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.

Four Corners Community Behavioral Health, Inc. (NPI 1588694277)

Field	Value
Entity Type	Organization
Organization	Four Corners Community Behavioral Health, Inc.
Address	690 E Main St
City	Price
State	UT
ZIP	84501
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	14,050	$40	$576.2K
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…	2,610	$210	$539.6K
H0006	Alcohol and/or drug services; case management	9,030	$50	$451.6K
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…	9,730	$40	$379.3K
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…	1,860	$140	$258.7K
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…	1,260	$140	$172.1K
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…	2,160	$70	$149.1K
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…	780	$140	$110.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	750	$140	$101K
T1017	Targeted case management, each 15 minutes	1,120	$60	$67.3K

Showing 1–10 of 11

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

Four Corners Community Behavioral Health, Inc. — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	27	60	760	$70	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	93	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…	89	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	16	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…	26	150	1,060	$70	$528.1K
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…	35	110	270	$120	$439.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	28	140	160	$220	$374.1K
H0006	Alcohol and/or drug services; case management	8	40	1,300	$40	$215.9K
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…	22	90	270	$70	$200.4K
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…	368	1,340	200	$80	$144K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Four Corners Community Behavioral Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four Corners Community Behavioral Health, Inc.	UT	Community/Behavioral Health Agency	$0	$19.5M
Four Corners Community Behavioral Health Inc	UT	Methadone Clinic	$0	$817.1K

Nearby Providers

Other providers in the same ZIP code as Four Corners Community Behavioral Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castleview Hospital LLC	UT	Rural Acute Care Hospital	$0	$6M
Shane D Gagon Md, PC	UT	Family Medicine Physician	$0	$2.5M
County Of Carbon	UT	Land Ambulance	$322.9K	$1.8M
A Perfect Smile	UT	Dental Clinic/Center	$0	$1M
West Emergency Services, LLC	UT	Emergency Medicine Physician	$0	$810.3K
Southeastern Utah District Health Department	UT	Public Health or Welfare Agency	$28.8K	$666.5K
Castleview Physician Practice, LLC	UT	Family Medicine Physician	$0	$653.9K
Carbon School District	UT	Local Education Agency (LEA)	$0	$622.5K
Shane Gagon	UT	Family Medicine Physician	$535.8K	$0
Connie Quinton	UT	Family Nurse Practitioner	$0	$532.6K

Four Corners Community Behavioral Health, Inc. — Billing Profile & Reimbursement Data

Sign up for Four Corners Community Behavioral Health, Inc. — Billing Profile & Reimbursement Data policy alerts

Four Corners Community Behavioral Health, Inc. — Billing Profile & Reimbursement Data

Sign up for Four Corners Community Behavioral Health, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References