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

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

Behavioral Medicine LLC (NPI 1326423781)

Field	Value
Entity Type	Organization
Organization	Behavioral Medicine LLC
Address	8104 Seaton Pl
City	Montgomery
State	AL
ZIP	36116
Taxonomy	Mental Health Counselor
NPI Enumerated	July 28, 2015

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	56,790	$60	$3.5M
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…	21,000	$70	$1.5M
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…	10,440	$40	$438.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,930	$90	$345.7K
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…	760	$80	$61.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,370	$30	$39.6K
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…	1,080	$30	$33.5K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	560	$40	$24.2K
96101	N/A	20	$60	$930
96102	N/A	20	$30	$400

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Behavioral Medicine LLC — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4	180	100	$120	$381.8K
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…	38	120	500	$50	$317.7K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	1	120	730	$60	$212.5K
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…	61	1,990	680	$60	$201.7K
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…	206	1,990	560	$40	$185.6K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	10	50	100	$70	$72.6K
96101	N/A	23	20	190	$240	$43.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	57	500	120	$60	$42.2K
96102	N/A	9	10	280	$80	$28.3K
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…	12	60	160	$40	$21.3K

Nearby Providers

Other providers in the same ZIP code as Behavioral Medicine LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alabama Dept. Of Rehabilitation Services	AL	Case Management Agency	$0	$58.2M
Rehab Early Intervention	AL	Speech-Language Pathologist	$0	$39.3M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$16.7M
Partners In Pediatrics, LLC	AL	Primary Care Clinic/Center	$0	$14M
The Center For Pain Of Montgomery LLC	AL	Interventional Pain Medicine Physician	$0	$5.9M
Alabama Smiles	AL	General Practice Dentistry	$0	$5.5M
Alabama Department Of Rehabilitation Services	AL	Multi-Specialty Clinic/Center	$0	$3.9M
Easter Seals Central Alabama	AL	Speech-Language Pathologist	$0	$2.2M
Excel Rehabilitation, LLC.	AL	Pediatric Occupational Therapist	$0	$1.9M
Farragut Dialysis, LLC	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M

Behavioral Medicine LLC — Billing Profile & Reimbursement Data

Sign up for Behavioral Medicine LLC — Billing Profile & Reimbursement Data policy alerts

Behavioral Medicine LLC — Billing Profile & Reimbursement Data

Sign up for Behavioral Medicine LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References