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

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

Lgbtq Telepsychiatry (NPI 1336722859)

Key Findings

Field	Value
Entity Type	Organization
Organization	Lgbtq Telepsychiatry
Address	1309 Coffeen Ave Ste 1200
City	Sheridan
State	WY
ZIP	82801
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	May 3, 2021

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

This provider is effectively single-payer in the available data: there is no Medicare billing on file while lifetime Medicaid revenue is $3.9M, and the NPI was enumerated on 2021-05-03 (~5 years ago), indicating a relatively recent but established Medicaid-focused practice. The absence of Medicare claims suggests the provider’s patient panel or billing focus is concentrated on Medicaid populations rather than dual-eligible or Medicare beneficiaries.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 89.8% of this provider's total Medicaid revenue, driven by 90833 ($1.4M, 35.5% of Medicaid revenue), 99214 ($1.3M, 34.0%), and 90837 ($782.2K, 20.3%). This concentration indicates the business’s financial performance depends heavily on a small set of psychotherapy and outpatient E/M services.

The code mix points to a psychotherapy-centered outpatient practice that delivers both shorter add-on psychotherapy within E/M encounters and longer individual psychotherapy sessions: 90833 (add-on psychotherapy), 90837 (53+ minute psychotherapy), and 99214 (established outpatient E/M, 30+ minutes) are the top revenue drivers. Together these codes suggest routine delivery of moderate- to long-duration psychotherapy and time-intensive E/M visits rather than a procedure-oriented or facility-based model.

Operational scale is reflected in claim volumes and per-claim payments: 99214 shows 20.2K claims with $65 avg paid/claim, 90833 shows 18.3K claims with $75 avg paid/claim, and 90837 shows 6.2K claims with $126 avg paid/claim. These figures indicate a high-volume, moderate-rate service profile where total revenue is produced by frequent outpatient encounters rather than high per-claim reimbursements.

Competitive standing in-state is strong for core service lines: 99214 ranks #3 of 223 providers in-state and is labeled an "extreme outlier" at the 99th percentile, indicating this provider reports far higher Medicaid volume for established outpatient visits than almost all peers. That percentile ranking signals a major in-state presence for evaluation-and-management services within the psychiatric nurse-practitioner taxonomy.

Psychotherapy services also show above-typical statewide volume: 90833 ranks #2 of 16 providers (93rd percentile) and 90837 ranks #7 of 136 providers (96th percentile), both described as notably above typical state volume. These standings confirm the provider is a prominent regional deliverer of both add-on psychotherapy within E/M visits and long individual psychotherapy sessions.

The practice shows particular strength in diagnostic and testing activity relative to peers: 90792 (psychiatric diagnostic evaluation) is ranked #1 of 17 providers in-state and called an "extreme outlier" (100th percentile), and 96130 (psychological testing, first hour) ranks #1 of 6 (100th percentile) with $81.7K in revenue. This pattern implies substantial investment in initial psychiatric assessment and formal testing in addition to ongoing psychotherapy.

Smaller ancillary codes and screening instruments appear in-volume but contribute minimally to revenue: examples include 96127 (3.5K claims, $2 avg paid/claim, $7K revenue; ranks #2 of 27, 96th percentile) and 90853 (478 claims, $37 avg paid/claim, $17.7K revenue; ranks #5 of 9, 50th percentile). These observations show the practice occasionally uses brief screening and group therapy services but relies predominantly on the three top codes for Medicaid revenue.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	18,280	$80	$1.4M
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…	20,190	$70	$1.3M
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…	6,210	$130	$782.2K
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…	4,290	$50	$227.3K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,010	$80	$81.7K
99204	The provider sees a new 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 provider…	430	$140	$60.1K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	480	$40	$17.7K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	3,480	$1	$7K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	80	$1	$240

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Lgbtq Telepsychiatry — 5 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2	20	530	$40	$129.4K
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…	7	140	350	$70	$81.5K
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…	3	220	400	$50	$79.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	5	10	480	$20	$41.5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1	10	320	$90	$38.5K
99204	The provider sees a new 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 provider…	4	30	30	$110	$35.2K
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…	1	20	100	$70	$25.7K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	23	30	200	$10	$3.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	2	30	90	$1	$1.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chukwuemeka Obilor	NV	Psychiatric/Mental Health Nurse Practitioner	$13.2K	$68.6K
Toni Brent	AK	Psychiatric/Mental Health Nurse Practitioner	$27.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Normative Services, Inc.	WY	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$8.5M
Rehabilitation Enterprises Of Northeastern Wyoming	WY	Clinical Psychologist	$0	$3.5M
Northeast Wyoming Pediatric Associates, P.C.	WY	Pediatrics Physician	$0	$3.2M
Gillette Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$2.9M
Eagle Ridge Rehabilitative Services	WY	Case Management Agency	$0	$2.6M
David Bailey	WY	Pediatric Dentistry	$0	$2.6M
Sensational Kids, LLC	WY	Pediatric Occupational Therapist	$0	$2.1M
Memorial Hospital Of Sheridan County	WY	General Acute Care Hospital	$0	$989.7K
Linda Garretson	WY	Developmentally Disabled Services Day Training Agency	$0	$989.3K
Senior Citizens Council	WY	Home Health Agency	$0	$959.7K

Lgbtq Telepsychiatry — Billing Profile & Reimbursement Data

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Lgbtq Telepsychiatry — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References