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.

Thrive Behavioral Health, LLC (NPI 1730565839)

Key Findings

Field	Value
Entity Type	Organization
Organization	Thrive Behavioral Health, LLC
Address	1114 Benfield Blvd Ste E-h
City	Millersville
State	MD
ZIP	21108
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 31, 2015

Payer Source	Total Paid
Medicaid	$51.6M
Medicare	$0

THRIVE BEHAVIORAL HEALTH, LLC reports $51.6M in lifetime Medicaid revenue and has no Medicare billing on file, making its operational footprint effectively single-payer (Medicaid) in the available claims dataset. This concentration on Medicaid should be treated as the primary lens for any competitive or utilization analysis of the entity.

Revenue is heavily concentrated in a few psychotherapy codes: 90834 generated $29.5M (57.3% of this provider's total Medicaid revenue), 90847 generated $5.2M (10.0%), and 90832 generated $4M (7.7%); the precomputed top-3 codes together account for 75.0% of the provider's Medicaid revenue. That level of concentration signals the business is largely driven by a narrow set of high-volume outpatient behavioral health services.

The code mix indicates an outpatient behavioral health operation focused on individual psychotherapy (90834, 90832, 90837), family therapy (90847, 90846), and psychiatric diagnostic evaluations (90791, 90792), supplemented by non-physician mental health plan development (H0032). High volumes for these codes suggest a clinician-heavy model delivering frequent psychotherapy sessions and structured care planning rather than primarily medication-management or inpatient services.

THRIVE is a statewide market leader for core psychotherapy services: 90834 ranks #2 of 2204 providers in-state (100th percentile; extreme outlier), 90832 ranks #3 of 610 (100th percentile; extreme outlier), and 90847 ranks #4 of 451 (99th percentile; extreme outlier). These rank and percentile positions indicate the provider is a dominant, high-volume participant in Maryland for these specific service lines.

Non-physician care planning is a notable revenue driver: H0032 produced $2M and ranks #2 of 332 providers in-state (100th percentile; extreme outlier), indicating substantial use of mental health service plan development by non-physicians. Coupled with 90791 ($2.5M, rank #4 of 1093, 100th percentile; extreme outlier), the data point to an operational emphasis on structured assessment and care coordination delivered by multidisciplinary teams.

Evaluation and management activity is also significant alongside psychotherapy: 99214 generated $3.4M (6.5% of Medicaid revenue) and ranks #50 of 3673 providers in-state (99th percentile; notably above typical state volume), while 99215 and 99213 appear at lower but notable volumes. This mix suggests the organization provides medical decision-making and higher-complexity outpatient visits in addition to psychotherapy, consistent with integrated behavioral health practice.

Operational scale is evident in claim volumes: for example, 90834 shows 232.6K claims at $127 avg paid/claim, and 90832 shows 53.5K claims; combined with eleven years of NPI enumeration (2015-07-31, ~11 years ago), these figures imply sustained, high-throughput service delivery rather than a recent or sporadic billing pattern. The claim counts reinforce the revenue concentration and dominance in psychotherapy services.

While several codes are extreme outliers or notably above typical state volumes, other service lines show more typical participation—90853 (group psychotherapy) and several new-visit codes (99203, 99204, 99205) are at or below median state ranks. This pattern points to a focused specialty operation that concentrates capacity on individual and family psychotherapy and care planning rather than a broad-based outpatient practice mix.

Medicaid: Complete Services Breakdown

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

16 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…	232,640	$130	$29.5M
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…	44,900	$120	$5.2M
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…	53,470	$70	$4M
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…	27,450	$120	$3.4M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10,940	$230	$2.5M
H0032	Mental health service plan development by non-physician	18,770	$110	$2M
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…	15,350	$130	$1.9M
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…	4,110	$230	$925.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,770	$170	$633K
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.	4,030	$130	$519.4K

Showing 1–10 of 16

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

Thrive Behavioral Health, LLC — 10 of 15 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	2	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…	4	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…	50	3,670	680	$90	$310K
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…	13	450	730	$110	$298.2K
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…	492	3,280	610	$80	$296.1K
H0032	Mental health service plan development by non-physician	2	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…	3	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…	52	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.	7	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.	4	1,090	90	$200	$101.4K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coordinating Center For Home And Community Care, Inc.	MD	Case Management Agency	$0	$78.7M
Anne Arundel County	MD	Ambulance	$6.7M	$7.5M
Americle Healthcare, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$11.3M
Partnership Development Group, Inc.	MD	Community/Behavioral Health Agency	$0	$8.7M
Woods Adult Day Care Center, Inc.	MD	Adult Day Care Clinic/Center	$0	$4.6M
Sammy Kang	MD	Dermatology Physician	$503.8K	$0
Stephanie Clements	MD	MOHS-Micrographic Surgery Physician	$276.7K	$0
Mohit Negi	MD	Internal Medicine Physician	$226.4K	$0
Lesley Sutherland	MD	Dermatology Physician	$92.5K	$0
Rickeena Free	MD	Family Nurse Practitioner	$60.5K	$0

Thrive Behavioral Health, LLC — Billing Profile & Reimbursement Data

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Thrive Behavioral Health, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$51.8M
Miguel Macaoay	DC	Psychiatry Physician	$0	$17.3K