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.

Davis Behavioral Health Inc (NPI 1770641672)

Field	Value
Entity Type	Organization
Organization	Davis Behavioral Health Inc
Address	934 S Main St
City	Layton
State	UT
ZIP	84041
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	December 4, 2006

Payer Source	Total Paid
Medicaid	$70.8M
Medicare	$0

Key Findings

DAVIS BEHAVIORAL HEALTH INC is effectively a single‑payer Medicaid provider: Total Medicare revenue is listed as none and all reported lifetime revenue comes from Medicaid ($70.8M). The absence of Medicare billing on file means comparisons to national Medicare peers are not possible for this NPI.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 45.0% of this provider’s total Medicaid revenue. Those top three contributors are 90837 ($11.6M, 16.7%), H2027 ($10.4M, 14.9%), and H0046 ($9.4M, 13.5%), indicating a few service lines drive nearly half of Medicaid revenue.

The code mix and volumes point to a large outpatient behavioral health operation focused on psychotherapy, psychoeducational services, and broad mental‑health encounters. High-volume psychotherapy codes include 90837 (86K claims, $135 avg paid/claim, $11.6M) and 90834 (63.5K claims, $104 avg paid/claim, $6.6M), while H2027 (36.5K claims, $284 avg paid/claim, $10.4M) and H0046 (146.8K claims, $64 avg paid/claim, $9.4M) show substantial non‑procedure and allied services typical of community mental health centers.

The provider is a market leader for several key Medicaid codes within Utah: H0046 ranks #1 of 30 providers in-state (100th percentile; extreme outlier), 90834 ranks #1 of 111 providers (100th percentile; extreme outlier), and 90837 ranks #5 of 372 providers (99th percentile; extreme outlier). These ranks indicate dominant statewide capacity for core psychotherapy and unspecified mental‑health service lines.

High claims volumes paired with relatively low per‑claim payments for many services suggest a high‑throughput, labor‑intensive care model. Examples include H0046 with 146.8K claims at $64 avg paid/claim and 90853 with 62.7K claims at $42 avg paid/claim, plus T1017 (42.8K claims, $62 avg paid/claim, $2.7M) and T1001 (53.6K claims, $49 avg paid/claim, $2.6M), consistent with large-scale outpatient and case‑management activity.

Several individual codes are flagged as statistical outliers or notably above typical state volume, underscoring concentrated strengths: H0046 and 90834 are labeled extreme outliers (100th percentile), 90837 and 99213 are extreme outliers (99th–100th percentiles), and 90839 ranks #1 of 9 providers (100th percentile; notably above typical). These labels indicate the provider’s activity for these services is far above typical statewide levels.

The presence of facility‑style and per‑diem behavioral health services alongside outpatient psychotherapy suggests service breadth beyond individual therapy alone. H2013 (12.5K claims, $436 avg paid/claim, $5.5M) and S9485 (3.3K claims, $554 avg paid/claim, $1.8M) indicate psychiatric‑facility and crisis‑intervention capacity in addition to routine outpatient care.

DAVIS BEHAVIORAL HEALTH INC has an established operating history at this NPI (enumerated 2006-12-04 (~20 years ago)), reinforcing that the current Medicaid concentration and high volumes reflect sustained, long‑standing service patterns rather than a short‑term anomaly.

Medicaid: Complete Services Breakdown

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

38 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…	86,010	$140	$11.6M
H2027	Psychoeducational service, per 15 minutes	36,520	$280	$10.4M
H0046	Mental health services, not otherwise specified	146,810	$60	$9.4M
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…	63,500	$100	$6.6M
H2013	Psychiatric health facility service, per diem	12,510	$440	$5.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	15,830	$220	$3.5M
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…	54,330	$60	$3.5M
T1017	Targeted case management, each 15 minutes	42,760	$60	$2.7M
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…	62,710	$40	$2.6M
T1001	Nursing assessment / evaluation	53,640	$50	$2.6M

Showing 1–10 of 38

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

Davis Behavioral Health Inc — 13 of 25 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

38 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	20	30	1,340	$330	$5.8M
H0012	Behavioral health day treatment, per hour	3	10	3,030	$330	$5.4M
H2016	Comprehensive community support services, per diem	5	10	11,170	$90	$4.3M
H2013	Psychiatric health facility service, per diem	3	10	1,960	$520	$3.5M
H2036	Alcohol and/or other drug treatment program, per diem	10	10	2,920	$330	$2M
H2027	Psychoeducational service, per 15 minutes	2	20	410	$170	$1.8M
H0046	Mental health services, not otherwise specified	1	30	350	$100	$1.7M
S9485	Crisis intervention mental health services, per diem	2	10	3,160	$550	$1.5M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	21	20	42,000	$10	$1.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	5	10	3,370	$90	$1.1M

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Davis Behavioral Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Davis Hospital & Medical Center LP	UT	General Acute Care Hospital	$0	$22.5M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$11.6M
Tanner Memorial Clinic	UT	Internal Medicine Physician	$0	$8.1M
Layton City Corporation	UT	Land Ambulance	$377.7K	$4.7M
Hillfield Pediatric & Family Dentistry Inc.	UT	General Practice Dentistry	$0	$3.1M
Catalyst Behavior Solutions	UT	Community/Behavioral Health Agency	$0	$2.8M
Silver Lake Healthcare, Inc.	UT	Community Based Hospice Care Agency	$0	$2.4M
Scott Folkman	UT	Pediatric Dentistry	$0	$2M
Discovery House Lt, Inc.	UT	Methadone Clinic	$76.3K	$1.8M
Silver Lake Healthcare, Inc.	UT	Home Health Agency	$0	$1.6M

Davis Behavioral Health 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

Related Providers

Nearby Providers

Frequently Asked Questions

References