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

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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.

Cedar Ridge Child And Family Counseling (NPI 1659826444)

Field	Value
Entity Type	Organization
Organization	Cedar Ridge Child And Family Counseling
Address	815 S Center St
City	Casper
State	WY
ZIP	82601
Taxonomy	Clinical Psychologist
NPI Enumerated	August 22, 2016

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer: it has no Medicare billing on file and reports $2.4M in lifetime Medicaid revenue, indicating its billed activity is concentrated in the Medicaid population rather than split between Medicare and Medicaid. The absence of Medicare volume means comparisons to national Medicare peers are not applicable for this profile.

Revenue is extremely concentrated in a narrow set of services: the precomputed top 3 Medicaid codes account for 99.6% of the provider's total Medicaid revenue, which signals a business model focused on a small number of procedure types rather than a broad service mix. Heavy concentration like this typically means operational and reimbursement changes for those few codes will materially affect overall revenue.

H2019 is the dominant revenue driver: the provider reported $2.2M from H2019 (Therapeutic behavioral services, per 15 minutes), representing 91.5% of its Medicaid revenue and $84 avg paid/claim. This pattern indicates the practice primarily delivers time‑based therapeutic behavioral services, consistent with intensive, repeated-session behavioral interventions.

State competitive standing for H2019 is exceptional: the provider ranks #2 of 171 in-state for H2019, is in the 99th percentile, and is labeled an "extreme outlier," meaning its volume for this code is far above typical state peers and it functions as a dominant provider of that service in Wyoming. Such an outsized position suggests market leadership in delivering therapeutic behavioral services within the state.

Secondary revenue lines are modest and within typical state ranges: 90837 generated $129.4K (5.3% of Medicaid revenue, $77 avg paid/claim) and ranks #26 of 136 (81th percentile), while G9012 generated $67K (2.7% of Medicaid revenue, $53 avg paid/claim) and ranks #10 of 44 (79th percentile). These ranks and shares characterize the provider as a typical, not dominant, participant for psychotherapy and specified case management services compared with in-state peers.

The provider’s code mix aligns with its taxonomy as a Clinical Psychologist: heavy use of H2019 (therapeutic behavioral services), supplemented by longer psychotherapy sessions (90837) and case management (G9012), which together suggest a care model focused on behavioral health treatment delivery and coordination rather than medical or procedural services. This mix implies operational emphasis on frequent, time‑based behavioral encounters and supporting case-management activities.

Tenure is established but not long-standing by some benchmarks: the NPI was enumerated on 2016-08-22 (~10 years ago), indicating a roughly decade‑long presence in billing data. That tenure combined with very high H2019 volume suggests the provider has scaled its behavioral service delivery within the Medicaid program over that period.

The business is materially exposed to changes in reimbursement or policy for its top code: with $2.2M (91.5%) coming from H2019 and the top three codes totaling 99.6% of revenue, any rate adjustments, prior‑authorization changes, or program edits affecting H2019 would disproportionately impact the provider’s financials and require strategic adaptation or service diversification to mitigate revenue volatility.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	26,620	$80	$2.2M
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…	1,680	$80	$129.4K
G9012	Other specified case management service not elsewhere classified	1,260	$50	$67K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	60	$110	$6.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	30	$100	$2.9K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	130	$10	$770

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Cedar Ridge Child And Family Counseling — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	2	170	840	$80	$192.2K
G9012	Other specified case management service not elsewhere classified	10	40	460	$50	$97.8K
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…	26	140	350	$70	$81.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	22	30	130	$100	$41.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	13	30	30	$100	$10.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	17	30	200	$10	$3.5K

Nearby Providers

Other providers in the same ZIP code as Cedar Ridge Child And Family Counseling, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M

Cedar Ridge Child And Family Counseling — Billing Profile & Reimbursement Data

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Cedar Ridge Child And Family Counseling — 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