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 Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Brightwater Health Dba Human Development Center (NPI 1194790733)

Field	Value
Entity Type	Organization
Organization	Brightwater Health Dba Human Development Center
Address	1401 E 1st St
City	Duluth
State	MN
ZIP	55805
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicaid	$50.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused behavioral health organization: there is no Medicare billing on file and lifetime Medicaid revenue totals $50.4M, so its commercial/Medicare exposure is minimal or absent in the dataset. The NPI was enumerated on 2006-02-17 (~20 years ago), indicating a long-tenured presence in the market which aligns with the large cumulative Medicaid volume reported.

Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes (90834, H2017, T2023) account for 54.9% of total Medicaid revenue. Specifically, 90834 shows 75.8K claims and $11.1M revenue, H2017 shows 69K claims and $10.9M revenue, and T2023 shows 15.8K claims and $5.7M revenue; average paid/claim values are $146, $158, and $359 respectively. This concentration implies substantial dependence on a narrow set of outpatient psychotherapy, psychosocial rehabilitation, and case management services for the majority of revenue.

The overall code mix signals an outpatient/community behavioral health and rehabilitation model: large volumes of psychotherapy codes (90834, 90832, 90837), psychosocial rehabilitation (H2017), skills training (H2014), substance-use programming (H2035), and targeted case management (T2023) indicate the provider delivers time-based, recurring behavioral health services and care coordination. High claim counts for per-15-minute codes (e.g., H2017 69K claims, H2014 47.8K claims) suggest ongoing, programmatic service delivery rather than episodic inpatient work.

90834 (psychotherapy 38–52 minutes) is a standout statewide specialty for this provider: it ranks #5 of 623 providers in-state (99th percentile) and is flagged as an extreme outlier, far above typical state volume for this code. That single code generates $11.1M (22.0% of the provider’s Medicaid revenue), which supports the characterization of the organization as a major local provider of mid-length psychotherapy sessions.

H2017 (psychosocial rehabilitation, per 15 minutes) is also a top revenue driver—$10.9M (21.7% of Medicaid revenue) with 69K claims—and ranks #10 of 227 in-state (96th percentile) but is described as typical/unremarkable volume for that code. In other words, the provider is a large-volume participant in psychosocial rehabilitation services within the state, but that level of activity is not unusual among peer organizations that specialize in H2017 services.

Targeted case management (T2023) supplies a significant portion of revenue ($5.7M, 11.3% of Medicaid revenue) with 15.8K claims and ranks #37 of 192 providers in-state (81th percentile; typical, unremarkable volume for this code). Combined with notable receipts for S0281/S0280 medical home and T1016 case management codes, this pattern confirms an operational emphasis on care coordination and monthly engagement models in addition to direct therapy.

Several other codes reinforce a broad outpatient footprint and higher-than-typical activity in diagnostic and shorter psychotherapy services: 90832 reports 14.8K claims and $2.3M (4.6% of revenue) and ranks #12 of 337 (97th percentile; notably above typical), while 90791 reports 11.5K claims and $1.9M (3.8% of revenue) and ranks #5 of 496 (99th percentile; notably above typical). These ranks indicate the provider not only delivers high-volume ongoing therapy but also performs substantial initial psychiatric evaluations and shorter-session psychotherapy at levels above most state peers.

The provider appears to offer some specialized or unique services in-state: H0039 (assertive community treatment, face-to-face, per 15 minutes) is listed as ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), suggesting this organization may be the sole reporter for that code in the dataset. Other offerings such as H0018 short-term residential (1.3K claims, $483.2K revenue) and multiple medical-home/case-management codes indicate a diversified service array across community treatment, residential support, and care coordination, though these lines are smaller contributors to total Medicaid revenue compared with the top-three codes.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	75,830	$150	$11.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	68,980	$160	$10.9M
T2023	Targeted case management; per month	15,810	$360	$5.7M
H2014	Skills training and development, per 15 minutes	47,850	$100	$4.9M
H2035	Alcohol and/or other drug treatment program, per hour	34,240	$140	$4.9M
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…	14,810	$160	$2.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	11,450	$170	$1.9M
H0046	Mental health services, not otherwise specified	63,470	$20	$1.5M
H0032	Mental health service plan development by non-physician	8,430	$110	$885.4K
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…	7,500	$120	$877K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

Brightwater Health Dba Human Development Center — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	37	190	2,820	$480	$4.2M
H2012	Behavioral health day treatment, per hour	37	40	6,530	$140	$3.7M
H2035	Alcohol and/or other drug treatment program, per hour	42	280	5,980	$120	$3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	12	20	2,550	$570	$2.7M
H2014	Skills training and development, per 15 minutes	12	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	10	230	6,320	$120	$2M
T1016	Case management, each 15 minutes	134	240	1,870	$50	$1.9M
H2015	Comprehensive community support services, per 15 minutes	68	140	2,300	$110	$700.1K
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…	248	1,180	1,150	$80	$605.7K
H0038	Self‑help/peer services, per 15 minutes	31	130	1,640	$80	$599.5K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Brightwater Health Dba Human Development Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brightwater Health Dba Human Development Center	WI	Community/Behavioral Health Agency	$0	$3.4M

Nearby Providers

Other providers in the same ZIP code as Brightwater Health Dba Human Development Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Arrowhead, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$107.9M
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Smdc Medical Center	MN	General Acute Care Hospital	$0	$35.3M
St. Luke's Hospital Of Duluth	MN	General Acute Care Hospital	$0	$26.6M
St Marys Medical Center	MN	General Acute Care Hospital	$0	$21M
Lakewalk Surgery Center, Inc.	MN	Ambulatory Surgical Clinic/Center	$1.7M	$8.6M
Webmed Mental Health	MN	Mental Health Counselor	$0	$7.1M
St. Mary's Duluth Clinic Health System	MN	Clinical Medical Laboratory	$260.2K	$5M
St. Ann's Home	MN	Assisted Living Facility	$0	$5.1M
Hilary Reich	MN	Dermatology Physician	$294K	$0

Brightwater Health Dba Human Development Center — Billing Profile & Reimbursement Data

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Brightwater Health Dba Human Development Center — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References