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.

Matr, Inc. (NPI 1700177409)

Field	Value
Entity Type	Organization
Organization	Matr, Inc.
Address	265 N State St
City	Mount Pleasant
State	UT
ZIP	84647
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	April 28, 2011

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Key Findings

MATR, INC. is effectively a Medicaid-centric provider with no Medicare billing on file and $16.8M in lifetime Medicaid revenue, indicating that its entire documented payer footprint is concentrated in Medicaid rather than a mixed Medicare/Medicaid practice. This single-payer exposure means Medicaid reimbursement policy and state program changes will disproportionately affect the provider's top-line revenue.

Revenue is highly concentrated: the top 3 Medicaid codes account for 95.3% of this provider's total Medicaid revenue, signaling material dependence on a very small set of service lines for the bulk of income. This level of concentration creates operating sensitivity to utilization or rate changes for those specific codes.

The code mix points to a behavioral-health operation centered on group and intensive therapeutic services: 90853 (group psychotherapy) and H2019 (therapeutic behavioral services, per 15 minutes) together drive the majority of revenue, while H0018 (short-term residential, per diem) indicates a meaningful but smaller residential treatment component. This combination suggests MATR, INC. primarily delivers outpatient/group-based therapy and community-based therapeutic supports, with a smaller short-term residential program.

Detailed utilization shows scale in the dominant services: 90853 generated 21.5K claims at $413 avg paid/claim for $8.9M revenue (52.9% of the provider's Medicaid revenue); H2019 logged 21.7K claims at $277 avg paid/claim for $6M revenue (35.8%); and H0018 had 1.5K claims at $721 avg paid/claim for $1.1M revenue (6.6%). These counts and average payments reinforce that routine, high-volume sessions (group and per-15-minute therapeutic services) are the operational workhorses for the organization.

Competitive standing within the state is mixed: 90853 ranks #15 of 150 providers in-state (91th percentile) and H2019 ranks #9 of 91 providers in-state (91th percentile), which positions MATR, INC. as a relatively high-volume state provider for those services; by contrast, H0018 ranks #15 of 30 (52th percentile). Despite those relatively strong rankings for the top two codes, each code is described in the source as having "typical, unremarkable volume," so the provider is not framed as an extreme outlier.

The provider offers complementary behavioral-health services beyond the top three codes: H0006 (case management) accounts for $747.3K (10.7K claims, $70 avg paid/claim, 4.4% of Medicaid revenue) and H0038 (self-help/peer services) appears at $38.6K (9.7K claims, $4 avg paid/claim, 0.2%). These smaller revenue lines indicate presence of care coordination and peer-support programming that augment the core therapeutic services.

From a statistical-outlier perspective, none of the listed codes are described as extreme outliers; each is labeled "typical, unremarkable volume for this code" even where the provider ranks in higher percentiles. That framing implies MATR, INC.'s service volumes are within the expected range for Utah providers offering these services, rather than representing anomalous billing patterns.

MATR, INC. has an established Medicaid presence with an NPI enumerated on 2011-04-28 (~15 years ago), suggesting longevity in the market. That tenure combined with concentrated Medicaid revenue and a dominant focus on group psychotherapy and therapeutic behavioral services should inform risk and growth assessments—both the provider's strengths in core service delivery and its vulnerability to Medicaid policy or utilization shifts.

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
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…	21,500	$410	$8.9M
H2019	Therapeutic behavioral services, per 15 minutes	21,740	$280	$6M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1,540	$720	$1.1M
H0006	Alcohol and/or drug services; case management	10,680	$70	$747.3K
H0038	Self‑help/peer services, per 15 minutes	9,650	$1	$38.6K
H0031	Mental health assessment, by non-physician	350	$10	$3.8K

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

Matr, Inc. — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	15	30	1,340	$330	$5.8M
H2019	Therapeutic behavioral services, per 15 minutes	9	90	560	$80	$649.9K
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…	15	150	1,060	$70	$528.1K
H0038	Self‑help/peer services, per 15 minutes	6	50	680	$70	$325.3K
H0006	Alcohol and/or drug services; case management	7	40	1,300	$40	$215.9K
H0031	Mental health assessment, by non-physician	8	10	540	$120	$154K

Nearby Providers

Other providers in the same ZIP code as Matr, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	Critical Access Hospital	$0	$2.3M
Limitless Recovery LLC	UT	Substance Abuse Rehabilitation Facility	$0	$1.2M
North Sanpete Ambulance Service	UT	Land Ambulance	$160.6K	$207.8K
Allen Day	UT	Family Medicine Physician	$148.6K	$1.2K
David Krzymowski	UT	Surgery Physician	$19.1K	$0

Matr, Inc. — Billing Profile & Reimbursement Data

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Matr, 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

Nearby Providers

Frequently Asked Questions

References