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

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

Bridge Counseling Associates, Inc (NPI 1659918241)

Key Findings

Field	Value
Entity Type	Organization
Organization	Bridge Counseling Associates, Inc
Address	4221 Mcleod Dr
City	Las Vegas
State	NV
ZIP	89121
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 3, 2019

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

This provider has no Medicare billing on file and reports $14M in lifetime Medicaid revenue, making its publicly visible payer footprint effectively Medicaid‑exclusive. Analysts should treat BRIDGE COUNSELING ASSOCIATES, INC as a single‑payer operation for the Medicare/Medicaid lens because Medicare activity is absent from the claims dataset.

Revenue is extremely concentrated in a single Medicaid revenue code: T1040 appears as the sole revenue driver with 67.9K claims, $206 avg paid/claim, and $14M revenue (100.0% of this provider's total Medicaid revenue). That concentration indicates the organization is funded primarily through a Medicaid per‑diem model rather than fee‑for‑service for individual psychotherapy line items.

The code mix and descriptions point to operation as a Medicaid‑certified community behavioral health clinic: T1040 is the per‑diem community behavioral health clinic service and its dominance suggests core operations are organized around bundled clinic days and integrated behavioral health delivery. High volumes in psychotherapy and group counseling codes in the claims mix are consistent with an outpatient community behavioral health treatment model.

While T1040 is the revenue engine, the provider shows extremely high utilization in discrete psychotherapy line items that report no separate revenue: 90837 appears with 21.1K claims and is labeled an "extreme outlier" at the 99th percentile. The coexistence of very large claims counts for 90837 (and elevated ranks for 90834 at the 98th percentile) with $0 reported revenue implies those psychotherapy encounters are being billed/recorded but reimbursed through the T1040 bundled per‑diem rather than as standalone paid claims.

Operational breadth is visible in high volumes of ancillary behavioral health services: T1017 (15K claims, rank #17 of 50, 67th percentile) and H0005 (9.3K claims, rank #12 of 82, 86th percentile) show substantial delivery of targeted case management and group counseling. These high claim counts, paired with $0 avg paid/claim for those codes, further support a bundled payment structure where multiple service types are delivered under the clinic per‑diem.

State competitive standing is mixed: for the Medicaid per‑diem code T1040 the provider ranks #4 of 18 in Nevada (82th percentile), indicating a solid mid‑to‑upper market position among in‑state community behavioral health agencies for per‑diem billing. At the same time, for specific service lines like 90837 and 90834 the provider ranks at or near the top statewide (99th and 98th percentiles respectively), marking the organization as a high‑volume deliverer of psychotherapy even though those services do not separately drive revenue.

The provider’s $14M Medicaid revenue concentrated in T1040 creates clear operational leverage but also exposure to Medicaid per‑diem policy or rate changes; the available data show an average paid amount of $206 per T1040 claim, which is a concrete benchmark for rate negotiations or contract modeling. Analysts should consider both the per‑diem revenue figure and the high underlying service volumes when estimating margin sensitivity to rate adjustments.

The NPI was enumerated on 2019-12-03 (~7 years ago), indicating a relatively recent enrollment date compared with long‑standing providers; pairing that tenure with the large claim volumes reported suggests rapid scale‑up of service delivery under Nevada Medicaid since enrollment. For benchmarking and market‑entry analyses, treat BRIDGE COUNSELING ASSOCIATES as a relatively young but high‑throughput behavioral health clinic within the state Medicaid ecosystem.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	67,870	$210	$14M
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	170	$0	$0
80306	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by instrument–assisted direct optical observation, often utilizing immunoassay, to screen for any number of…	1,670	$0	$0
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	760	$0	$0
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…	80	$0	$0
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…	1,100	$0	$0
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…	11,150	$0	$0
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…	21,110	$0	$0
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…	2,050	$0	$0
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	20	$0	$0

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Bridge Counseling Associates, Inc — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	17	50	2,770	$150	$6.7M
T1040	Medicaid certified community behavioral health clinic services, per diem	4	20	5,410	$170	$5.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	13	60	1,010	$100	$365.3K
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	970	360	$80	$139.2K
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…	900	2,250	290	$60	$138K
H2017	Psychosocial rehabilitation services, per 15 minutes	71	130	540	$90	$121.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	12	80	720	$30	$109.3K
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…	9	330	180	$50	$65.8K
99204	The provider sees a new 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 provider…	638	780	90	$100	$46.6K
H0001	Alcohol and/or drug assessment	24	50	190	$110	$43K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clark County School District	NV	Local Education Agency (LEA)	$0	$49.6M
Absolute Home Care Inc.	NV	In Home Supportive Care Agency	$0	$12.8M
Wwb Incorporated	NV	In Home Supportive Care Agency	$0	$9.2M
Always For You Home Care Services LLC	NV	In Home Supportive Care Agency	$0	$8.2M
Creek View Home Health LLC	NV	Home Health Agency	$0	$5.2M
Pacifica Healthcare Providers LLC	NV	General Practice Physician	$0	$4.6M
Aarti Home Care	NV	Home Health Agency	$0	$4.2M
Behavioral Services Of Nevada, LLC	NV	Community/Behavioral Health Agency	$0	$4.2M
Mind Relief LLC	NV	Mental Health Counselor	$0	$4M
Plus Health Care Agency LLC.	NV	Personal Care Attendant	$0	$3.5M

Bridge Counseling Associates, Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References