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

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

Peaceful Mind Behavioral Health & Wellness, LLC (NPI 1255926358)

Peaceful Mind Behavioral Health & Wellness, LLC is a mental health counselor provider located in Bristol, Connecticut. This profile covers 0 Medicare and 10 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	Peaceful Mind Behavioral Health & Wellness, LLC
Address	123 Middle Street
City	Bristol
State	CT
ZIP	06010
Taxonomy	Mental Health Counselor
NPI Enumerated	March 2, 2021

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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…	8,710	$90	$783.9K
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…	3,860	$70	$285.5K
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…	1,420	$150	$205.3K
99417	The provider spends additional time on an outpatient evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	280	$60	$15.7K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	1,600	$10	$9.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	100	$80	$7.6K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	1,480	$1	$4.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	50	$90	$4.3K
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…	50	$70	$3.8K
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	60	$10	$830

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Peaceful Mind Behavioral Health & Wellness, LLC — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	351	1,590	740	$50	$331.8K
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…	1,444	1,710	750	$30	$243.3K
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…	110	2,180	850	$90	$202.1K
99417	The provider spends additional time on an outpatient evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	14	20	480	$130	$142.1K
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…	73	380	220	$70	$99.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	257	560	80	$80	$90.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	143	210	130	$80	$49.1K
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	68	90	260	$20	$34.8K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	42	100	970	$10	$34.3K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	16	80	440	$10	$7.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wheeler Clinic Inc.	CT	Federally Qualified Health Center (FQHC)	$0	$21.8M
Bristol Hospital Ems, LLC	CT	Land Ambulance	$1M	$7.1M
Hartford County Oral Maxillofacial & Implant Surgery PC	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$7.9M
The Pediatric Care Center, LLC	CT	Pediatrics Physician	$0	$7.8M
Bristol Hospital Multi Specialty Group, Inc	CT	General Practice Physician	$0	$7.5M
City Of Bristol	CT	Local Education Agency (LEA)	$0	$6M
Kids Dental Care, LLC	CT	Pediatric Dentistry	$0	$5.9M
Usacs Of Connecticut, LLC	CT	Emergency Medicine Physician	$0	$3.7M
Pediatric Associates, LLC	CT	Primary Care Clinic/Center	$0	$3.7M
Bristol Oral Surgery & Implant Center	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$2.8M

Peaceful Mind Behavioral Health & Wellness, LLC — Billing Profile & Reimbursement Data

Sign up for Peaceful Mind Behavioral Health & Wellness, LLC — Billing Profile & Reimbursement Data policy alerts

Peaceful Mind Behavioral Health & Wellness, LLC — Billing Profile & Reimbursement Data

Sign up for Peaceful Mind Behavioral Health & Wellness, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

References