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.

Awakening Behavioral Health, LLC (NPI 1619412046)

Field	Value
Entity Type	Organization
Organization	Awakening Behavioral Health, LLC
Address	2973 W 13800 S
City	Bluffdale
State	UT
ZIP	84065
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	December 20, 2016

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.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	7,780	$150	$1.2M
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	1,790	$370	$660.5K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	3,270	$160	$536.9K
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…	1,320	$140	$185.6K
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…	1,110	$90	$103.4K
H0038	Self‑help/peer services, per 15 minutes	1,070	$60	$63.1K
H0006	Alcohol and/or drug services; case management	1,150	$50	$56.3K
H2019	Therapeutic behavioral services, per 15 minutes	80	$190	$15.1K
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…	50	$70	$3K

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

Awakening Behavioral Health, LLC — 1 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	144	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	74	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…	33	150	1,060	$70	$528.1K
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	1	10	1,280	$370	$473.1K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	2	10	1,550	$150	$445.2K
H0038	Self‑help/peer services, per 15 minutes	23	50	680	$70	$325.3K
H0006	Alcohol and/or drug services; case management	23	40	1,300	$40	$215.9K
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…	297	1,340	200	$80	$144K
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…	997	1,360	190	$70	$125K

Nearby Providers

Other providers in the same ZIP code as Awakening Behavioral Health, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$15.3M
Jordan School District	UT	Local Education Agency (LEA)	$0	$4.9M
Foundation For Family Life	UT	Professional Counselor	$0	$1.7M
Terry Sorenson	UT	General Practice Dentistry	$0	$1.6M
Michelle Williams	UT	Nurse Practitioner	$1.1M	$0
Foundation For Family Life	UT	Clinical Medical Laboratory	$0	$460.2K
David Johnson	UT	Pediatric Dentistry	$0	$309.9K
Braden Brklacich	UT	Foot & Ankle Surgery Podiatrist	$214.3K	$0
Jana Parker	UT	Dermatology Physician	$134K	$0
Marcellus Assiago	UT	Nephrology Physician	$109.1K	$240

Awakening Behavioral Health, LLC — Billing Profile & Reimbursement Data

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Awakening Behavioral Health, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References