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.

Gulf Coast Counseling Services (NPI 1346324696)

Field	Value
Entity Type	Organization
Organization	Gulf Coast Counseling Services
Address	805 N. Mckenzie St.
City	Foley
State	AL
ZIP	36535
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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
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…	8,910	$50	$463.4K
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…	8,950	$50	$456.4K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	880	$110	$99.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,500	$60	$91.4K
96102	N/A	510	$30	$15.3K
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…	170	$60	$10.4K
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.	180	$30	$5.9K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	1,720	$1	$3.4K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	10	$30	$340

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

Gulf Coast Counseling Services — 0 of 9 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

9 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.	16	180	100	$120	$381.8K
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…	30	380	440	$90	$362K
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…	13	120	730	$60	$212.5K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	3	10	1,470	$120	$152K
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.	19	50	100	$70	$72.6K
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…	21	50	170	$60	$32.4K
96102	N/A	2	10	280	$80	$28.3K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	18	20	160	$30	$12.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	13	80	220	$1	$4K

Nearby Providers

Other providers in the same ZIP code as Gulf Coast Counseling Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gary A. Eberly, Md PC	AL	Pediatrics Physician	$0	$5.5M
South Baldwin Childrens Center PC	AL	Pediatrics Physician	$0	$4.6M
Foley Hospital Company LLC	AL	General Acute Care Hospital	$0	$4.5M
Sea Smiles, LLC	AL	Pediatric Dentistry	$0	$2.1M
Foley Emergency Physicians, LLC	AL	Emergency Medicine Physician	$0	$1.6M
South Baldwin Dental Associates	AL	General Practice Dentistry	$0	$1.6M
Emerald Sands Medical Center	AL	Primary Care Clinic/Center	$0	$1.2M
Samuel Townsley	AL	General Practice Dentistry	$0	$848.8K
Med-trans Corporation	AL	Air Ambulance	$423.5K	$49K
Vanna Eslava	AL	Family Nurse Practitioner	$391.6K	$0

Gulf Coast Counseling Services — Billing Profile & Reimbursement Data

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Gulf Coast Counseling Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References