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.

Bear River Mental Health Services Inc (NPI 1285736553)

Field	Value
Entity Type	Organization
Organization	Bear River Mental Health Services Inc
Address	90 E 200 N
City	Logan
State	UT
ZIP	84321
Taxonomy	Mental Health Counselor
NPI Enumerated	September 5, 2006

Payer Source	Total Paid
Medicaid	$40.5M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: Medicare billing is recorded as none while lifetime Medicaid revenue totals $40.5M, indicating the organization’s financial footprint is concentrated in state Medicaid programs rather than Medicare. The NPI was enumerated 2006-09-05 (~20 years ago), reflecting long tenure in the market and likely sustained contractual relationships with Medicaid plans and state programs.

Revenue concentration is high: the precomputed top three Medicaid codes (90837, T1001, 90834) account for 45.6% of the provider’s total Medicaid revenue. Those three codes individually generate $8.9M (90837, 21.9%), $4.9M (T1001, 12.1%), and $4.7M (90834, 11.6%), signaling reliance on a relatively small set of service lines for nearly half of Medicaid revenue.

Clinical/service-line mix is therapy‑centric with ancillary community supports: leading codes 90837 (64.2K claims, $8.9M) and 90834 (41.4K claims, $4.7M) are psychotherapy sessions of longer and mid length, while T1001 (43.5K claims, $4.9M) signals high volumes of nursing assessment/evaluation. High-volume per‑15‑minute codes such as T1017 (54.1K claims, $3.7M) and H2017 (56.1K claims, $3.3M) indicate substantial targeted case management and psychosocial rehabilitation activity, consistent with a community behavioral health program that combines individual therapy, nursing assessments, case management, and rehab supports.

State competitive standing is strong on core behavioral codes: 90837 ranks #6 of 372 providers in-state (99th percentile) and is described as notably above typical state volume for this code, while 90834 ranks #4 of 111 providers (97th percentile) and is labeled an extreme outlier, far above typical state volume. T1001 also ranks highly at #5 of 65 providers (94th percentile) and is noted as notably above typical state volume; these rankings position the provider as a major regional player for psychotherapy and assessment services.

The provider’s breadth of billed services extends beyond individual psychotherapy to include group therapy, skills training, crisis services, and testing: examples include 90853 (11.8K claims, $811.3K), H2014 (8.8K claims, $953.9K), 90839 (1.4K claims, $174.4K), and 96130 (661 claims, $107.7K). This mix suggests the organization operates a multi‑modal outpatient and community behavioral health platform capable of delivering therapy, group interventions, crisis response, skills training, and psychological assessment.

Operational scale is evident in claims volume: very large claim counts for top services (90837 64.2K claims, T1001 43.5K claims, 90834 41.4K claims) indicate high throughput and sustained utilization rather than isolated episodic billing spikes. That scale, combined with the heavy revenue concentration in a few codes, implies operational processes optimized for high-frequency behavioral health encounters and frequent recurring sessions.

Several non‑therapy codes show notable state leadership while higher‑level medical E/M use is also elevated: H0031 (6.4K claims, $577.9K) ranks #1 of 14 providers in-state (100th percentile) and is described as notably above typical state volume for this code, and 99214 (23.1K claims, $2.6M) ranks #11 of 1340 providers (99th percentile) indicating elevated use of office/outpatient evaluation and management visits alongside psychotherapy and community support services. Other codes such as T1017 and H2017 are labeled typical, unremarkable volumes, demonstrating the provider pairs standout strengths on core therapy/assessment codes with routine delivery of ancillary case management and rehab services.

Medicaid: Complete Services Breakdown

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

30 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…	64,180	$140	$8.9M
T1001	Nursing assessment / evaluation	43,510	$110	$4.9M
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…	41,380	$110	$4.7M
T1017	Targeted case management, each 15 minutes	54,090	$70	$3.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	56,130	$60	$3.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	19,780	$130	$2.6M
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…	26,610	$100	$2.6M
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…	23,100	$110	$2.6M
H2016	Comprehensive community support services, per diem	6,050	$160	$985.8K
H2014	Skills training and development, per 15 minutes	8,830	$110	$953.9K

Showing 1–10 of 30

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

Bear River Mental Health Services Inc — 8 of 25 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	10	10	11,170	$90	$4.3M
H2027	Psychoeducational service, per 15 minutes	10	20	410	$170	$1.8M
H0046	Mental health services, not otherwise specified	9	30	350	$100	$1.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	7	10	3,370	$90	$1.1M
H2014	Skills training and development, per 15 minutes	9	50	1,320	$130	$1.1M
T1017	Targeted case management, each 15 minutes	4	60	760	$70	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	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…	6	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	12	90	560	$80	$649.9K
T1001	Nursing assessment / evaluation	5	70	700	$80	$603.4K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Bear River Mental Health Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Logan City Corporation	UT	Land Ambulance	$332.4K	$3M
Specialty Sales & Service	UT	Parenteral & Enteral Nutrition Supplies (DME)	$0	$2.6M
Cache County Emergency Medical Services Authority	UT	Land Ambulance	$0	$1.8M
Ihc Health Services Inc	UT	Emergency Medicine Physician	$0	$1.2M
Brandon Schvaneveldt	UT	General Practice Dentistry	$0	$1.1M
Logan City School District	UT	Local Education Agency (LEA)	$0	$1.1M
Bear River Association Of Governments	UT	Case Management Agency	$0	$842.1K
Logan Surgical Suites LLC	UT	Ambulatory Surgical Clinic/Center	$830.7K	$0
Sunshine Terrace Foundation, Inc.	UT	Assisted Living Facility	$0	$582.9K
South Pointe Surgical Center	UT	Ambulatory Surgical Clinic/Center	$424.5K	$0

Bear River Mental Health Services Inc — Billing Profile & Reimbursement Data

Sign up for Bear River Mental Health Services Inc — Billing Profile & Reimbursement Data policy alerts

Bear River Mental Health Services Inc — Billing Profile & Reimbursement Data

Sign up for Bear River Mental Health Services Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References