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

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

Tueller Counseling Inc (NPI 1477766905)

Field	Value
Entity Type	Organization
Organization	Tueller Counseling Inc
Address	2265 W Broadway St
City	Idaho Falls
State	ID
ZIP	83402
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 8, 2007

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while lifetime Medicaid revenue totals $8.4M, indicating heavy dependence on Medicaid for its reimbursement stream. Analysts should treat TUELLER COUNSELING INC as a Medicaid-centric operation rather than a mixed Medicare/Medicaid provider.

Revenue is highly concentrated in a few services: the top three Medicaid codes account for 52.4% of the provider’s total Medicaid revenue, led by H2017 ($1.7M, 20.2%), 90834 ($1.7M, 19.7%), and T1017 ($1.1M, 12.5%). This concentration suggests a focused set of billable activities that drive the majority of Medicaid receipts.

The code mix points to a behavioral health operation centered on psychotherapy and community‑based supports: high volumes for 90834, 90837, and 90832 show intensive individual psychotherapy delivery, while prominent H2017, T1017, and H0038 usage indicates substantial psychosocial rehabilitation, targeted case management, and peer/self‑help services. Together these codes are characteristic of a mental health clinic or community mental health center that provides both clinical therapy and supportive, time‑based community services.

TUELLER COUNSELING shows state‑level dominance on several codes: 90834 ranks #5 of 413 providers in-state at the 99th percentile and is labeled an extreme outlier, while codes such as 90847, H0031, and H0046 rank #1 of their peer sets at the 100th percentile (also described as extreme outliers). These ranks indicate the provider is a major, high‑volume player in specific psychotherapy and non‑physician assessment services within Idaho.

There are multiple statistically notable high‑volume code signals beyond the top three: T1017 ranks #7 of 186 (97th percentile, notably above typical), and 90785 has 10.7K claims and is described as an extreme outlier (rank #3 of 126, 98th percentile). These patterns suggest sustained, frequent billing of time‑based and intensity‑adjustment services, consistent with high throughput and recurring patient contact.

Service delivery appears both deep and broad across psychotherapy intensities and family engagement: the provider bills heavily for short, medium, and long psychotherapy sessions (90832, 90834, 90837) and is the top in-state biller for family therapy with patient present (90847) and family therapy without patient present (90846). This mix implies capability to serve complex outpatient caseloads requiring individual, family, and extended psychotherapy modalities.

Not all top codes are unusually concentrated: H2017 (psychosocial rehabilitation) generates $1.7M but ranks #20 of 135 (86th percentile) and is described as typical/unremarkable volume, indicating that while psychosocial rehab contributes materially to revenue, the provider’s standout strength is more in psychotherapy and case management. This contrast underscores differentiated competitive positioning across service lines.

The provider has an established operational history with an NPI enumerated on 2007-05-08 (~19 years ago), and the combination of long tenure plus an $8.4M Medicaid billing footprint supports the view of an enduring, Medicaid‑focused behavioral health provider with significant statewide presence in several high‑volume service categories.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	13,560	$130	$1.7M
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…	27,270	$60	$1.7M
T1017	Targeted case management, each 15 minutes	20,210	$50	$1.1M
H0038	Self‑help/peer services, per 15 minutes	7,680	$100	$783.2K
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…	6,420	$80	$513.9K
H0031	Mental health assessment, by non-physician	2,820	$170	$490.2K
H0046	Mental health services, not otherwise specified	6,240	$70	$449.4K
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…	4,800	$80	$384.2K
S5150	Unskilled respite care, not hospice; per 15 minutes	7,570	$40	$325.5K
T1016	Case management, each 15 minutes	5,180	$50	$274.7K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Tueller Counseling Inc — 10 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	3	30	1,410	$80	$804.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	20	140	2,000	$110	$633.3K
H0038	Self‑help/peer services, per 15 minutes	26	110	1,730	$90	$436.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	49	80	2,240	$50	$257.3K
T1017	Targeted case management, each 15 minutes	7	190	1,060	$60	$221.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	393	670	740	$40	$193.6K
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…	227	620	560	$60	$191.8K
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…	5	410	740	$60	$174.3K
H0046	Mental health services, not otherwise specified	1	30	500	$80	$92.4K
T1016	Case management, each 15 minutes	2	60	420	$70	$76.2K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Tueller Counseling Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Reach	ID	In Home Supportive Care Agency	$0	$31.9M
Development Workshop, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$10.8M
Vista Family Services LLC	ID	Community/Behavioral Health Agency	$0	$6.3M
Answers, LLC	ID	Adult Mental Health Clinic/Center	$0	$5.9M
Jordan E. Higham PA	ID	Pediatric Dentistry	$0	$5.7M
City Of Idaho Falls	ID	Land Ambulance	$900.3K	$4.8M
Riverside Service Group Inc	ID	Developmentally Disabled Services Day Training Agency	$0	$2.9M
D7 Treatment	ID	Community/Behavioral Health Agency	$0	$2.2M
Abc Homecare Inc.	ID	Licensed Practical Nurse	$0	$2.1M
Beehive Rehabilitation And Counseling, PA	ID	Community/Behavioral Health Agency	$0	$1.7M

Tueller Counseling Inc — Billing Profile & Reimbursement Data

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Tueller Counseling Inc — 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

Nearby Providers

Frequently Asked Questions

References