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.

Unison Behavioral Health (NPI 1528104866)

Field	Value
Entity Type	Organization
Organization	Unison Behavioral Health
Address	1007 Mary Street
City	Waycross
State	GA
ZIP	31503
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$25.5M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and $25.5M in lifetime Medicaid revenue, making it effectively a single-payer, Medicaid‑centered operation. Analysts should treat the provider’s performance and risk profile as driven almost entirely by Medicaid policy, rates, and waiver program changes rather than Medicare dynamics.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 62.9% of total Medicaid revenue, and the single largest code, T2025, generates $11.9M (46.6% of Medicaid revenue). That degree of concentration implies material exposure to any reimbursement or eligibility changes affecting waiver services.

The code mix indicates core operations are community-based behavioral health and waiver-supported services: T2025 (waiver services), H2015 (comprehensive community support services, per 15 minutes), and H2017 (psychosocial rehabilitation services, per 15 minutes) are the top revenue drivers. Substantial billing for H0031 (mental health assessment), multiple psychotherapy codes (90834, 90837, 90832), and per‑15‑minute habilitation/training codes (H2014) point to a blended model of assessment, psychotherapy, skills training, and ongoing community support delivered in shorter, time‑based increments.

On competitive standing within Georgia the provider registers as a major player for several key service lines: H2015 ranks #2 of 40 providers in-state (97th percentile; notably above typical state volume) and H2014 ranks #2 of 28 (96th percentile; notably above typical). Psychotherapy billing is also unusually large — 90834 ranks #4 of 294 providers in-state (99th percentile; extreme outlier) — indicating the provider is a high-volume regional source for billed psychotherapy and community support services.

There is nuance in state peer comparisons: T2025, while accounting for $11.9M (46.6%) and 152.2K claims with a $78 avg paid/claim, is described as typical/unremarkable volume in-state and ranks #4 of 30 providers (90th percentile). This suggests that the provider’s outsized revenue share is driven in part by the high absolute revenue for that code rather than a unique state-market dominance on claim counts.

The mix includes substantial outpatient E/M and psychiatric evaluation activity that complements community services: 99213 registers 22.2K claims and $1M revenue (rank #48 of 917 in-state, 95th percentile) and 90792 shows 8.4K claims and $934.3K revenue (rank #4 of 60 in-state, 95th percentile). Those volumes indicate the provider maintains a steady stream of office-based evaluation/management and psychiatric diagnostic services alongside time-based behavioral interventions.

Operationally, the provider also bills for nursing and telehealth-originating site fees at nontrivial volumes — T1003 shows 23.3K claims and $583.4K revenue (rank #4 of 20, 84th percentile) and Q3014 shows 6.8K claims and $95.8K revenue (rank #5 of 57, 93th percentile; notably above typical). This pattern points to integrated care touches (nursing assessments and telehealth access) that support community‑based behavioral services and may facilitate remote or home-based program delivery.

The NPI was enumerated on 2007-01-30 (~19 years ago), reflecting a long-tenured presence in the market. Combined with multiple high state-percentile ranks across core codes, the tenure and code mix suggest an established Medicaid behavioral health provider whose negotiating leverage and operational risk will be concentrated around waiver-funded and per‑15‑minute community support services.

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
T2025	Waiver services; not otherwise specified (nos)	152,160	$80	$11.9M
H2015	Comprehensive community support services, per 15 minutes	40,750	$60	$2.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	29,090	$60	$1.6M
H0031	Mental health assessment, by non-physician	15,670	$100	$1.6M
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…	16,590	$70	$1.1M
T1016	Case management, each 15 minutes	17,160	$60	$1M
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…	22,160	$50	$1M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	8,420	$110	$934.3K
T1003	Lpn/lvn services, up to 15 minutes	23,330	$30	$583.4K
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…	5,920	$90	$538.7K

Showing 1–10 of 24

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

Unison Behavioral Health — 5 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	4	30	15,890	$130	$7.5M
H0038	Self‑help/peer services, per 15 minutes	7	10	14,500	$60	$1.3M
T1003	Lpn/lvn services, up to 15 minutes	4	20	470	$150	$1.1M
T1016	Case management, each 15 minutes	5	10	4,850	$70	$923.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	4	20	3,800	$70	$896.7K
T2028	Specialized supply, not otherwise specified, waiver	11	20	2,190	$210	$854K
H2015	Comprehensive community support services, per 15 minutes	2	40	2,260	$70	$518.1K
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…	48	920	370	$60	$360.6K
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…	106	820	390	$70	$245K
H0031	Mental health assessment, by non-physician	4	80	80	$110	$233.6K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Unison Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tara Smith	GA	Psychiatric/Mental Health Nurse Practitioner	$46.9K	$0

Nearby Providers

Other providers in the same ZIP code as Unison Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ware County Board Of Commissioners	GA	Land Ambulance	$330.8K	$0

Unison Behavioral Health — Billing Profile & Reimbursement Data

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Unison Behavioral Health — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References