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.

Central Utah Counseling Center (NPI 1639185424)

Field	Value
Entity Type	Organization
Organization	Central Utah Counseling Center
Address	152 N 400 W
City	Ephraim
State	UT
ZIP	84627
Taxonomy	Counselor
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicaid	$19.7M
Medicare	$0

Key Findings

CENTRAL UTAH COUNSELING CENTER reports $19.7M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) outpatient behavioral health provider in this dataset. The absence of Medicare activity means analyses of Medicare performance, fee schedules, or dual-eligible mix are not applicable for this entity.

Revenue is highly concentrated: the precomputed top three Medicaid codes (H2017, 90837, 90834) account for 57.7% of the provider’s total Medicaid revenue. Those individual contributions are visible in the code-level revenue: H2017 $5.2M (26.5%), 90837 $4.2M (21.5%), and 90834 $1.9M (9.7%), indicating a reliance on a small set of services for the majority of payments.

The code mix indicates the organization operates as a high-volume community behavioral health and psychotherapy provider: large volumes of psychotherapy codes 90837 (29.4K claims), 90834 (19.1K claims), and 90832 (13.6K claims) are paired with psychosocial rehabilitation H2017 (33.8K claims), therapeutic behavioral services H2019 (21.8K claims), and case management T1017 (4.6K claims). This mix points to an integrated outpatient model that delivers long and short psychotherapy sessions plus community-based supports and case management rather than primarily medical or inpatient services.

Competitive standing within Utah is strongest for psychotherapy services: 90837 ranks #8 of 372 providers in-state (98th percentile) and 90834 ranks #7 of 111 providers (95th percentile), showing this provider is among the higher-volume statewide performers for core psychotherapy codes. Other high-percentile placements—90832 at the 94th percentile (notably above typical state volume for this code) and 99214 at the 95th percentile—further support that the center is a major in-state delivery point for outpatient behavioral health visits.

The provider also maintains substantial evaluation capacity: 90791 (5.5K claims, $1.3M revenue, $239 avg paid/claim) and 90792 (719 claims, $403.4K revenue, $561 avg paid/claim) indicate routine use of initial diagnostic evaluations and a meaningful share of medically augmented psychiatric assessments. These evaluation codes suggest workflows that include intake/diagnostic assessments and, for some patients, additional medical services billed with 90792.

Operational scale is reflected in raw claim volumes across multiple codes—H2017 33.8K claims, 90837 29.4K claims, 90834 19.1K claims—which implies sustained patient throughput and capacity for high-frequency outpatient encounters. Payers and network planners should interpret those high claim counts as evidence of a sizable outpatient footprint in the provider’s service area.

Although many individual codes are described as “typical, unremarkable volume” in their state rank descriptions (for example H2017, H2019, T1001, H0038), the aggregate pattern of high percentiles across multiple psychotherapy and outpatient visit codes indicates the provider is consistently above median activity for behavioral health services in Utah. This combination of typical per-code descriptions and elevated percentiles suggests broad-based, stable service delivery rather than isolated statistical outliers.

Longitudinally, the NPI was enumerated on 2006-07-31 (~20 years ago), indicating a long-standing presence in the market; coupled with concentrated Medicaid revenue and the dominant psychotherapy/rehabilitation code mix, the organization appears to be an established community behavioral health provider whose Medicaid contract performance and reimbursement levels will materially influence its financial position.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	33,840	$150	$5.2M
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…	29,430	$140	$4.2M
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…	19,150	$100	$1.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,450	$240	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	21,800	$60	$1.2M
T1001	Nursing assessment / evaluation	16,030	$70	$1.1M
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…	13,590	$60	$856.4K
H0038	Self‑help/peer services, per 15 minutes	3,770	$200	$742.7K
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…	5,950	$100	$582.7K
T1017	Targeted case management, each 15 minutes	4,580	$120	$545.5K

Showing 1–10 of 22

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

Central Utah Counseling Center — 3 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0046	Mental health services, not otherwise specified	11	30	350	$100	$1.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	9	10	3,370	$90	$1.1M
H2014	Skills training and development, per 15 minutes	30	50	1,320	$130	$1.1M
T1017	Targeted case management, each 15 minutes	18	60	760	$70	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	9	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…	8	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	8	90	560	$80	$649.9K
T1001	Nursing assessment / evaluation	6	70	700	$80	$603.4K
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…	47	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…	7	110	270	$120	$439.4K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Central Utah Counseling Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Young Women's Empowerment Center	UT	Mental Illness Community Based Residential Treatment Facility	$0	$1.2M
Colton Douglas	UT	General Practice Dentistry	$0	$610.4K
Eye Center Of Ephraim, LLC	UT	Optometrist	$0	$321.9K
Darin Cummings	UT	Optometrist	$80.2K	$0

Central Utah Counseling Center — Billing Profile & Reimbursement Data

Sign up for Central Utah Counseling Center — Billing Profile & Reimbursement Data policy alerts

Central Utah Counseling Center — Billing Profile & Reimbursement Data

Sign up for Central Utah Counseling Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References