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.

Uintah Basin Tri-county Mental Health And Substance Abuse Local Author (NPI 1891873121)

Field	Value
Entity Type	Organization
Organization	Uintah Basin Tri-county Mental Health And Substance Abuse Local Author
Address	1140 W 500 S
City	Vernal
State	UT
ZIP	84078
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Key Findings

This entity is effectively single-payer in its claims footprint: there is no Medicare billing on file and all reported lifetime revenue comes from Medicaid, totaling $11.4M. That concentration makes the organization highly dependent on state Medicaid reimbursement policies and enrollment dynamics for its topline.

Revenue is highly concentrated in a small set of psychotherapy and mental-health service codes: the precomputed top 3 Medicaid codes by revenue account for 58.4% of this provider's total Medicaid revenue, driven by 90837 (23.2%), H0046 (17.7%), and 90834 (17.6%). The per-claim paid amounts for those codes are $138 for 90837, $106 for H0046, and $111 for 90834, indicating that traditional individual psychotherapy sessions and unspecified mental-health services are the primary revenue drivers.

The overall code mix indicates a behavioral-health agency organized around outpatient psychotherapy plus wraparound psychosocial support. High-volume psychotherapy codes 90837, 90834 and the unspecified mental-health code H0046 are complemented by psychosocial rehabilitation H2017, skills training H2014, targeted case management T1017, and nursing assessment T1001, which together suggest integrated clinical and community-based service delivery rather than a medical-visit–centric model.

On competitive standing within Utah, the provider shows above-average placement for several core codes but is not the statewide dominant supplier across all categories. For psychotherapy, 90837 ranks #16 of 372 providers (96th percentile) and 90834 ranks #8 of 111 providers (94th percentile), while H0046 ranks #7 of 30 providers (79th percentile); the data labels these as “typical, unremarkable volume” despite high percentiles, implying the provider is an important regional participant for psychotherapy but not uniquely dominant.

There is a notable statistical outlier in low‑complexity office visits: 99212 is ranked #1 of 172 providers in-state (100th percentile; labeled an extreme outlier, far above typical state volume). That concentration of brief E/M visits suggests the organization logs a very high volume of short, established-patient encounters relative to peers, which may reflect care model emphasis on frequent follow-ups or brief check-ins in addition to standard psychotherapy.

Beyond psychotherapy, the provider bills substantial Medicaid revenue for rehabilitative and care coordination services: H2017 shows 28.4K claims for $1.1M (9.7% of Medicaid revenue), T1017 shows 6.7K claims for $479K (4.2%), H2014 shows $431.3K (3.8%), and T1001 shows $273.1K (2.4%). This spread of revenue across rehabilitation, case management, skills training, and nursing assessment points to a mixed service-line portfolio serving both clinical and community support needs.

The provider has an established operational history: its NPI was enumerated on 2006-11-02 (~20 years ago), indicating long tenure in the market which likely supports stable Medicaid relationships and referral networks across its service lines.

Medicaid: Complete Services Breakdown

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

20 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…	19,150	$140	$2.6M
H0046	Mental health services, not otherwise specified	19,040	$110	$2M
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…	18,070	$110	$2M
H2017	Psychosocial rehabilitation services, per 15 minutes	28,440	$40	$1.1M
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…	8,860	$60	$557.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,000	$130	$528.3K
T1017	Targeted case management, each 15 minutes	6,750	$70	$479K
H2014	Skills training and development, per 15 minutes	5,200	$80	$431.3K
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,…	8,630	$40	$362.6K
T1001	Nursing assessment / evaluation	3,640	$80	$273.1K

Showing 1–10 of 20

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

Uintah Basin Tri-county Mental Health And Substance Abuse Local Author — 2 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0046	Mental health services, not otherwise specified	7	30	350	$100	$1.7M
H2014	Skills training and development, per 15 minutes	15	50	1,320	$130	$1.1M
T1017	Targeted case management, each 15 minutes	14	60	760	$70	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	10	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…	16	370	690	$140	$704.2K
T1001	Nursing assessment / evaluation	15	70	700	$80	$603.4K
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…	43	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…	8	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.	10	140	160	$220	$374.1K
H2000	Comprehensive multidisciplinary evaluation	8	10	650	$340	$355.3K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Uintah Basin Tri-county Mental Health And Substance Abuse Local Author, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashley Valley Medical Center LLC	UT	General Acute Care Hospital	$0	$4.4M
Eastern Utah Early Intervention, Inc.	UT	Developmentally Disabled Services Day Training Agency	$0	$1.7M
The Er Group, LLC	UT	Emergency Medicine Physician	$0	$1.4M
Learning Solutions LLC	UT	Adolescent and Children Mental Health Clinic/Center	$0	$1.3M
White Smiles Pediatric Dentistry	UT	Pediatric Dentistry	$0	$1.2M
Vernal Urgent Care LLC	UT	Urgent Care Clinic/Center	$0	$1.2M
Kolby Lance	UT	Pediatric Dentistry	$0	$992.1K
Dinosaurland Pediatrics	UT	Specialist	$0	$989K
Pettit Pediatrics LLC	UT	Pediatrics Physician	$0	$871K
Uintah Basin Tri-county Mental Health And Substance Abuse Local Author	UT	Community/Behavioral Health Agency	$0	$824K

Uintah Basin Tri-county Mental Health And Substance Abuse Local Author — Billing Profile & Reimbursement Data

Sign up for Uintah Basin Tri-county Mental Health And Substance Abuse Local Author — Billing Profile & Reimbursement Data policy alerts

Uintah Basin Tri-county Mental Health And Substance Abuse Local Author — Billing Profile & Reimbursement Data

Sign up for Uintah Basin Tri-county Mental Health And Substance Abuse Local Author — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References