual and group therapy sessions rather than short episodic medical visits. Given that the top three codes generate the bulk of revenue, strategic or operational changes affecting those service lines would materially impact total Medicaid revenue.

From a competitive and contracting perspective, the provider should be viewed as a specialized Medicaid behavioral health clinic with above-average in-state volumes for core psychotherapy services but limited diversification across other Medicaid service categories. The high concentration (87.7% in three codes) and the absence of Medicare billing simplify payer engagement but increase exposure to Medicaid policy or rate changes affecting psychotherapy reimbursement.

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
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…	9,730	$540	$5.2M
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…	7,860	$540	$4.3M
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…	4,300	$620	$2.7M
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…	1,350	$570	$766.6K
H2019	Therapeutic behavioral services, per 15 minutes	1,230	$470	$575K
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…	350	$720	$251.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	210	$460	$97.7K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	30	$380	$10.4K
H0038	Self‑help/peer services, per 15 minutes	30	$370	$9.9K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	20	$0	$0

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

Confederated Tribes Of The Goshute Reservation — 0 of 9 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
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…	34	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	40	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…	32	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…	17	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.	57	140	160	$220	$374.1K
H0038	Self‑help/peer services, per 15 minutes	45	50	680	$70	$325.3K
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…	29	90	270	$70	$200.4K
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…	547	1,340	200	$80	$144K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	5	10	30	$120	$9.4K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	87	120	90	$1	$1.1K

Nearby Providers

Other providers in the same ZIP code as Confederated Tribes Of The Goshute Reservation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Odyssey House Inc	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$84.5M
Confederated Tribes Of The Goshute Reservation	UT	Clinical Medical Laboratory	$0	$15.1M
Confederated Tribes Of The Goshute Reservation	UT	Clinic/Center	$0	$6.4M
Confederated Tribes Of The Goshute Reservation	UT	Dental Clinic/Center	$0	$4.5M
Children's Center	UT	Mental Health Counselor	$0	$4M
Board Of Education Salt Lake City Schools	UT	Local Education Agency (LEA)	$0	$3.3M
Tranquility Place Of Utah LLC	UT	Substance Use Disorder Rehabilitation Clinic/Center	$96.9K	$2.7M
Ma Bo Inc	UT	Family Medicine Physician	$0	$971.2K
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$795.4K
Charles L Diviney Iii Mc Lpc Ncc LLC	UT	Professional Counselor	$0	$751.3K

Confederated Tribes Of The Goshute Reservation — Billing Profile & Reimbursement Data

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Confederated Tribes Of The Goshute Reservation — 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