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.

Northside Psychological Services, Inc. (NPI 1568527505)

Field	Value
Entity Type	Organization
Organization	Northside Psychological Services, Inc.
Address	5755 N Point Pkwy
City	Alpharetta
State	GA
ZIP	30022
Taxonomy	Mental Health Counselor
NPI Enumerated	December 27, 2006

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Key Findings

NORTHSIDE PSYCHOLOGICAL SERVICES, INC. is effectively a Medicaid-focused behavioral health practice: it has no Medicare billing on file and reports $11.3M in lifetime Medicaid revenue, so its patient and revenue mix is overwhelmingly Medicaid-centered rather than split across traditional Medicare beneficiaries. This positions the organization as a single-payer specialist in state Medicaid behavioral health programs rather than a mixed Medicare/Medicaid outpatient provider model.

Revenue is highly concentrated in a small set of service lines: the top 3 Medicaid codes (90837, H2015, H0004) together account for 71.4% of the provider’s total Medicaid revenue. This concentration indicates the business is organized primarily around long psychotherapy sessions (90837) and intensive community support and counseling billed in 15-minute units (H2015, H0004), rather than brief office visits or medical E/M services.

The provider appears to operate at scale for several core behavioral-health services in Georgia. NORTHSIDE ranks #3 of 884 for 90837 (100th percentile, labeled an extreme outlier) with $4.3M from 49.9K claims, and #3 of 40 for H2015 (95th percentile) with $2.3M from 33.2K claims. These statewide rankings indicate the practice is a major volume provider for long-session psychotherapy and comprehensive community support services relative to in-state peers.

NORTHSIDE shows exceptional dominance for some team-based/multi-participant services: it ranks #1 of 23 for H0004 (100th percentile, extreme outlier) generating $1.4M from 17.6K claims, and #1 of 60 for 90846 (100th percentile, extreme outlier) with $265.9K from 4.3K claims. Those top ranks suggest the organization is a leading in-state provider of per-15-minute behavioral health counseling and family psychotherapy without the patient present.

Beyond the top codes, the practice bills a range of assessment, service-plan, and rehabilitation codes—H0031, H0032, H2017, H2014, 90791, 90792 and 90834—indicating an integrated model that includes intake/diagnostic assessments, care planning, skills training, and psychosocial rehabilitation in addition to psychotherapy. Many of these supporting codes rank in high percentiles (for example, 90791 is 98th percentile statewide), which reinforces that NORTHSIDE delivers a full continuum of Medicaid behavioral-health services rather than isolated psychotherapy encounters.

Operationally, the underlying mix of high-volume 15-minute unit codes (H2015, H0004, H2014) combined with long psychotherapy codes (90837, 90846, 90847) suggests a staffing and workflow model built around frequent, time-based encounters—likely multi-staff teams delivering both individual psychotherapy and community support. This pattern implies revenue depends on sustained session throughput and repeated short-interval service units as much as on longer psychotherapy appointments.

The provider’s NPI was enumerated around 2006-12-27 (~20 years ago), indicating long tenure in the market. That extended presence, together with extreme-outlier state rankings on multiple Medicaid codes, is consistent with an established practice that has scaled Medicaid-focused behavioral health services over many years.

While several codes show extreme or notable outlier status, other common outpatient codes are more typical in-state; for example, 99213 ranks in the 75th percentile and 90834 ranks in the 91st percentile. This mix of extreme leadership on core behavioral codes and typical rankings on general E/M and shorter psychotherapy codes suggests NORTHSIDE’s competitive advantage is concentrated in specialized behavioral-health service lines rather than broad primary-care or general outpatient volume.

Medicaid: Complete Services Breakdown

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

22 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…	49,920	$90	$4.3M
H2015	Comprehensive community support services, per 15 minutes	33,230	$70	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	17,610	$80	$1.4M
H0031	Mental health assessment, by non-physician	5,090	$130	$682.1K
H0032	Mental health service plan development by non-physician	5,080	$130	$650.5K
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…	4,130	$70	$288.8K
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.	4,290	$60	$265.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	3,440	$70	$247.8K
H2014	Skills training and development, per 15 minutes	3,770	$60	$241.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,160	$90	$192.6K

Showing 1–10 of 22

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

Northside Psychological Services, Inc. — 5 of 21 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	12	20	3,800	$70	$896.7K
H2015	Comprehensive community support services, per 15 minutes	3	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…	227	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…	374	820	390	$70	$245K
H0031	Mental health assessment, by non-physician	11	80	80	$110	$233.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	1	20	270	$60	$173.9K
H2014	Skills training and development, per 15 minutes	7	30	620	$50	$166.3K
T1002	Rn services, up to 15 minutes	13	30	640	$50	$162.7K
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…	13	60	180	$110	$155.6K
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…	3	880	410	$90	$148.7K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Northside Psychological Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mylene Lilian Gonzales	GA	Gerontology Nurse Practitioner	$4.1M	$0
The World Of Pediatrics	GA	Pediatrics Physician	$0	$930.7K
Tendercare Pediatrics	GA	Pediatrics Physician	$0	$531.4K
Brenda Jean-baptiste	GA	Professional Counselor	$0	$385.8K
Thomas Backer	GA	Cardiovascular Disease Physician	$379.5K	$0
Dalma Torres	GA	General Practice Dentistry	$0	$377.9K
Thomas Bat	GA	Family Medicine Physician	$227.3K	$0
Terence Moraczewski	GA	Family Medicine Physician	$215.4K	$0
Ayesha Harrell	GA	Professional Counselor	$0	$195.5K
Jessica Yi	GA	Pediatric Dentistry	$0	$180.2K

Northside Psychological Services, Inc. — Billing Profile & Reimbursement Data

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Northside Psychological Services, 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