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.

House Of Hope (NPI 1770696635)

Field	Value
Entity Type	Organization
Organization	House Of Hope
Address	857 E 200 S
City	Salt Lake City
State	UT
ZIP	84102
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the public program space: there is no Medicare billing on file and all reported federal billing activity comes through Medicaid, totaling $11.6M in lifetime Medicaid revenue. The absence of Medicare claims indicates its service mix and patient population are concentrated in Medicaid‑eligible behavioral health/substance use services rather than Medicare age or disability lines.

Revenue for HOUSE OF HOPE is highly concentrated in three codes: H2036 (70.5%), H2019 (14.5%), and 90853 (10.3%), which together account for 95.3% of the provider’s Medicaid revenue. That concentration shows the organization’s financial picture is driven almost entirely by a narrow set of substance‑use and behavioral health services rather than a broad case mix.

The top revenue driver is H2036 (H2036 – Alcohol and/or other drug treatment program, per diem), which generated $8.2M and 22.3K claims at an average paid/claim of $366. This pattern (H2036 = 70.5% of Medicaid revenue) indicates the operation primarily delivers per‑diem substance use treatment services—consistent with a residential or intensive per‑diem program model.

HOUSE OF HOPE ranks as a statewide leader on the per‑diem treatment code: H2036 ranks #1 of 14 providers in Utah (100th percentile) and is described as notably above typical state volume. This ranking identifies the provider as a dominant in‑state supplier for Medicaid per‑diem substance use programs and a likely focal point for payers managing utilization of that service line.

The provider also shows substantial volume in time‑based and group interventions: H2019 (33K claims, $51 avg paid/claim, $1.7M revenue) ranks #5 of 91 providers in the state (96th percentile; typical, unremarkable volume for this code), and 90853 (22.5K claims, $53 avg paid/claim, $1.2M revenue) ranks #14 of 150 (91st percentile; typical, unremarkable volume for this code). These figures suggest a service model that pairs per‑diem treatment with high utilization of therapeutic behavioral services and group psychotherapy rather than primarily individualized, long psychiatric evaluations or other specialty services.

Utilization counts underscore intensity of delivered services: H2036 shows 22.3K claims at $366 avg paid/claim, and H2019 has 33K claims, indicating frequent, recurring encounters under per‑diem and 15‑minute behavioral service billing structures. Those high claim volumes, combined with the concentration of revenue in a few codes, signal an operational focus on repeat daily/episode billing rather than episodic high‑cost procedures.

Smaller service lines account for a very small share of Medicaid revenue by comparison: examples include 90832 ($146.9K, 1.3%), H2017 ($143.1K, 1.2%), 90791 ($74.1K, 0.6%), and H0018 ($69.3K, 0.6%). These supplemental codes indicate the presence of individual psychotherapy, psychosocial rehabilitation, and short‑term residential without room and board, but they represent marginal contribution to total Medicaid revenue relative to the dominant H2036/H2019/90853 mix.

HOUSE OF HOPE has a long tenure in the provider directory, with an NPI enumeration date of 2006-08-16 (~20 years ago), suggesting an established presence in the Utah Medicaid behavioral health market. That longevity, combined with top statewide ranking on H2036, supports the interpretation of this entity as a stable, specialized provider of Medicaid‑funded substance use treatment in the state.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	22,340	$370	$8.2M
H2019	Therapeutic behavioral services, per 15 minutes	33,030	$50	$1.7M
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…	22,540	$50	$1.2M
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…	2,450	$60	$146.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	3,670	$40	$143.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	180	$410	$74.1K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	510	$140	$69.3K
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…	490	$120	$56.7K
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…	500	$100	$49.2K

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

House Of Hope — 2 of 9 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

9 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	22	30	1,340	$330	$5.8M
H2036	Alcohol and/or other drug treatment program, per diem	1	10	2,920	$330	$2M
H2017	Psychosocial rehabilitation services, per 15 minutes	25	90	340	$70	$713.8K
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…	210	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	5	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…	14	150	1,060	$70	$528.1K
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…	46	110	270	$120	$439.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	61	140	160	$220	$374.1K
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…	19	90	270	$70	$200.4K

Nearby Providers

Other providers in the same ZIP code as House Of Hope, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Integrated Care, LLC	UT	Emergency Medicine Physician	$0	$31.2M
Helping Hand Association	UT	Substance Abuse Rehabilitation Facility	$0	$18.4M
Odyssey House Inc	UT	Family Medicine Physician	$0	$10.1M
Salt Lake Regional Medical Center LP	UT	General Acute Care Hospital	$0	$9.8M
Lyssa Inc	UT	Ambulatory Surgical Clinic/Center	$0	$7.2M
First Step House	UT	Clinical Medical Laboratory	$0	$2.3M
Planned Parenthood Association Of Utah	UT	Voluntary or Charitable Agency	$0	$1.4M
University Of Utah Behavioral Health Services	UT	Psychiatry Physician	$0	$1.3M
S-h Opco Salt Lake City, LLC	UT	Assisted Living Facility	$0	$879.2K
Ihc Health Services Inc	UT	Internal Medicine Physician	$0	$854K

House Of Hope — Billing Profile & Reimbursement Data

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House Of Hope — 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