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

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

Solutions Behavioral Healthcare Professionals, PC (NPI 1801909239)

Field	Value
Entity Type	Organization
Organization	Solutions Behavioral Healthcare Professionals, PC
Address	1547 30th Ave S
City	Moorhead
State	MN
ZIP	56560
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicaid	$48.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused behavioral health operation: lifetime Medicaid revenue is $48.9M and there is no Medicare billing on file. The absence of Medicare revenue indicates its patient and payer mix is overwhelmingly — if not exclusively — Medicaid-centered, concentrating financial exposure and strategic positioning in state Medicaid programs rather than dual Medicare/Medicaid markets.

Revenue is highly concentrated in a small set of service lines: the top 3 Medicaid codes (97153, T2023, 90837) account for 53.3% of this provider’s total Medicaid revenue. Individually these include 97153 ($12.1M, 24.9%), T2023 ($9.4M, 19.4%), and 90837 ($4.4M, 9.0%), which together drive the majority of billed dollars and should be core to any operational or reimbursement review.

The mix of top codes indicates a dual emphasis on adaptive behavior services and sustained psychotherapy plus case management. High-volume 97153 (103.1K claims) and related technician/ABA codes (e.g., 97155, 0365T, 0364T) point to substantial delivery of technician-administered adaptive behavior treatments, while 90837 (45.4K claims) and 90834 (34.3K claims) show a major role in longer psychotherapy sessions; T2023 (21.9K claims) signals sizeable targeted case management and care coordination work.

Competitive standing by code varies: the provider is a clear outlier in some psychotherapy measures and program-adjacent services. 90837 ranks #17 of 1143 providers in-state (99th percentile) and 90834 ranks #19 of 623 (97th percentile), both labeled as notably above typical state volume, indicating this organization is a major state-level provider of longer psychotherapy sessions. H0032 (24.6K claims, $1.9M) also ranks high at the 98th percentile and is notably above typical state volume for mental health service plan development.

For ABA and technician-driven services the provider shows substantial scale but not universally dominant statewide position. 97153 generated $12.1M (24.9% of Medicaid revenue) with 103.1K claims and ranks #6 of 45 providers (89th percentile) — a relatively high in-state rank but described as typical/unremarkable volume for that code — while related codes like 97155 ($3.0M) and 0365T ($583.5K) show meaningful program breadth rather than exclusive dominance.

The provider occupies top positions for a few specialized codes that suggest niche offerings: T1005 (respite care) and 0364T (behavior treatment) both rank #1 in-state among small peer groups (100th percentile), though those codes are small contributors to total revenue ($2M and $98.5K respectively) and are characterized as typical volume within their limited provider pools. These #1 rankings imply the provider is the leading local supplier for certain niche services even if those services are not the largest revenue drivers overall.

Operational risk and strategy implications flow from payer concentration and service concentration: with $48.9M in Medicaid revenue and no Medicare receipts, any policy or rate changes in state Medicaid reimbursement for codes like 97153, T2023, or 90837 could materially affect the business. The top-3 concentration (53.3%) amplifies that sensitivity, making diversification of service mix or payers a relevant strategic consideration.

Tenure and stability: the NPI was enumerated on 2006-08-17 (~20 years ago), indicating a long-standing presence in the market. Combined with high claim volumes across core codes and high percentile ranks in several categories, the data suggest an established provider with developed service lines in ABA/behavioral treatments, psychotherapy, and case management within the Minnesota Medicaid ecosystem.

Medicaid: Complete Services Breakdown

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	103,140	$120	$12.1M
T2023	Targeted case management; per month	21,900	$430	$9.4M
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…	45,450	$100	$4.4M
H2014	Skills training and development, per 15 minutes	47,520	$80	$3.7M
H2019	Therapeutic behavioral services, per 15 minutes	18,130	$180	$3.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	27,790	$110	$3M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	27,960	$110	$3M
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…	34,260	$80	$2.6M
T1005	Respite care services, up to 15 minutes	14,120	$140	$2M
H0032	Mental health service plan development by non-physician	24,590	$80	$1.9M

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Solutions Behavioral Healthcare Professionals, PC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	27	190	2,820	$480	$4.2M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	6	50	6,550	$90	$3.1M
H2014	Skills training and development, per 15 minutes	13	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	35	230	6,320	$120	$2M
T1016	Case management, each 15 minutes	96	240	1,870	$50	$1.9M
T2013	Habilitation, educational, waiver; per hour	7	10	1,640	$120	$1.5M
H2019	Therapeutic behavioral services, per 15 minutes	8	50	5,850	$110	$1.2M
T1005	Respite care services, up to 15 minutes	1	10	9,180	$150	$1.2M
T1013	Sign language or oral interpretive services, per 15 minutes	139	210	560	$60	$822.1K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	8	50	1,140	$70	$720.1K

Showing 1–10 of 45

Related Providers

Other providers that share a Tax Identification Number (TIN) with Solutions Behavioral Healthcare Professionals, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Epping	ND	Clinical Social Worker	$24.4K	$0

Nearby Providers

Other providers in the same ZIP code as Solutions Behavioral Healthcare Professionals, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ccri, Inc	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$110.9M
Arbor Park Village, LLC	MN	Assisted Living Facility	$0	$9.4M
Ind School Dist 152	MN	Local Education Agency (LEA)	$0	$8.8M
Tomorrow, LLC	MN	Substance Abuse Rehabilitation Facility	$0	$8.4M
Castle Rock Access LLC	MN	Durable Medical Equipment & Medical Supplies	$0	$8.4M
Family Health Care Center	MN	Dental Clinic/Center	$0	$5.9M
Behavioral Health Associates, Ltd.	MN	Intellectual & Developmental Disabilities Psychologist	$0	$5.3M
Compassioncare Services, LLC	MN	In Home Supportive Care Agency	$0	$5.2M
Jeffrey Lotzer	MN	Chiropractor	$70.8K	$0
Michael Sand	MN	Internal Medicine Physician	$65.3K	$0

Solutions Behavioral Healthcare Professionals, PC — Billing Profile & Reimbursement Data

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Solutions Behavioral Healthcare Professionals, PC — 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