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

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

River Valley Counseling Center, Inc (NPI 1851444616)

Field	Value
Entity Type	Organization
Organization	River Valley Counseling Center, Inc
Address	303 Beech St
City	Holyoke
State	MA
ZIP	01040
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$64.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 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…	380,670	$90	$32.4M
H2019	Therapeutic behavioral services, per 15 minutes	79,810	$190	$15.2M
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…	52,340	$110	$5.5M
T1027	Family training and counseling for child development, per 15 minutes	18,280	$140	$2.5M
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…	28,640	$80	$2.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	11,570	$120	$1.4M
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…	26,690	$50	$1.2M
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…	19,600	$50	$1.1M
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	13,790	$70	$1M
H0046	Mental health services, not otherwise specified	19,270	$40	$809.5K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

River Valley Counseling Center, Inc — 8 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	19	290	3,680	$150	$2.9M
T1027	Family training and counseling for child development, per 15 minutes	30	130	4,300	$110	$2.1M
T1015	Clinic visit/encounter, all-inclusive	128	550	90	$140	$1.5M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	130	410	140	$110	$742.2K
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…	7	1,620	580	$80	$599.6K
H2012	Behavioral health day treatment, per hour	26	110	840	$70	$575.6K
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…	8	1,020	460	$100	$293.7K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	13	230	470	$60	$221.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	341	950	90	$100	$212.9K
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…	87	5,040	200	$70	$209.5K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as River Valley Counseling Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$249.7M
Holyoke Medical Center, Inc.	MA	General Acute Care Hospital	$0	$125.1M
Total Wellness Centers, LLC	MA	Clinical Medical Laboratory	$1.9M	$77.2M
Holyoke Health Center Inc.	MA	Community Health Clinic/Center	$0	$59.3M
Access Care Partners Inc.	MA	Voluntary or Charitable Agency	$0	$38.9M
Access Care Partners Inc.	MA	Voluntary or Charitable Agency	$0	$34.2M
New England Family Dentistry, PC	MA	Point of Service	$0	$12.7M
Holyoke Capital Jv, LLC	MA	Psychiatric Hospital	$645.1K	$11.5M
The Mercy Hospital Inc	MA	Psychiatric Hospital	$0	$11M
Lakes/national Emergency Physicians Inc	MA	Emergency Medicine Physician	$0	$10.6M

River Valley Counseling Center, Inc — Billing Profile & Reimbursement Data

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River Valley Counseling Center, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References