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.

Volunteers Of America Of Utah Inc (NPI 1548367881)

Field	Value
Entity Type	Organization
Organization	Volunteers Of America Of Utah Inc
Address	1875 S Redwood Road
City	Salt Lake City
State	UT
ZIP	84104
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$35.9M
Medicare	$0

Key Findings

VOLUNTEERS OF AMERICA OF UTAH INC reports $35.9M in lifetime Medicaid revenue and has no Medicare billing on file, making its billing footprint effectively single‑payer (Medicaid) in scale. This concentration on Medicaid receipts indicates reliance on state program reimbursement rather than a mixed Medicare/Medicaid practice model.

The provider’s Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 78.0% of total Medicaid revenue, driven by H0012 ($15.7M, 43.8%), H0040 ($8.4M, 23.4%), and 90837 ($3.9M, 10.8%). These three codes together dominate the revenue profile and define the core service lines generating nearly four‑fifths of receipts.

The code mix and descriptions point to a behavioral health and substance use treatment orientation: H0012 (sub-acute detoxification) and H0040 (assertive community treatment, per diem) are the largest revenue drivers, supplemented by high volumes of psychotherapy (90837 and 90853). This pattern aligns with the provider’s Community/Behavioral Health Agency taxonomy and suggests operations centered on addiction services, intensive community-based treatment, and outpatient psychotherapy.

On competitive standing, the provider ranks #1 of 6 statewide for H0040 (100th percentile; notably above typical state volume) indicating a dominant position in assertive community treatment per diems in Utah, while it also ranks #1 of 3 for H0012 (100th percentile; typical, unremarkable volume for this code) — top placement but characterized as typical within that small peer set. The strong rank for H0040, in particular, signals a significant market role in intensive community treatment relative to peers.

Psychotherapy and group therapy are substantial secondary lines: 90837 shows 27.6K claims at $141 avg paid/claim producing $3.9M (rank #9 of 372; 98th percentile; typical, unremarkable volume), and 90853 has 42K claims at $67 avg paid/claim producing $2.8M (rank #6 of 150; 97th percentile; notably above typical state volume). These volumes indicate the provider delivers both high-volume individual psychotherapy and notably elevated group therapy services versus in-state peers.

The provider also reports sizable community support and case management activity, with H2016 (39.1K claims, $48 avg, $1.9M; rank #4 of 14, 77th percentile; typical, unremarkable volume) and T1017 (10.9K claims, $65 avg, $705.9K; rank #11 of 61, 83rd percentile; typical, unremarkable volume). Combined with H0006 case management (5.5K claims, $40 avg, $218.7K), these lines point to a robust infrastructure for per‑diem community supports and ongoing case management.

VOLUNTEERS OF AMERICA OF UTAH INC has an NPI enumeration date of 2006-09-20 (~20 years ago), indicating an established presence in the state behavioral health market. That longevity, coupled with concentrated Medicaid revenue and high ranks on several service lines, suggests institutional stability and entrenched service relationships within Utah’s Medicaid network.

The heavy reliance on a small set of high‑revenue codes (78.0% of Medicaid revenue from the top three codes) is a strategic strength in terms of market specialization but also a potential vulnerability: changes to reimbursement or utilization policy for H0012 (detox) or H0040 (ACT per diem) could materially affect overall revenue, while the provider’s dominant H0040 position may offer leverage in negotiations or program planning with state Medicaid stakeholders.

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
H0012	Behavioral health day treatment, per hour	44,650	$350	$15.7M
H0040	Assertive community treatment program, per diem	7,460	$1,120	$8.4M
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…	27,550	$140	$3.9M
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…	41,960	$70	$2.8M
H2016	Comprehensive community support services, per diem	39,120	$50	$1.9M
T1017	Targeted case management, each 15 minutes	10,860	$70	$705.9K
H0046	Mental health services, not otherwise specified	3,940	$140	$559.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	830	$420	$350.2K
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…	3,040	$120	$349.3K
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…	2,930	$110	$330.9K

Showing 1–10 of 24

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

Volunteers Of America Of Utah Inc — 4 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0012	Behavioral health day treatment, per hour	1	10	3,030	$330	$5.4M
H2016	Comprehensive community support services, per diem	4	10	11,170	$90	$4.3M
H0040	Assertive community treatment program, per diem	1	10	1,500	$1,050	$2.5M
H2027	Psychoeducational service, per 15 minutes	9	20	410	$170	$1.8M
H0046	Mental health services, not otherwise specified	12	30	350	$100	$1.7M
T1017	Targeted case management, each 15 minutes	11	60	760	$70	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	94	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…	9	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	29	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…	6	150	1,060	$70	$528.1K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Volunteers Of America Of Utah Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gold Cross Services, Inc.	UT	Land Ambulance	$4.7M	$92.5M
Youth Empowerment Project LLC	UT	Marriage & Family Therapist	$0	$2.2M
Kci Usa, Inc.	UT	Durable Medical Equipment & Medical Supplies	$0	$2.2M
Child & Family Empowerment Services, LLC	UT	Clinical Social Worker	$0	$1M
Utah Carenow Urgent Care, LLC	UT	Urgent Care Clinic/Center	$0	$579.4K
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$533.3K

Volunteers Of America Of Utah Inc — Billing Profile & Reimbursement Data

Sign up for Volunteers Of America Of Utah Inc — Billing Profile & Reimbursement Data policy alerts

Volunteers Of America Of Utah Inc — Billing Profile & Reimbursement Data

Sign up for Volunteers Of America Of Utah Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References