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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Firm Foundations Counseling & Wellness (NPI 1841572245)

Field	Value
Entity Type	Organization
Organization	Firm Foundations Counseling & Wellness
Address	5 Lake Carolina Way
City	Columbia
State	SC
ZIP	29229
Taxonomy	Professional Counselor
NPI Enumerated	September 13, 2011

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	24,470	$110	$2.7M
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…	4,300	$110	$455.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,960	$150	$298.4K
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.	1,150	$110	$126.7K
99366	A medical team discusses a treatment plan in a meeting with a patient who requires attention from more than one medical specialty.	20	$40	$760

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Firm Foundations Counseling & Wellness — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	18	650	800	$120	$413.8K
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…	25	240	260	$160	$257.9K
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.	42	150	220	$160	$192.8K
99366	A medical team discusses a treatment plan in a meeting with a patient who requires attention from more than one medical specialty.	33	40	60	$70	$57.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	16	320	60	$140	$52.7K

Nearby Providers

Other providers in the same ZIP code as Firm Foundations Counseling & Wellness, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Pediatrics Alliance, LLC	SC	Pediatric Adolescent Medicine Physician	$0	$63.4M
Kraemer Womens Care, LLC	SC	Obstetrics & Gynecology Physician	$0	$12.4M
Suneetha Morthala	SC	Rheumatology Physician	$1.1M	$0
Lexington Health Inc	SC	Radiology Clinic/Center	$414.9K	$13.1K
William Johnson	SC	Ophthalmology Physician	$303.2K	$0
Lexington Health Inc	SC	Ambulatory Surgical Clinic/Center	$230.8K	$0
Carlton Cauthen	SC	Pulmonary Disease Physician	$212.8K	$0
Jessica Hall	SC	Medical Physician Assistant	$105.2K	$0
Amanda Warner	SC	Foot Surgery Podiatrist	$83.5K	$0
Kimberly Mouzon	SC	Acute Care Nurse Practitioner	$74.7K	$0

Firm Foundations Counseling & Wellness — Billing Profile & Reimbursement Data

Sign up for Firm Foundations Counseling & Wellness — Billing Profile & Reimbursement Data policy alerts

Firm Foundations Counseling & Wellness — Billing Profile & Reimbursement Data

Sign up for Firm Foundations Counseling & Wellness — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References