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

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

Family And Children First LLC (NPI 1770627515)

Field	Value
Entity Type	Organization
Organization	Family And Children First LLC
Address	1414 Dug Gap Rd
City	Dalton
State	GA
ZIP	30720
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 16, 2007

Payer Source	Total Paid
Medicaid	$19.5M
Medicare	$0

Key Findings

FAMILY AND CHILDREN FIRST LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file while its lifetime Medicaid revenue totals $19.5M, indicating the organization’s clinical and reimbursement activity is concentrated in the state Medicaid program rather than Medicare fee-for-service. The absence of Medicare claims suggests its service mix and patient panel skew toward Medicaid-eligible populations.

Revenue concentration is high: the precomputed top three Medicaid codes account for 72.0% of the provider’s total Medicaid revenue, signaling that a small set of behavioral health services — primarily psychotherapy and community support — drive the bulk of cash flow. This concentration implies operations and capacity are organized around delivering high volumes of a few service types rather than a broad mix of billable procedures.

Psychotherapy and intensive community support dominate the service line mix. Code 90837 alone generated $8.7M (44.7% of Medicaid revenue) and ranks #1 in-state, while H2015 contributed $3.4M (17.4%) and also ranks #1 in-state; together with H0031 (9.9%, $1.9M) these three codes reflect a service profile focused on long psychotherapy sessions, comprehensive community support, and non-physician mental health assessments. The prominence of extended psychotherapy (90837) and frequent H2015 units suggests the provider operates high-volume outpatient therapy and community-based behavioral programs.

The provider is a statewide outlier on multiple codes, indicating a dominant market position for certain services. FAMILY AND CHILDREN FIRST LLC ranks #1 of 884 for 90837 (100th percentile, "extreme outlier") and #1 of 40 for H2015 (100th percentile, "extreme outlier"); it also ranks #1 for H0032 and #1 for 90791 on broad statewide lists, reinforcing that it is far above typical state volume for several high-revenue behavioral health codes. These rank/percentile positions point to significant scale in specific Medicaid behavioral health offerings relative to in-state peers.

Operational breadth includes assessment, plan development, and multi-modal therapy. In addition to high-volume psychotherapy (90837, 90834, 90832), the provider reports large volumes of mental health assessment (H0031, 90791, 90792) and service-plan development (H0032), as well as rehabilitation and skills training codes (H2014, H2017). This mix indicates integrated behavioral health operations that include initial evaluation, ongoing psychotherapy, care planning, and community-based support interventions rather than single-encounter or purely medication-management services.

The provider’s use of telehealth and nursing services is material but secondary to psychotherapy: Q3014 (telehealth originating site) appears with 7.3K claims and ranks #4 in-state (95th percentile), while nursing codes T1002 and T1003 show several thousand claims each. These volumes suggest the organization leverages telehealth and allied clinical staff to extend reach or support high outpatient visit counts, consistent with a high-volume behavioral health clinic model.

Tenure is long: the NPI was enumerated on 2007-02-16 (~19 years ago), showing sustained Medicaid participation over nearly two decades. That longevity, combined with concentrated high-volume coding, suggests an established regional operation with stable service lines oriented to Medicaid beneficiaries.

While many additional codes show typical or unremarkable volume, several intermediate-level office visit and care coordination codes (e.g., 99213, 99212, G9001) appear across the top 25, with G9001 flagged as a 100th-percentile extreme outlier among 18 providers. This pattern indicates the provider pairs its behavioral health therapy and assessment services with routine outpatient evaluation and explicit care coordination billing, reinforcing a comprehensive outpatient behavioral health program structure.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	100,240	$90	$8.7M
H2015	Comprehensive community support services, per 15 minutes	49,250	$70	$3.4M
H0031	Mental health assessment, by non-physician	14,820	$130	$1.9M
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…	15,770	$70	$1.1M
H0032	Mental health service plan development by non-physician	13,630	$60	$763.4K
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…	16,240	$40	$584.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,230	$90	$455.2K
H2014	Skills training and development, per 15 minutes	4,950	$70	$356.4K
H2017	Psychosocial rehabilitation services, per 15 minutes	4,450	$80	$338.4K
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	$70	$289.3K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Family And Children First LLC — 9 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1003	Lpn/lvn services, up to 15 minutes	6	20	470	$150	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	10	20	3,800	$70	$896.7K
H2015	Comprehensive community support services, per 15 minutes	1	40	2,260	$70	$518.1K
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…	170	920	370	$60	$360.6K
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…	229	820	390	$70	$245K
H0031	Mental health assessment, by non-physician	5	80	80	$110	$233.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	15	20	270	$60	$173.9K
H2014	Skills training and development, per 15 minutes	5	30	620	$50	$166.3K
T1002	Rn services, up to 15 minutes	6	30	640	$50	$162.7K
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…	10	60	180	$110	$155.6K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Family And Children First LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Highland Rivers Community Service Board	GA	Community/Behavioral Health Agency	$0	$44.1M
White's Pediatrics	GA	Pediatrics Physician	$0	$25.1M
Hamilton Physician Group Inc	GA	Cardiovascular Disease Physician	$0	$5.9M
Pediatrics Of Dalton, PA	GA	Specialist	$0	$5.5M
Dalton Ear Nose & Throat Associates	GA	Otolaryngology Physician	$0	$4M
Skin Cancer & Cosmetic Dermatology Center, PC	GA	Dermatology Physician	$0	$3.4M
John Chung	GA	MOHS-Micrographic Surgery Physician	$2.5M	$0
Hamilton Emergency Medical Services	GA	Land Ambulance	$1.2M	$0
Hosam Saad-naguib	GA	Hematology & Oncology Physician	$1M	$0
Professional Eye Associates, Inc.	GA	Ambulatory Surgical Clinic/Center	$698.9K	$0

Family And Children First LLC — Billing Profile & Reimbursement Data

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Family And Children First 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

Nearby Providers

Frequently Asked Questions

References