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    OpenPayerNPI Medicare & MedicaidCrimson Heights LLC
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    Crimson Heights LLC — Billing Profile & Reimbursement Data

    NPI 1457863771 · St George, UT · Community/Behavioral Health Agency

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    Crimson Heights LLC is a community/behavioral health agency provider located in St George, Utah. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCrimson Heights LLC
    Address348 E 600 S
    CitySt George
    StateUT
    ZIP84770
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedOctober 26, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7.8M
    Medicare$0

    Key Findings

    CRIMSON HEIGHTS LLC is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $7.8M in total Medicaid revenue. The NPI was enumerated on 2017-10-26 (~9 years ago), indicating roughly nine years of active enrollment in the Medicare/Medicaid system despite the lack of Medicare billing.

    Revenue is highly concentrated in a very small set of Medicaid codes: the top three Medicaid codes account for 97.7% of the provider’s total Medicaid revenue. H2014 alone represents $6.6M (85.1% of total Medicaid revenue), with 90837 and H2019 contributing $661.1K (8.5%) and $318.7K (4.1%) respectively.

    The code mix indicates an operational focus on skills training/rehabilitation plus psychotherapy: H2014 (Skills training and development, per 15 minutes) is by far the principal revenue driver, while 90837 (53+ minute psychotherapy) and H2019 (Therapeutic behavioral services, per 15 minutes) show that the practice also delivers longer psychotherapy sessions and time-based behavioral services. This pattern is consistent with a community/behavioral health agency model that bills both unitized rehabilitative services and individual psychotherapy.

    H2014 is a major in-state offering: the provider ranks #3 of 45 in Utah for H2014 and sits in the 95th percentile, yet the data label for this code is noted as "typical, unremarkable volume for this code." That combination indicates CRIMSON HEIGHTS is a significant statewide participant in skills-training services even though payor-level comparisons do not flag abnormal utilization patterns.

    For 90837 and H2019 the provider is a meaningful but not dominant participant in those service lines. 90837 shows 6.1K claims and $661.1K revenue (8.5% of total) and ranks #51 of 372 in-state (87th percentile; typical, unremarkable volume for this code), while H2019 shows 2.5K claims and $318.7K revenue (4.1% of total) and ranks #34 of 91 (63th percentile; typical, unremarkable volume for this code), suggesting moderate market share for psychotherapy and therapeutic behavioral services.

    Operationally, H2014’s volume (31.6K claims at $210 avg paid/claim) indicates a business model driven by very high unit counts of 15-minute skills-training services. That structure implies reliance on staffing patterns and throughput that support many short-duration, billable units rather than a revenue mix dominated by fewer, longer psychotherapy sessions.

    Secondary Medicaid codes confirm ancillary behavioral health capacity but represent a small share of revenue. Codes such as 90791 ($67.4K, 288 claims, 0.9% of total; 67th percentile; typical, unremarkable volume for this code), 90847 ($62.9K, 547 claims, 0.8% of total; 60th percentile; typical, unremarkable volume for this code), and 90846 ($38.3K, 379 claims, 0.5% of total; 51th percentile; typical, unremarkable volume for this code) show available psychiatric evaluation and family therapy services but limited contribution to overall Medicaid revenue.

    From a payer-risk and competitive perspective, the combination of single-payer dependence (no Medicare revenue) and extreme concentration in H2014 (85.1% of Medicaid revenue) makes the provider sensitive to reimbursement or policy changes affecting that specific code. Analysts evaluating network value or rate negotiations should treat H2014 as the critical driver of this entity’s Medicaid financial performance given the 97.7% revenue share captured by the top three codes.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2014Skills training and development, per 15 minutes31,560$210$6.6M
    90837In 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…6,120$110$661.1K
    H2019Therapeutic behavioral services, per 15 minutes2,490$130$318.7K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.290$230$67.4K
    90847A 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…550$120$62.9K
    90846A 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.380$100$38.3K
    H2017Psychosocial rehabilitation services, per 15 minutes320$30$8.9K
    90832In 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…90$50$4.8K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2014Skills training and development, per 15 minutes3501,320$130$1.1M
    H2017Psychosocial rehabilitation services, per 15 minutes4990340$70$713.8K
    90837In 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…51370690$140$704.2K
    H2019Therapeutic behavioral services, per 15 minutes3490560$80$649.9K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.45140160$220$374.1K
    90847A 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…3070320$130$258.8K
    90832In 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…6990270$70$200.4K
    90846A 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.2140330$110$140.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Crimson Heights LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crimson Heights LLCUTBehavior Analyst$0$6.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Logistics, LLC.UTTransportation Broker$0$299.6M
    Southwest CenterUTMental Health Clinic/Center (Including Community Mental Health Center)$0$58.3M
    Red Rock Healthcare, Inc.UTHome Health Agency$0$27.3M
    Virgin River Healthcare, Inc.UTIn Home Supportive Care Agency$0$13.3M
    Southwest CenterUTSubstance Use Disorder Rehabilitation Clinic/Center$0$7.7M
    Washington County School DistrictUTLocal Education Agency (LEA)$0$6.8M
    Red Mesa Home CareUTHome Health Agency$0$4M
    The Learning Center For FamiliesUTDevelopmentally Disabled Services Day Training Agency$0$3.9M
    Vive CareUTPsychiatric Hospital$0$3.1M
    Red Rock Healthcare, Inc.UTCommunity Based Hospice Care Agency$0$2.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Utah Providers
    2 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Crimson Heights LLC — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah