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.

Highland Rivers Community Service Board (NPI 1447256243)

Field	Value
Entity Type	Organization
Organization	Highland Rivers Community Service Board
Address	1503 N Tibbs Rd
City	Dalton
State	GA
ZIP	30720
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 27, 2005

Payer Source	Total Paid
Medicaid	$44.1M
Medicare	$0

Key Findings

HIGHLAND RIVERS COMMUNITY SERVICE BOARD is a community/behavioral health agency based in DALTON, GA with an NPI enumerated on 2005-06-27 (~21 years ago), indicating long-standing participation in public programs and sustained operations in the state behavioral health market. Its taxonomy and long tenure are consistent with a multi-service community behavioral health provider rather than a short-term clinic or hospital-based program.

This provider is effectively single-payer: there is no Medicare billing on file while Medicaid billing totals $44.1M in lifetime revenue. The absence of Medicare activity means operational and financial performance is driven almost entirely by Medicaid policy, utilization, and rates rather than a mix of federal payers.

Revenue is concentrated in a few Medicaid service lines: the top three Medicaid codes (T2017, T2025, H0038) collectively account for 38.5% of the provider’s total Medicaid revenue. Individually those codes are T2017 $9M (20.6%), T2025 $4.3M (9.9%), and H0038 $3.5M (8.0%), showing that residential habilitation/waiver services and peer/self-help services are the largest single revenue drivers.

The code mix points to an operational model focused on residential and waiver-supported services combined with intensive community behavioral health supports and psychotherapy. High-volume codes such as T2017 (habilitation, residential, waiver), T2025 (waiver services nos), H0038 (self-help/peer services), and multiple psychotherapy and case-management codes indicate the agency operates both residential programs and a broad outpatient/community-based treatment platform.

Competitive standing versus in-state peers is mixed by service line: H0038 ranks #2 of 11 providers in-state at the 90th percentile and is described as notably above typical state volume, signalling a strong market position for peer/self-help services. By contrast, T2017 ranks #3 of 9 (75th percentile) and T2025 ranks #8 of 30 (76th percentile), both characterized as typical or unremarkable volumes, so the provider is a solid but not dominant player in waiver/residential services overall.

Several mental health assessment and psychotherapy codes are extreme outliers versus state peers, indicating exceptional scale in those services: 90837 ranks #4 of 884 (100th percentile; extreme outlier), 90834 ranks #2 of 294 (100th percentile; extreme outlier), and H0031 ranks #1 of 76 (100th percentile; extreme outlier). These rankings show the provider is a dominant source of longer psychotherapy sessions and non-physician mental health assessments in Georgia.

The organization also reports substantial volume in evaluation-and-management and nursing services, supporting a broad clinical footprint beyond psychosocial programming. Examples include T1003 $3.2M (7.2%) rank #3 of 20 (89th percentile), 99214 $1.4M (3.2%) rank #30 of 824 (96th percentile), and 99213 $1M (2.4%) rank #47 of 917 (95th percentile), indicating regular outpatient medical/psychiatric encounters and embedded nursing services in its care mix.

Because nearly all reported revenue is Medicaid-sourced and top codes are heavily concentrated in waiver, residential habilitation, psychotherapy, and peer services, the provider’s financial performance is sensitive to state Medicaid policy, waiver program changes, and behavioral health reimbursement trends. Analysts should treat Medicaid program changes as the primary external risk or opportunity for this entity given the lack of Medicare diversification.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	66,280	$140	$9M
T2025	Waiver services; not otherwise specified (nos)	57,150	$80	$4.3M
H0038	Self‑help/peer services, per 15 minutes	64,450	$50	$3.5M
T1003	Lpn/lvn services, up to 15 minutes	24,450	$130	$3.2M
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…	38,710	$80	$3.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	12,170	$210	$2.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	25,390	$90	$2.4M
T1016	Case management, each 15 minutes	28,740	$80	$2.2M
H0031	Mental health assessment, by non-physician	17,970	$120	$2.1M
90834	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…	22,550	$70	$1.5M

Showing 1–10 of 39

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

Highland Rivers Community Service Board — 9 of 25 codes 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	6	10	32,460	$440	$30.4M
T2017	Habilitation, residential, waiver; 15 minutes	3	10	18,160	$180	$18.4M
T2025	Waiver services; not otherwise specified (nos)	8	30	15,890	$130	$7.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	3	10	24,810	$90	$2M
H0038	Self‑help/peer services, per 15 minutes	2	10	14,500	$60	$1.3M
T1003	Lpn/lvn services, up to 15 minutes	3	20	470	$150	$1.1M
T1016	Case management, each 15 minutes	3	10	4,850	$70	$923.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	6	20	3,800	$70	$896.7K
T2028	Specialized supply, not otherwise specified, waiver	4	20	2,190	$210	$854K
H2015	Comprehensive community support services, per 15 minutes	8	40	2,260	$70	$518.1K

Showing 1–10 of 39

Related Providers

Other providers that share a Tax Identification Number (TIN) with Highland Rivers Community Service Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omobolaji Oyebanjo Popoola	GA	Addiction Psychiatry Physician	$4.9K	$1M
Jennifer Ward	GA	Internal Medicine Physician	$367.7K	$0
Cary Leatherwood Brock	GA	Mental Health Counselor	$0	$209.5K
Abimbola Aluko	GA	Psychiatric/Mental Health Nurse Practitioner	$208.2K	$0
Swarnalatha Inderjith	GA	Child & Adolescent Psychiatry Physician	$0	$171K
Douglas Laipple	GA	Psychiatry Physician	$53.7K	$0

Nearby Providers

Other providers in the same ZIP code as Highland Rivers Community Service Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
White's Pediatrics	GA	Pediatrics Physician	$0	$25.1M
Family And Children First LLC	GA	Community/Behavioral Health Agency	$0	$19.5M
Hamilton Physician Group Inc	GA	Cardiovascular Disease Physician	$0	$5.9M
Pediatrics Of Dalton, PA	GA	Specialist	$0	$5.5M
Dalton Ear Nose & Throat Associates	GA	Otolaryngology Physician	$0	$4M
Skin Cancer & Cosmetic Dermatology Center, PC	GA	Dermatology Physician	$0	$3.4M
John Chung	GA	MOHS-Micrographic Surgery Physician	$2.5M	$0
Hamilton Emergency Medical Services	GA	Land Ambulance	$1.2M	$0
Hosam Saad-naguib	GA	Hematology & Oncology Physician	$1M	$0
Professional Eye Associates, Inc.	GA	Ambulatory Surgical Clinic/Center	$698.9K	$0

Highland Rivers Community Service Board — Billing Profile & Reimbursement Data

Sign up for Highland Rivers Community Service Board — Billing Profile & Reimbursement Data policy alerts

Highland Rivers Community Service Board — Billing Profile & Reimbursement Data

Sign up for Highland Rivers Community Service Board — Billing Profile & Reimbursement Data policy alerts

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