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.

Counseling Associates, Inc (NPI 1598922643)

Counseling Associates, Inc is a community/behavioral health agency provider located in Keokuk, Iowa. This profile covers 0 Medicare and 14 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	Counseling Associates, Inc
Address	1522 Morgan St
City	Keokuk
State	IA
ZIP	52632
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 16, 2008

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	19,440	$170	$3.3M
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…	8,890	$60	$569.1K
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…	8,030	$60	$498.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,260	$90	$199.2K
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…	280	$40	$11.4K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	50	$10	$580
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	60	$1	$190
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,060	$0	$0
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	420	$0	$0
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in…	70	$0	$0

Showing 1–10 of 14

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

Counseling Associates, Inc — 1 of 7 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	23	60	16,120	$150	$3.8M
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…	83	680	670	$70	$343.5K
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…	28	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.	56	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…	178	280	530	$40	$80.1K
H0038	Self‑help/peer services, per 15 minutes	35	60	2,820	$10	$53.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	108	140	400	$1	$5.7K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	30	40	2,500	$1	$2.9K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	3	10	30	$20	$1.5K
G9008	Coordinated care fee, physician coordinated care oversight services	21	40	9,040	$1	$70

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Iowa Community Services, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$28.8M
Community Health Centers Of Southeastern Iowa, Inc	IA	Federally Qualified Health Center (FQHC)	$0	$8.7M
Keokuk C.s.d.	IA	Local Education Agency (LEA)	$0	$5.1M
Keokuk Area Hospital	IA	General Acute Care Hospital	$0	$2.1M
Community Health Centers Of Southeastern Iowa, Inc	IA	Federally Qualified Health Center (FQHC)	$0	$1.8M
Heartland Pathways Inc	IA	Mental Health Counselor	$0	$1.7M
Quincy Physicians & Surgeons Clinic, PLLC	IA	Rural Health Clinic/Center	$0	$1.4M
Air Evac Ems Inc	IA	Air Ambulance	$893.2K	$12.1K
William Schulte	IA	Family Medicine Physician	$221.9K	$190.4K
Hy-vee Inc	IA	Community/Retail Pharmacy	$174.6K	$43.5K

Counseling Associates, Inc — Billing Profile & Reimbursement Data

Sign up for Counseling Associates, Inc — Billing Profile & Reimbursement Data policy alerts

Counseling Associates, Inc — Billing Profile & Reimbursement Data

Sign up for Counseling Associates, 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