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

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

Area Substance Abuse Council, Inc. (NPI 1578560256)

Area Substance Abuse Council, Inc. is a community/behavioral health agency provider located in Cedar Rapids, Iowa. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Area Substance Abuse Council, Inc.
Address	3601 16th Ave Sw
City	Cedar Rapids
State	IA
ZIP	52404
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	17,410	$130	$2.3M
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…	36,780	$50	$1.9M
H2034	Alcohol and/or drug abuse halfway house services, per diem	28,210	$60	$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…	11,390	$80	$876.7K
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…	8,630	$90	$750.7K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	9,630	$70	$702.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,950	$110	$524.7K
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…	10,030	$40	$441.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	4,040	$30	$117.2K
G2075	Medication assisted treatment, medication not otherwise specified; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology…	40	$150	$6.3K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Area Substance Abuse Council, Inc. — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5	20	11,060	$220	$3.7M
H2034	Alcohol and/or drug abuse halfway house services, per diem	4	10	23,870	$100	$2.6M
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…	65	680	670	$70	$343.5K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	4	20	2,150	$80	$334.3K
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…	3	120	980	$50	$230.3K
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…	1,031	1,060	480	$40	$154.5K
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…	32	610	550	$70	$145.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	26	400	110	$100	$101.1K
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…	14	280	530	$40	$80.1K
H0038	Self‑help/peer services, per 15 minutes	51	60	2,820	$10	$53.5K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tanager Place	IA	Community/Behavioral Health Agency	$0	$31.3M
Four Oaks Family And Children's Services	IA	Psychiatric Residential Treatment Facility	$0	$27.3M
Cedar Rapids Community School District	IA	Local Education Agency (LEA)	$0	$20.3M
Tanager Place	IA	Voluntary or Charitable Agency	$0	$14.5M
American Baptist Homes Of The Midwest	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.2M
Crc Recovery, Inc.	IA	Methadone Clinic	$104K	$9.7M
College Community School District	IA	Local Education Agency (LEA)	$0	$7M
Area Ambulance Authority	IA	Land Ambulance	$1.7M	$4.6M
Grace C Mae Advocate Center, Inc	IA	Community/Behavioral Health Agency	$0	$4.6M
Amenity Healthcare, LLC	IA	Community Based Hospice Care Agency	$0	$2.7M

Area Substance Abuse Council, Inc. — Billing Profile & Reimbursement Data

Sign up for Area Substance Abuse Council, Inc. — Billing Profile & Reimbursement Data policy alerts

Area Substance Abuse Council, Inc. — Billing Profile & Reimbursement Data

Sign up for Area Substance Abuse Council, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References