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 1790156362)

Key Findings

Field	Value
Entity Type	Organization
Organization	Thrive Behavioral Health, LLC
Address	5720 Executive Dr Ste 100-105
City	Baltimore
State	MD
ZIP	21228
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 8, 2015

Payer Source	Total Paid
Medicaid	$27.9M
Medicare	$0

This provider is effectively a Medicaid-focused outpatient behavioral health operation: there is no Medicare billing on file and lifetime Medicaid revenue is $27.9M, indicating the organization’s payer footprint is dominated by state Medicaid activity rather than Medicare payments. The NPI was enumerated on 2015-10-08 (~11 years ago), so the business has been active under this identifier for about a decade.

Revenue is highly concentrated in a small set of psychotherapy and evaluation codes: the precomputed top-3 Medicaid codes account for 76.4% of the provider’s total Medicaid revenue, with 90834 alone contributing $17.3M (62.1% of Medicaid revenue). This concentration signals that individual psychotherapy sessions are the primary revenue driver for the practice.

90834 is a statewide outlier for volume and revenue: the provider reports 140.8K claims for 90834 and ranks #11 of 2204 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). This magnitude confirms the provider is a dominant statewide source of psychotherapy billed under 90834.

Complementary service lines support the psychotherapy focus: 90847 (family psychotherapy) and 90791 (psychiatric evaluation) are the #2 and #3 revenue drivers, generating $2.3M (8.4%) and $1.7M (6.0%) respectively. Both codes show elevated statewide standing—90847 ranks #18 of 451 (96th percentile; notably above typical state volume) and 90791 ranks #6 of 1093 (100th percentile; extreme outlier)—which indicates the organization delivers high-volume family therapy and diagnostic evaluation services in addition to individual therapy.

The code mix includes non-physician care coordination and plan development: H0032 appears with 11.1K claims and $1.2M revenue (4.3% of Medicaid revenue) and ranks #7 of 332 providers in-state (98th percentile; extreme outlier), suggesting substantial use of mental health service plan development as part of the treatment pathway. Combined with high counts for 90832 and 90837, the provider offers a full range of psychotherapy session lengths and related care-planning services.

Evaluation and management activity is present but not the primary revenue source: 99214 accounts for $1.6M (5.7% of Medicaid revenue) and ranks #165 of 3673 providers in-state (96th percentile; typical, unremarkable volume for this code). A portfolio that includes 99214, 99213 and occasional high-level E/M codes (99215) suggests integrated outpatient medical evaluation alongside psychotherapy, but the bulk of revenue remains behavioral-therapy-centric.

Multiple codes are flagged as statistical outliers or notably above typical state volume across different service types, indicating a strong competitive statewide position in behavioral health care rather than a modest or niche local practice. Specifically, several codes (90834, 90791, H0032) are described as “extreme outlier” and 90847 and 90832 are “notably above typical,” which together reflect dominance in Medicaid psychotherapy and evaluation services in Maryland.

There are operational anomalies worth noting for follow-up: 90889 shows 1.7K claims with $0 avg paid/claim and $0 revenue while ranking #1 of 57 providers in-state (100th percentile; extreme outlier). That pattern—high claim volume with zero paid amount—stands out in the claims mix and may warrant a billing or data-quality review rather than any presumption about clinical practice.

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…	140,760	$120	$17.3M
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…	20,420	$110	$2.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,390	$230	$1.7M
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…	13,650	$120	$1.6M
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…	20,860	$70	$1.5M
H0032	Mental health service plan development by non-physician	11,080	$110	$1.2M
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…	9,200	$120	$1.1M
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…	1,890	$220	$414.3K
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…	4,400	$70	$325.7K
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.	2,100	$130	$264.7K

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 — 6 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…	11	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…	18	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…	165	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…	24	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…	600	3,280	610	$80	$296.1K
H0032	Mental health service plan development by non-physician	7	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…	20	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…	316	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.	21	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.	6	1,090	90	$200	$101.4K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic Community Services, Inc	MD	Rehabilitation Clinic/Center	$0	$38.1M
Mssf Inc	MD	Home Health Agency	$0	$36.4M
American Medical Equipment Inc	MD	Durable Medical Equipment & Medical Supplies	$0	$13.1M
Emmanuel Elder Care Services LLC	MD	Adult Day Care Clinic/Center	$0	$12M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$11M
New Day Health Systems, Inc.	MD	Community/Behavioral Health Agency	$0	$6.5M
Nasseri Clinic Of Arthritic & Rheumatic Diseases LLC	MD	Non-Pharmacy Dispensing Site	$0	$6.1M
Family's First LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Jeffrey Landis	MD	Rheumatology Physician	$1.7M	$0
Nasser Nasseri-asl	MD	Specialist	$1.2M	$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

Nearby Providers

Frequently Asked Questions

References