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.

Saint Anthony House Treatment Programs (NPI 1477985513)

Field	Value
Entity Type	Organization
Organization	Saint Anthony House Treatment Programs
Address	331 W 2700 S
City	South Salt Lake
State	UT
ZIP	84115
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 31, 2013

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	4,990	$130	$648K
H2019	Therapeutic behavioral services, per 15 minutes	9,290	$70	$641.1K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	7,580	$40	$333.7K
H2014	Skills training and development, per 15 minutes	1,700	$70	$113.6K
H2017	Psychosocial rehabilitation services, per 15 minutes	3,400	$30	$95.2K
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…	340	$120	$40.1K
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.	240	$100	$23.9K
90832	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…	300	$70	$19.6K
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…	30	$120	$3.1K
H2027	Psychoeducational service, per 15 minutes	30	$40	$1.3K

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

Saint Anthony House Treatment Programs — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2027	Psychoeducational service, per 15 minutes	16	20	410	$170	$1.8M
H2014	Skills training and development, per 15 minutes	20	50	1,320	$130	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	30	90	340	$70	$713.8K
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…	60	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	20	90	560	$80	$649.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	34	150	1,060	$70	$528.1K
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…	53	110	270	$120	$439.4K
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…	65	70	320	$130	$258.8K
90832	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…	43	90	270	$70	$200.4K
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.	23	40	330	$110	$140.6K

Nearby Providers

Other providers in the same ZIP code as Saint Anthony House Treatment Programs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abs Utah, P.C.	UT	Community/Behavioral Health Agency	$0	$197.1M
Acorn Care LLC	UT	In Home Supportive Care Agency	$0	$28.3M
Rathburn Healthcare LLC	UT	Home Health Agency	$0	$19.1M
Granite School District	UT	Local Education Agency (LEA)	$0	$10.7M
Salt Lake Homecare	UT	Home Health Agency	$0	$8.7M
Norco, Inc.	UT	Durable Medical Equipment & Medical Supplies	$0	$8M
City Of South Salt Lake	UT	Land Ambulance	$93.1K	$6.7M
Care Advocates LLC	UT	Case Management Agency	$0	$6.2M
Advocates For Independence LLC	UT	Case Management Agency	$0	$5.9M
Discovery House Utah, Inc.	UT	Methadone Clinic	$132.4K	$4.7M

Saint Anthony House Treatment Programs — Billing Profile & Reimbursement Data

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Saint Anthony House Treatment Programs — 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