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NPI 1487715330 · Price, UT · Community/Behavioral Health Agency
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Four Corners Community Behavioral Health, Inc. is a community/behavioral health agency provider located in Price, Utah. This profile covers 0 Medicare and 27 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Four Corners Community Behavioral Health, Inc. |
| Address | 690 E Main St |
| City | Price |
| State | UT |
| ZIP | 84501 |
| Taxonomy | Community/Behavioral Health Agency |
| NPI Enumerated | December 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $19.5M |
| Medicare | $0 |
FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $19.5M, indicating the organization’s entire reported claims footprint in our data is driven by Medicaid programs. This concentration makes Medicaid policy, rates, and program changes material to the provider’s financial performance.
Revenue is highly concentrated in a small set of behavioral-health service lines: the precomputed top three Medicaid codes account for 48.6% of the provider’s total Medicaid revenue. The three highest-revenue codes are T1017 ($3.6M, 18.6%), 90837 ($3.2M, 16.3%), and H2017 ($2.6M, 13.6%), showing that targeted case management, long psychotherapy, and psychosocial rehabilitation are the primary revenue drivers.
The provider’s code mix and volumes point to a community behavioral health operating model focused on case management and intensive outpatient supports. High-revenue, high-claim codes include T1017 (54.1K claims), H2017 (54K claims), and 90837 (19K claims), and significant per-diem community supports appear in H2016 ($2.3M), which together indicate a service mix centered on targeted case management, psychosocial rehabilitation, and psychotherapy rather than physician-driven medical care.
On operational scale, the raw claim counts underline substantial throughput for a regional behavioral health agency: T1017 and H2017 each show roughly 54K claims while multiple psychotherapy and support codes (90837 19K claims, 90834 9.2K claims, H0046 26.2K claims) contribute materially to activity. That pattern suggests capacity to manage large caseloads and deliver frequent, time-based services typical of community behavioral health programs.
Competitive standing within Utah is strong for several core services. T1017 ranks #3 of 61 providers (97th percentile) and H2017 ranks #4 of 94 providers (97th percentile), indicating a leading statewide position for targeted case management and psychosocial rehab; 90837 is also high-volume statewide at rank #17 of 372 providers (96th percentile), reflecting a competitive presence in psychotherapy delivery. All three of these rank/percentile statements are qualified in the source as "typical, unremarkable volume for this code," which implies that high standing comes from scale within common service lines rather than unusual billing patterns.
The provider shows both breadth and reliance within Medicaid revenue streams: beyond the top three codes there are several mid-revenue lines such as H2016 ($2.3M), 90834 ($1M), H0046 ($915.7K), and 99213 ($704.5K). This mix demonstrates diversification across case management, time-based rehabilitation, individual psychotherapy of varying durations, and office-based E/M, but the near-half concentration in the top three codes means changes to those program areas would disproportionately affect total revenue.
Tenure data indicate an established operation: the NPI was enumerated 2006-12-13 (~20 years ago), suggesting long-standing enrollment and continuity in Medicaid contracting and claims submission. That duration supports the interpretation of sustained, programmatic delivery of community behavioral health services rather than a recent entrant profile.
Statistical standing across codes is heterogeneous: while several high-volume codes are in top percentiles (e.g., 97th and 96th percentiles for T1017, H2017, and 90837), other billed services show more modest statewide positions—H2016 is at the 62th percentile (rank #6 of 14), 99215 at the 30th percentile (rank #139 of 199), and S5150 appears at the 0th percentile (rank #11 of 11). These contrasts indicate specialization in core behavioral health delivery with lower relative engagement in some ancillary or less-common service lines.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1017 | Targeted case management, each 15 minutes | 54,100 | $70 | $3.6M |
| 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… | 19,030 | $170 | $3.2M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 54,040 | $50 | $2.6M |
| H2016 | Comprehensive community support services, per diem | 14,200 | $160 | $2.3M |
| 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… | 9,220 | $110 | $1M |
| H0046 | Mental health services, not otherwise specified | 26,160 | $40 | $915.7K |
| 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… | 12,450 | $60 | $721.9K |
| 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… | 7,420 | $100 | $704.5K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 4,140 | $150 | $637.7K |
| H2019 | Therapeutic behavioral services, per 15 minutes | 16,530 | $30 | $562K |
Showing 1–10 of 27
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
27 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 6 | 10 | 11,170 | $90 | $4.3M |
| H2027 | Psychoeducational service, per 15 minutes | 7 | 20 | 410 | $170 | $1.8M |
| H0046 | Mental health services, not otherwise specified | 6 | 30 | 350 | $100 | $1.7M |
| S5150 | Unskilled respite care, not hospice; per 15 minutes | 11 | 10 | 3,370 | $90 | $1.1M |
| H2014 | Skills training and development, per 15 minutes | 10 | 50 | 1,320 | $130 | $1.1M |
| T1017 | Targeted case management, each 15 minutes | 3 | 60 | 760 | $70 | $1.1M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 4 | 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… | 17 | 370 | 690 | $140 | $704.2K |
| H2019 | Therapeutic behavioral services, per 15 minutes | 14 | 90 | 560 | $80 | $649.9K |
| T1001 | Nursing assessment / evaluation | 10 | 70 | 700 | $80 | $603.4K |
Showing 1–10 of 27
Other providers in the same ZIP code as Four Corners Community Behavioral Health, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Castleview Hospital LLC | UT | Rural Acute Care Hospital | $0 | $6M |
| Shane D Gagon Md, PC | UT | Family Medicine Physician | $0 | $2.5M |
| County Of Carbon | UT | Land Ambulance | $322.9K | $1.8M |
| A Perfect Smile | UT | Dental Clinic/Center | $0 | $1M |
| West Emergency Services, LLC | UT | Emergency Medicine Physician | $0 | $810.3K |
| Southeastern Utah District Health Department | UT | Public Health or Welfare Agency | $28.8K | $666.5K |
| Castleview Physician Practice, LLC | UT | Family Medicine Physician | $0 | $653.9K |
| Carbon School District | UT | Local Education Agency (LEA) | $0 | $622.5K |
| Shane Gagon | UT | Family Medicine Physician | $535.8K | $0 |
| Connie Quinton | UT | Family Nurse Practitioner | $0 | $532.6K |
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.