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

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

Behavioral Health Partners Of Frederick, Inc (NPI 1538223045)

Key Findings

Field	Value
Entity Type	Organization
Organization	Behavioral Health Partners Of Frederick, Inc
Address	604 Solarex Ct
City	Frederick
State	MD
ZIP	21703
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicaid	$42.7M
Medicare	$0

This provider is effectively single-payer focused: there is no Medicare billing on file while Medicaid revenue totals $42.7M, indicating the organization’s patient mix and reimbursement dependency are concentrated almost entirely in Medicaid. Analysts should treat this entity as a Medicaid-centric operator rather than a mixed Medicare/Medicaid practice.

Revenue concentration is highly focused: the top 3 Medicaid codes (90834, 90847, 99214) account for 79.6% of this provider's total Medicaid revenue, with 90834 alone representing $26.2M or 61.3% of Medicaid revenue. That level of concentration means performance or policy changes tied to those codes would materially affect the provider’s topline.

The code mix and volumes point to a large outpatient psychotherapy operation: 90834 has 207.9K claims at $126 avg paid/claim and 90832 has 33.5K claims at $71 avg paid/claim, showing that face-to-face psychotherapy visits (short and mid-length) are the core service line. Substantial 90847 family psychotherapy activity (45.6K claims, $106 avg paid/claim) further indicates family-based treatment offerings are a meaningful part of clinical services.

Competitive standing within Maryland is dominant for several core services: the provider ranks #5 of 2,204 for 90834 and #3 of 451 for 90847, both described as 100th percentile and extreme outlier, which signals the organization is a statewide volume leader for individual and family psychotherapy. Other codes such as H0032 (rank #3 of 332, 99th percentile; extreme outlier) and 90791 (rank #7 of 1,093, 99th percentile; extreme outlier) reinforce the provider’s unusually large footprint compared to in-state peers.

Clinical staffing and delivery implications can be inferred from code mix: high volumes of H0032 (mental health service plan development by non-physician, 18K claims, $103 avg paid/claim, $1.9M revenue) combined with many psychotherapy codes suggest substantial involvement of non-physician clinicians and care managers in treatment planning and routine psychotherapy delivery. The presence of 90791 and 90792 (psychiatric evaluations) alongside high E/M 99214 volumes indicates an integrated model that includes diagnostic assessments and moderate-complexity medical management.

While several codes show exceptional statewide volume, some common office visit codes are comparatively ordinary: 99214 generates $3M (23.6K claims, $126 avg paid/claim) and is ranked #67 of 3,673 (98th percentile) and is characterized in the file as typical/unremarkable volume for this code in-state. Lower-volume add-ons and group therapy codes (for example 90833, 90853) contribute negligible shares of revenue relative to the psychotherapy core, indicating the business is not materially driven by add-on services or group sessions.

Tenure is long enough to signal an established operation: the NPI was enumerated on 2006-12-20 (~20 years ago), so this provider has had sustained market presence through multiple policy and program cycles. That longevity, combined with extreme-volume rankings on core codes, supports a view of this entity as a stable, high-volume Medicaid behavioral health provider in Maryland.

Concentration and operational risk should be noted: reliance on Medicaid for $42.7M in revenue and on a very small set of codes (top 3 = 79.6% of Medicaid revenue) creates sensitivity to Medicaid policy, telehealth/E&M rules, or supervision payment changes that affect psychotherapy and service-plan development payments. Given the provider’s extreme outlier status on several codes, any state-level reimbursement or authorization changes tied to those codes could disproportionately impact its revenue and utilization profile.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	207,930	$130	$26.2M
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…	45,610	$110	$4.8M
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…	23,640	$130	$3M
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…	33,500	$70	$2.4M
H0032	Mental health service plan development by non-physician	18,040	$100	$1.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,230	$230	$1.7M
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	$130	$739.4K
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.	4,660	$130	$596.6K
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…	2,590	$230	$588.6K
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…	6,870	$80	$515.3K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Behavioral Health Partners Of Frederick, Inc — 8 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	2,200	890	$110	$596.1K
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…	3	450	510	$120	$393.2K
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…	67	3,670	680	$90	$310K
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…	53	450	730	$110	$298.2K
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…	414	3,280	610	$80	$296.1K
H0032	Mental health service plan development by non-physician	3	330	520	$100	$183K
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…	10	610	520	$50	$178.2K
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…	360	440	510	$40	$128.6K
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.	6	160	150	$130	$113.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7	1,090	90	$200	$101.4K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Btst Services LLC	MD	Community/Behavioral Health Agency	$0	$11.5M
Cindy Lenzi Autism Waiver Provider LLC	MD	Developmentally Disabled Services Day Training Agency	$0	$5.9M
Brook Lane Behavioral Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.6M
Patriot Medical Laboratories LLC	MD	Clinical Medical Laboratory	$108K	$3M
Tanisha Osbourne	MD	Specialist	$561.1K	$0
Sunil Thadani	MD	Ophthalmology Physician	$493K	$0
Willie Yu	MD	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$379K	$15.9K
Anita Nahar	MD	Nephrology Physician	$324.3K	$0
Monocacy Surgery Center LLC	MD	Ambulatory Surgical Clinic/Center	$141.8K	$0
Mohamed Kamel Elsayed	MD	Psychiatry Physician	$132.7K	$0

Behavioral Health Partners Of Frederick, 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