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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Psj Acquisition LLC (NPI 1679709802)

Field	Value
Entity Type	Organization
Organization	Psj Acquisition LLC
Address	510 4th St S
City	Fargo
State	ND
ZIP	58103
Taxonomy	Psychiatric Hospital
NPI Enumerated	June 2, 2009

Payer Source	Total Paid
Medicaid	$32.3M
Medicare	$0

Key Findings

PSJ ACQUISITION LLC is effectively a Medicaid-focused provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $32.3M, indicating the entity operates as a single‑payer (Medicaid) billing organization in the available dataset. This concentration on Medicaid should shape any assessment of payer risk, reimbursement sensitivity, and contracting leverage.

The provider’s service mix is concentrated in partial hospitalization and intensive outpatient psychiatric care, consistent with its Psychiatric Hospital taxonomy. The top three Medicaid revenue drivers are S0201 ($7.8M, 24.2%), H0035 ($7.2M, 22.2%), and S9480 ($6.1M, 18.9%), which reflect per‑diem partial hospitalization services, mental health partial hospitalization, and intensive outpatient psychiatric services respectively, pointing to an operational model built around PHP and IOP programs.

Revenue is highly concentrated in a small set of behavioral health modalities: the top 3 Medicaid codes by revenue account for 65.3% of this provider’s total Medicaid revenue. That concentration implies financial sensitivity to utilization or rate changes for PHP/IOP per‑diem services and suggests key negotiation levers for payers are tied to those service lines.

PSJ is a dominant in‑state provider for its highest‑revenue service lines. It ranks #1 of 7 in the state for S0201 (100th percentile), #1 of 2 for H0035 (100th percentile), and #1 of 3 for S9480 (100th percentile), indicating it is a leading regional provider of PHP and IOP services and sits well above typical state peer volumes for these modalities.

The provider also reports very large inpatient/observation E/M volumes, which supplement its PHP/IOP revenues: 99233 shows 37.4K claims and $3.4M revenue (10.7%) and 99232 shows 36.9K claims and $2.2M revenue (6.7%). 99233 ranks #1 of 18 in‑state and is labeled an "extreme outlier," signaling substantially higher hospital inpatient/observation follow‑up activity than peers and underscoring that inpatient E/M is a meaningful secondary revenue stream.

Substance‑use treatment is a notable ancillary service line: S9475 (ambulatory substance abuse treatment or detoxification, per diem) generated $2.2M (6.8%) and ranks #1 of 9 in the state (100th percentile), while hourly AOD programming (H2035) and intensive outpatient AOD (H0015) appear at much smaller volumes. This pattern indicates a significant per‑diem detox/ambulatory substance use capability embedded alongside the behavioral health PHP/IOP offerings.

Several procedure codes reflect above‑typical state volume for diagnostic and high‑acuity initial visits: 99223 produced $1.7M (5.2%) and ranks #2 of 13 (92th percentile; notably above typical state volume), and 90792 generated $449K (1.4%) and ranks #1 of 13 (100th percentile). These rankings suggest the provider handles a relatively large share of high‑acuity psychiatric evaluations and initial hospital admissions compared with in‑state peers.

The provider has been enumerated for a sustained period (NPI enumerated 2009-06-02, ~17 years ago), which combined with top rankings across multiple high‑revenue Medicaid codes suggests an entrenched operational footprint in the state behavioral health market. Long tenure plus concentrated Medicaid revenue and repeated top‑rank percentiles imply stability of service lines but also concentration risk if payer policies or utilization patterns shift.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0201	Partial hospitalization services, less than 24 hours, per diem	10,710	$730	$7.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	19,730	$360	$7.2M
S9480	Intensive outpatient psychiatric services, per diem	10,840	$560	$6.1M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	37,430	$90	$3.4M
S9475	Ambulatory setting substance abuse treatment or detoxification services, per diem	4,760	$460	$2.2M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	36,850	$60	$2.2M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	8,580	$200	$1.7M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	7,580	$100	$758.2K
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…	2,950	$150	$449K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,160	$70	$214.7K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Psj Acquisition LLC — 7 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1	10	9,910	$360	$3.6M
S9480	Intensive outpatient psychiatric services, per diem	1	10	840	$530	$2.1M
S0201	Partial hospitalization services, less than 24 hours, per diem	1	10	2,240	$540	$1.9M
S9475	Ambulatory setting substance abuse treatment or detoxification services, per diem	1	10	240	$460	$492.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2	30	460	$50	$423.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	20	310	$70	$364K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2	10	310	$150	$323.5K
H2035	Alcohol and/or other drug treatment program, per hour	9	20	590	$90	$206.4K
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…	10	10	440	$230	$194.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2	20	50	$80	$145.6K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Psj Acquisition LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Psj Acquisition LLC	ND	Psychologist	$0	$152.9K
Fetih Akgul	ND	Psychiatry Physician	$57.2K	$0
Lisa Schock	ND	Psychiatry Physician	$48.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services, Inc	ND	Community/Behavioral Health Agency	$0	$104.6M
Villa Nazareth	ND	Community/Behavioral Health Agency	$0	$84.2M
Vocational Training Center, Inc.	ND	Community/Behavioral Health Agency	$0	$28.5M
Fm Ambulance Service, Inc	ND	Land Ambulance	$2M	$23.8M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
Fraser, Ltd.	ND	Community/Behavioral Health Agency	$0	$13.9M
Community Medical Services Montana Private LLC	ND	Methadone Clinic	$214.7K	$8.9M
Southeast Behavioral Health Clinic	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Village Family Service Center	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Doyle's Yellow Checker Cab, Inc	ND	Taxi	$0	$7.8M

Psj Acquisition LLC — Billing Profile & Reimbursement Data

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Psj Acquisition 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

Related Providers

Nearby Providers

Frequently Asked Questions

References