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.

Affinity Behavior And Mental Health Services, LLC (NPI 1912242918)

Field	Value
Entity Type	Organization
Organization	Affinity Behavior And Mental Health Services, LLC
Address	1970 W 7800 S
City	West Jordan
State	UT
ZIP	84088
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 1, 2012

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	45,340	$120	$5.5M
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…	9,050	$90	$851.1K
0368T	Behavior treatment modified additional	1,390	$310	$426.1K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	1,520	$180	$268.3K
0364T	Behavior treatment	7,810	$30	$203.1K
H0032	Mental health service plan development by non-physician	320	$170	$54.2K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	100	$390	$40.7K
0359T	Behavior identification assessment, by the physician or other qualified health care professional, face-to-face with patient and/or guardian(s)/caregiver(s), includes administration of standardized…	60	$520	$29.4K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	100	$190	$20K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	60	$110	$7.3K

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

Affinity Behavior And Mental Health Services, LLC — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	3	30	7,130	$260	$8.7M
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…	6	30	2,270	$140	$1.7M
0364T	Behavior treatment	2	10	5,310	$110	$855.5K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	3	10	340	$210	$437.7K
0368T	Behavior treatment modified additional	7	10	1,470	$90	$205K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	7	10	140	$60	$163.1K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	9	20	80	$280	$147.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	10	20	80	$140	$142.3K
H0032	Mental health service plan development by non-physician	5	10	250	$70	$51.4K
0359T	Behavior identification assessment, by the physician or other qualified health care professional, face-to-face with patient and/or guardian(s)/caregiver(s), includes administration of standardized…	2	10	30	$360	$42.4K

Nearby Providers

Other providers in the same ZIP code as Affinity Behavior And Mental Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Homecare LLC	UT	Home Health Agency	$0	$14.9M
Jordan Valley Medical Center LP	UT	Rehabilitation Hospital Unit	$0	$9.1M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$7.3M
Wasatch Pediatrics, Inc	UT	Pediatrics Physician	$0	$5.8M
Family Surgical Suite	UT	Ambulatory Surgical Clinic/Center	$0	$4.8M
Kids Behavioral Health Of Utah, Inc	UT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$4.1M
Douglas Mehr	UT	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Christopher Gee	UT	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Andrew Davis	UT	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Jordan West Family Counseling Inc	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1M

Affinity Behavior And Mental Health Services, LLC — Billing Profile & Reimbursement Data

Sign up for Affinity Behavior And Mental Health Services, LLC — Billing Profile & Reimbursement Data policy alerts

Affinity Behavior And Mental Health Services, LLC — Billing Profile & Reimbursement Data

Sign up for Affinity Behavior And Mental Health Services, LLC — 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