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

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

Btst Services LLC (NPI 1720442684)

Key Findings

Field	Value
Entity Type	Organization
Organization	Btst Services LLC
Address	4303 Forbes Blvd
City	Lanham
State	MD
ZIP	20706
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 7, 2016

Payer Source	Total Paid
Medicaid	$45.8M
Medicare	$0

BTST SERVICES LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and all recorded lifetime revenue is Medicaid at $45.8M. The provider’s NPI was enumerated on 2016-04-07 (~10 years ago), indicating roughly a decade of billing history concentrated in state Medicaid programs.

Revenue is extremely concentrated in a small set of behavioral-health codes: the top three Medicaid codes (90834, 90847, 90791) account for 88.3% of the provider’s total Medicaid revenue. Those three codes break down as 90834 $25.7M (56.2%), 90847 $11.3M (24.7%), and 90791 $3.4M (7.4%), signaling a reliance on psychotherapy and psychiatric evaluation services for the bulk of income.

The code mix and volumes indicate an outpatient psychotherapy-focused operation rather than a medical or inpatient model: very large volumes of 90834 (psychotherapy 38–52 minutes) and 90847 (family psychotherapy with patient present) combined with substantial 90791 (psychiatric evaluation) suggest intake/diagnostic capability plus high-throughput therapy delivery. Ancillary E/M codes such as 99213/99214 appear but represent a small share of Medicaid revenue, reinforcing a therapy-centric service line.

BTST is a dominant statewide player on multiple key behavioral-health metrics: 90834 ranks #4 of 2204 providers in-state and is labeled an extreme outlier at the 100th percentile, 90847 ranks #1 of 451 providers (100th percentile, extreme outlier), and 90791 ranks #1 of 1093 providers (100th percentile, extreme outlier). These standings indicate volumes far above typical state providers for the same codes and suggest the organization is a go-to provider for these services in Maryland.

Beyond the top three, several other codes show unusually high in-state volume, signaling a broader outpatient behavioral-health footprint: 90832 (22.5K claims) ranks #17 of 610 providers (97th percentile, notably above typical state volume), H0032 (13K claims) ranks #6 of 332 providers (98th percentile, extreme outlier), 90846 ranks #3 of 155 providers (99th percentile, notably above), and 90792 ranks #16 of 548 providers (97th percentile, notably above). Together these ranks reflect capacity for shorter therapy sessions, treatment planning, family-only sessions, and psychiatric evaluations with medical services.

Claim volumes underline the throughput nature of the practice: 90834 reports 216.1K claims and 90847 reports 100.3K claims while 90791 reports 15.7K claims, demonstrating very high case counts driving the large Medicaid revenue totals. The high claim counts paired with average paid/claim values provided in file support a business model built on frequent, discrete psychotherapy encounters.

Some billed codes have zero recorded paid revenue on file, which is noteworthy for payers reconciling services: 90889 shows 123 claims with $0 revenue and H0044 shows 39 claims with $0 revenue and a low in-state rank (721 of 756, 4th percentile). These items could reflect non-reimbursed reporting, bundled payment arrangements, or administrative entries and merit review by contracting or audit teams to understand payment treatment.

From a payer and network planning perspective, BTST’s absence of Medicare activity and concentrated Medicaid exposure mean its relevance and risk are almost entirely Medicaid-focused; any contracting, capacity, or utilization management decisions should treat BTST as a major Medicaid psychotherapy provider in Maryland. Given the extreme outlier ranks on core therapy codes, payers should expect material impact on Medicaid behavioral-health networks if BTST’s participation or capacity changes.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	216,150	$120	$25.7M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	100,260	$110	$11.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	15,750	$220	$3.4M
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…	22,460	$70	$1.5M
H0032	Mental health service plan development by non-physician	12,970	$100	$1.2M
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…	11,730	$80	$891.3K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	6,390	$130	$805.3K
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…	3,390	$220	$733.1K
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…	2,050	$110	$223.3K
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…	590	$40	$24.3K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Btst Services LLC — 7 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0044	Supported housing, per month	721	760	1,170	$760	$2.2M
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…	4	2,200	890	$110	$596.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	1	450	510	$120	$393.2K
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…	1,078	3,670	680	$90	$310K
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…	236	3,280	610	$80	$296.1K
H0032	Mental health service plan development by non-physician	6	330	520	$100	$183K
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…	17	610	520	$50	$178.2K
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…	205	440	510	$40	$128.6K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	3	160	150	$130	$113.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1	1,090	90	$200	$101.4K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Angel Loving Care 1 Inc	MD	Developmentally Disabled Services Day Training Agency	$0	$27.3M
Vesta, Inc.	MD	Community/Behavioral Health Agency	$0	$21.8M
Karen For Kids, Inc	MD	Home Health Agency	$0	$20.9M
Family Services, Inc	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.2M
District Healthcare & Janitorial Supplies, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$14.9M
Regenerations Counseling Services Inc	MD	Community/Behavioral Health Agency	$0	$11.8M
Choice Pain & Rehabilitation Center, LLC	MD	Physical Medicine & Rehabilitation Physician	$0	$11.2M
Rehabilitation Systems, Inc	MD	Psychiatric Residential Treatment Facility	$0	$10M
Luminis Health Doctors Community Medical Center, Inc.	MD	General Acute Care Hospital	$0	$9.9M
Maryland Wellness LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.1M

Btst Services 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