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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Wright Directions, LLC (NPI 1629361217)

Field	Value
Entity Type	Organization
Organization	Wright Directions, LLC
Address	77 Hazzard Creek Vlg Ste C
City	Ridgeland
State	SC
ZIP	29936
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 16, 2011

Payer Source	Total Paid
Medicaid	$31.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer: WRIGHT DIRECTIONS, LLC reports $31.2M in lifetime Medicaid revenue and has no Medicare billing on file. The NPI was enumerated on 2011-05-16 (~15 years ago), indicating roughly a decade and a half of presence in the Medicaid billing landscape rather than a mixed Medicare/Medicaid practice mix.

Revenue is highly concentrated in a small set of Medicaid service lines: the precomputed top three Medicaid codes (H2017, H2014, 90837) account for 71.0% of the provider’s total Medicaid revenue. Those three codes individually generate $11.8M (H2017, 37.9%), $6.1M (H2014, 19.6%), and $4.2M (90837, 13.4%) of the $31.2M Medicaid total, signaling a narrow set of revenue drivers.

The code mix points to a community/behavioral health operating model focused on intensive psychosocial and psychotherapy services. Heavy billing for H2017 (Psychosocial rehabilitation services), H2014 (Skills training and development), and large-volume 90837 (long psychotherapy sessions) suggests the organization delivers high-throughput rehabilitation and individual psychotherapy, supplemented by structured skill-building programs and family stabilization.

Operational scale is visible in claim volumes and per-claim payments: H2017 shows 87K claims at $136 avg paid/claim, H2014 has 40.6K claims at $151 avg paid/claim, and 90837 shows 36.5K claims at $115 avg paid/claim. These counts indicate substantial patient contact hours and likely routine use of 15-minute unit-based billing for behavioral rehabilitation alongside frequent long-form psychotherapy encounters.

Competitive standing across state peers is mixed by code: for H2017 the provider ranks #3 of 51 and is in the 96th percentile but is labeled a "typical, unremarkable volume for this code," while H2014 ranks #3 of 14 (85th percentile) and is also labeled "typical, unremarkable volume for this code." Those rankings suggest strong placement within a narrower set of providers for those service lines without being characterized as extreme outliers.

For psychotherapy and family services the provider is a clear high-volume outlier in the state: 90837 ranks #9 of 647 (99th percentile) and is labeled an "extreme outlier, far above typical state volume for this code," while family therapy codes 90847 and 90846 rank #6 of 241 (98th percentile; extreme outlier) and #2 of 147 (99th percentile; extreme outlier), respectively. Combined, these positions indicate a dominant regional role in long individual psychotherapy and family-centered services relative to most in-state providers.

Other specialized behavioral services also show unusually strong state positioning: S9482 (Family stabilization services) produced $3.4M (11.0% of Medicaid revenue) and ranks #2 of 21 (95th percentile; notably above typical state volume), while H2000 (Comprehensive multidisciplinary evaluation) generated $341.3K and ranks #2 of 47 (98th percentile; extreme outlier). H0032 (service plan development) and several evaluation codes (e.g., 90791, 90792) also appear at high percentiles, reinforcing a broad capability in assessment, care planning, and wraparound supports.

From a strategic and risk perspective, the combination of single‑payer dependence on Medicaid and heavy concentration in a handful of behavioral codes creates both an opportunity and a vulnerability: the provider holds outsized statewide positions in core psychosocial and psychotherapy services, which can be leveraged for payer contracting, but its revenue base is exposed to Medicaid rate changes or policy adjustments affecting H2017/H2014/90837 billing and 15-minute unit structures.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	87,000	$140	$11.8M
H2014	Skills training and development, per 15 minutes	40,590	$150	$6.1M
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…	36,490	$120	$4.2M
S9482	Family stabilization services, per 15 minutes	37,300	$90	$3.4M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	12,610	$140	$1.7M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	10,510	$110	$1.2M
H0032	Mental health service plan development by non-physician	17,030	$60	$1.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,280	$140	$468.8K
H2000	Comprehensive multidisciplinary evaluation	2,320	$150	$341.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	970	$210	$201.7K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Wright Directions, LLC — 7 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	3	10	2,400	$120	$1.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	23	80	180	$150	$1.2M
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…	190	210	320	$130	$707.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	29	90	260	$430	$688.8K
S9482	Family stabilization services, per 15 minutes	2	20	1,180	$60	$538.2K
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…	9	650	800	$120	$413.8K
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…	106	160	270	$70	$268.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	6	240	260	$160	$257.9K
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…	1,136	2,770	210	$60	$254.5K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Wright Directions, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beaufort Jasper Hampton Comprehensive Health Services, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$10M
Jasper County Board Of Disabilities And Special Needs	SC	Early Intervention Provider Agency	$0	$7.1M
Biopsy Diagnostics, LLC	SC	Anatomic Pathology & Clinical Pathology Physician	$364K	$255.3K

Wright Directions, LLC — Billing Profile & Reimbursement Data

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Wright Directions, 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

Nearby Providers

Frequently Asked Questions

References