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.

Pinnacle Youth Services, Inc (NPI 1376725515)

Field	Value
Entity Type	Organization
Organization	Pinnacle Youth Services, Inc
Address	491 S Main St
City	Cedar City
State	UT
ZIP	84720
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 29, 2007

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	7,000	$140	$959.5K
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.	1,890	$80	$151.2K
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…	2,690	$50	$137K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$420	$8K

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

Pinnacle Youth Services, Inc — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	45	370	690	$140	$704.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	110	140	160	$220	$374.1K
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…	15	70	320	$130	$258.8K
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.	9	40	330	$110	$140.6K

Nearby Providers

Other providers in the same ZIP code as Pinnacle Youth Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tyler Albrecht	UT	Pediatric Dentistry	$0	$2.8M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$1.6M
Color Country Pediatrics, LLC	UT	Pediatrics Physician	$0	$1.3M
Iron County School District	UT	Local Education Agency (LEA)	$0	$1.3M
Southern Utah University	UT	Developmentally Disabled Services Day Training Agency	$0	$1.2M
Premier Pediatrics LLC	UT	Pediatrics Physician	$0	$1.1M
Children's Dental Of Cedar City	UT	Pediatric Dentistry	$0	$1.1M
Robert Dowse	UT	Pediatrics Physician	$0	$867K
Kirk Anderton	UT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$798.4K
Cedar Ridge Family Medicine	UT	Family Medicine Physician	$0	$762.4K

Pinnacle Youth Services, Inc — Billing Profile & Reimbursement Data

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Pinnacle Youth Services, Inc — 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