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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Blue Campbell And Associates LLC (NPI 1588061279)

Field	Value
Entity Type	Organization
Organization	Blue Campbell And Associates LLC
Address	804 W Pratt Street
City	Baltimore
State	ZZ (Unspecified Location)
ZIP	NONE
Taxonomy	Mental Health Counselor
NPI Enumerated	November 25, 2014

Payer Source	Total Paid
Medicaid	$13.9K
Medicare	$0

Key Findings

BLUE CAMPBELL AND ASSOCIATES LLC reports no Medicare billing on file and $13.9K in lifetime Medicaid revenue, making its Medicare footprint effectively nil and its recorded public-payer activity concentrated in Medicaid. This payer mix indicates the provider operates, at least in reported claims, as a primarily Medicaid-participating mental health counselor rather than a dual Medicare/Medicaid practitioner.

The provider’s Medicaid revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of its total Medicaid revenue, with 90834 representing 86.1% and 90791 representing 13.9% of Medicaid revenue. This concentration shows that a very small set of service lines (psychotherapy and initial psychiatric evaluation) generate essentially all recorded public-payer income.

Code-level activity confirms a psychotherapy-focused outpatient practice: 90834 (psychotherapy, 38–52 minutes) accounts for 164 claims, $73 avg paid/claim, and $12K revenue, while 90791 (psychiatric evaluation) accounts for 16 claims, $121 avg paid/claim, and $1.9K revenue. These counts and average payments are consistent with a practice model centered on individual psychotherapy sessions with occasional intake/evaluation visits.

Competitive standing within state Medicaid data is not meaningfully benchmarkable: the provider ranks #1 of 1 providers in-state for its top codes and is listed at the 0th percentile with no state peer volume comparison available. That rank reflects an absence of comparable peers in the state-level dataset rather than clear dominance or large market share.

Tenure on file shows the NPI was enumerated 2014-11-25 (~12 years ago), indicating several years of enrollment in national provider registries; this duration suggests the provider has an established billing history even if reported public-payer revenue is limited. The longevity of enumeration supports validation of the billing profile against other data sources if additional context is needed.

Operationally, the combination of small absolute Medicaid revenue ($13.9K) and a very narrow code mix suggests a modest Medicaid panel or limited Medicaid billing volume rather than a broad multiservice behavioral health operation. For analysts, this pattern signals that measurements of market presence or capacity should account for low volume and concentrated service mix before drawing conclusions about competitiveness or capacity.

Data limitations restrict inference: absence of Medicare billing and the notation that there is "no state peer volume comparison available" mean statistical outlier status cannot be assessed from the supplied state-level comparisons. Analysts should supplement these findings with commercial claims, provider directories, or local Medicaid rosters to determine referral patterns, practice size, and competitive positioning beyond the limited Medicaid claims reported here.

Medicaid: Complete Services Breakdown

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

2 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…	160	$70	$12K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$120	$1.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Unspecified Location providers billing the same CPT/HCPCS codes. Note: "ZZ" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

Claims Volume vs. Unspecified Location Distribution

Blue Campbell And Associates LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. Unspecified Location median

2 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…	1	10	160	$70	$11.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1	10	20	$120	$1.9K

Blue Campbell And Associates LLC — Billing Profile & Reimbursement Data

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Blue Campbell And Associates LLC — 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

Frequently Asked Questions

References