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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Arising Behavioral Health And Services LLC (NPI 1225735848)

Arising Behavioral Health And Services LLC is a psychiatry physician provider located in Washington, District of Columbia. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Arising Behavioral Health And Services LLC
Address	650 Pennsylvania Ave Se Ste 330-340
City	Washington
State	DC
ZIP	20003
Taxonomy	Psychiatry Physician
NPI Enumerated	February 14, 2023

Payer Source	Total Paid
Medicaid	$365.5K
Medicare	$0

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	2,300	$50	$107.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	830	$80	$64.1K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,310	$40	$46K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	1,830	$20	$32.9K
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…	840	$40	$32.8K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	370	$60	$22.7K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	390	$50	$17.9K
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…	380	$40	$15.5K
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…	340	$30	$9.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	70	$110	$8K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Arising Behavioral Health And Services LLC — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

19 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…	65	120	1,050	$110	$409.5K
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…	186	310	750	$70	$321.6K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	3	10	850	$390	$316K
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…	192	320	620	$50	$313.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	120	300	$120	$287.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	33	80	370	$130	$124.7K
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…	63	100	520	$60	$118.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	17	40	710	$30	$75.8K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	5	10	290	$130	$64.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	6	20	1,000	$40	$64.5K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gilbert Daniel	DC	Internal Medicine Physician	$308.7K	$43.5K
Funmilayo Fashola	DC	Psychiatric/Mental Health Registered Nurse	$60.2K	$0
Mohammad Ghairatmal	VA	Psychiatry Physician	$27.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Home Healthcare Inc.	DC	Home Health Agency	$0	$69.8M
Community Connections Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$69.4M
Iya Homes And Community Solutions, LLC	DC	Community/Behavioral Health Agency	$0	$11.3M
Psi Services 111 Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Husband Therapeutics	DC	Home Health Agency	$0	$2.7M
Juanita Bryant	DC	Retina Specialist (Ophthalmology) Physician	$1.9M	$239.4K
Accent On Health, LLC	DC	Internal Medicine Physician	$0	$1.3M
Grubbs Pharmacy Of Dc Inc	DC	Community/Retail Pharmacy	$106.5K	$935.3K
Alfred Burris	DC	Cardiovascular Disease Physician	$469.2K	$356.3K
Christopher Burris	DC	Ophthalmology Physician	$127.7K	$642.6K

Arising Behavioral Health And Services LLC — Billing Profile & Reimbursement Data

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Arising Behavioral Health And Services LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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