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

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

Valle Vista, LLC (NPI 1699722405)

Field	Value
Entity Type	Organization
Organization	Valle Vista, LLC
Address	898 E Main St
City	Greenwood
State	IN
ZIP	46143
Taxonomy	Psychiatric Hospital
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

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
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…	33,520	$40	$1.3M
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…	7,710	$100	$748.1K
90899	Use 90899 to report psychiatric services or procedures that do not have a specific code.	4,850	$80	$397.8K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2,280	$140	$315.2K
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…	850	$40	$35.7K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,530	$20	$30.6K
T1015	Clinic visit/encounter, all-inclusive	570	$40	$19.9K
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…	310	$60	$17.9K
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…	200	$80	$15.8K
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…	280	$50	$15.1K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Valle Vista, LLC — 0 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	15	20	5,840	$200	$2.1M
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…	89	580	710	$60	$582.9K
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…	1,672	2,120	870	$60	$450.6K
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…	55	70	1,520	$100	$429.2K
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…	1,216	2,380	920	$50	$376.8K
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…	22	220	1,380	$20	$360.2K
T1015	Clinic visit/encounter, all-inclusive	320	400	5,220	$20	$360.2K
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…	318	530	740	$30	$210K
90899	Use 90899 to report psychiatric services or procedures that do not have a specific code.	3	20	930	$110	$206.5K
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…	308	360	430	$50	$177.4K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valle Vista LLC	IN	Methadone Clinic	$75.6K	$14.6M
Valle Vista LLC	IN	Mental Health Counselor	$0	$4.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornerstone Autism Center	IN	Early Intervention Provider Agency	$0	$30.4M
Lincare Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$16.1M
Mid America Professional Group, PC	IN	Dentist	$0	$10.5M
St. Francis Medical Group, LLC	IN	Internal Medicine Physician	$0	$9.9M
Indiana University Health Urgent Care Centers, LLC.	IN	Urgent Care Clinic/Center	$0	$5.9M
Fiorenza Dental Group, LLC	IN	Dentist	$0	$3.8M
Mark Ellis	IN	Pediatric Dentistry	$0	$3.7M
Ddeutsch Homecare , Inc.	IN	In Home Supportive Care Agency	$0	$2.7M
Michael Murphy	IN	MOHS-Micrographic Surgery Physician	$1.7M	$0
Center For Southside Surgery, LLC	IN	Ambulatory Surgical Clinic/Center	$1.4M	$171.4K

Valle Vista, LLC — Billing Profile & Reimbursement Data

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Valle Vista, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References