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

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

Springhealth Behavioral Health And Integrated Care Georgia, LLC (NPI 1316350457)

Field	Value
Entity Type	Organization
Organization	Springhealth Behavioral Health And Integrated Care Georgia, LLC
Address	1705 River St
City	Valdosta
State	GA
ZIP	31601
Taxonomy	Behavior Analyst
NPI Enumerated	June 6, 2014

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

Key Findings

SPRINGHEALTH BEHAVIORAL HEALTH AND INTEGRATED CARE GEORGIA, LLC is effectively a Medicaid-focused behavioral health provider in Valdosta, GA: it has $12.5M in total Medicaid revenue and no Medicare billing on file, indicating a single-payer operational footprint centered on state Medicaid programs. The provider's taxonomy is Behavior Analyst, and its NPI was enumerated on 2014-06-06 (~12 years ago), signaling an established presence in the market rather than a recent entrant.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and a single code, H2019, represents the entire $12.5M Medicaid revenue figure. This level of concentration implies that virtually all of the provider's Medicaid income is tied to one service line and one reimbursement mechanism.

Operationally, the billing mix points to high-volume, session-based behavioral services: H2019 (Therapeutic behavioral services, per 15 minutes) accounts for 133K claims at an average paid amount of $94 per claim and $12.5M in revenue. The per-15-minute structure of H2019 suggests the provider delivers many short, intensive therapy units consistent with applied behavior analysis or similar therapeutic models.

Competitive standing within Georgia for H2019 is dominant: the provider ranks #1 of 8 in-state and sits at the 100th percentile for this code, described in the source as "notably above typical state volume for this code." That ranking marks SPRINGHEALTH as a major statewide participant in therapeutic behavioral services rather than a modest local clinic.

The combination of 133K claims and $12.5M revenue for a single code signals sizable operational scale in that service line; staffing, scheduling, and claims administration are likely organized to support very high throughput of 15-minute sessions. Analysts should interpret this as evidence of a specialized, high-volume delivery model focused on short-duration behavioral therapy units.

Concentration risk is material: because H2019 drives 100.0% of Medicaid revenue and there is no Medicare revenue to diversify payer mix, changes to Medicaid reimbursement policy, prior authorization, or eligibility for H2019 would disproportionately affect the provider's financial performance. This single-code, single-payer dependency raises strategic sensitivity to state Medicaid decisions and code-level reimbursement changes.

From a monitoring and competitive-intelligence perspective, SPRINGHEALTH's profile—Behavior Analyst taxonomy, ~12 years since NPI enumeration, $12.5M Medicaid revenue driven entirely by H2019, and a #1 statewide rank—identifies it as a specialized, mature operator in therapeutic behavioral services in Georgia. Peers and payers evaluating network composition or contract negotiations should treat the provider as a high-capacity H2019 service provider with concentrated exposure to Medicaid policy shifts.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	133,020	$90	$12.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Springhealth Behavioral Health And Integrated Care Georgia, LLC — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	1	10	430	$100	$1.7M

Nearby Providers

Other providers in the same ZIP code as Springhealth Behavioral Health And Integrated Care Georgia, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clarissa Alderman	GA	Professional Counselor	$0	$498K
Dca Of Central Valdosta LLC	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$246.3K
Kellie Fesler	GA	Speech-Language Pathologist	$26.7K	$0

Springhealth Behavioral Health And Integrated Care Georgia, LLC — Billing Profile & Reimbursement Data

Sign up for Springhealth Behavioral Health And Integrated Care Georgia, LLC — Billing Profile & Reimbursement Data policy alerts

Springhealth Behavioral Health And Integrated Care Georgia, LLC — Billing Profile & Reimbursement Data

Sign up for Springhealth Behavioral Health And Integrated Care Georgia, LLC — 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