Loading...
NPI 1912281031 · Alexandria, LA · Mental Health Clinic/Center (Including Community Mental Health Center)
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Fairway Counseling Agency, Inc. is a mental health clinic/center (including community mental health center) provider located in Alexandria, Louisiana. This profile covers 0 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Fairway Counseling Agency, Inc. |
| Address | 710 Versailles Blvd |
| City | Alexandria |
| State | LA |
| ZIP | 71303 |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| NPI Enumerated | October 7, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $38.1M |
| Medicare | $0 |
FAIRWAY COUNSELING AGENCY, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the entity reports $38.1M in total Medicaid revenue, indicating Medicaid dominates its revenue base. Its NPI was enumerated on 2011-10-07 (~15 years ago), showing roughly a decade and a half of Medicaid activity under this billing identity.
Revenue is extremely concentrated in a very small set of services: the precomputed top 3 Medicaid codes by revenue account for 96.3% of this provider's total Medicaid revenue. This concentration implies the organization’s financial performance is driven almost entirely by a narrow set of community mental health service lines rather than a diversified procedure mix.
H2017 is the single largest revenue driver: the provider billed 311.8K claims for H2017 with $58 avg paid/claim and $18.1M revenue (47.5% of this provider's total Medicaid revenue). The provider ranks #1 of 397 providers in-state for H2017 (100th percentile; extreme outlier), which signals market dominance in psychosocial rehabilitation services at the state level.
H0036 is an equally important revenue stream: FAIRWAY reported 249.6K claims for H0036 with $71 avg paid/claim and $17.7M revenue (46.6% of this provider's total Medicaid revenue). Like H2017, H0036 ranks #1 of 461 providers in-state (100th percentile; extreme outlier), indicating that community psychiatric supportive treatment is a core, high-volume operational focus.
The third top code by revenue is 99213, which generated $838.5K (2.2% of total Medicaid revenue) across 21K claims at $40 avg paid/claim; it ranks #280 of 3226 providers in-state (91th percentile). This suggests FAIRWAY supplements its intensive community services with typical outpatient E/M visits, but these office visits are a small share of overall Medicaid revenue compared with H2017 and H0036.
Several other codes show above-typical state activity for specific service types: 90791 produced $488.9K and ranks #4 of 764 providers in-state (100th percentile; extreme outlier), indicating very high-volume psychiatric evaluations beyond the top-two rehabilitative codes. Likewise, 96156 (2.2K claims, $191.1K revenue) ranks #10 of 122 providers (93th percentile; notably above typical state volume), pointing to elevated use of health behavior assessment services.
Operational profile implied by the code mix: heavy reliance on per-15-minute community and psychosocial habilitation/support codes (H2017, H0036) together with high counts of brief outpatient visits and evaluations suggests a large-volume, community-based behavioral health program that likely provides frequent, short-interval services to a sizeable enrolled population. High claim counts (311.8K and 249.6K) and the dominance of time-based community codes are consistent with an ambulatory behavioral health center operating at scale.
From a competitive and risk perspective, FAIRWAY is a dominant statewide provider for the key community mental health codes (H2017 and H0036) but also faces concentration risk: because 96.3% of Medicaid revenue is tied to the top three codes, any reimbursement policy changes or utilization shifts affecting those codes could materially impact revenue. Analysts should treat the entity as a major in-state specialist for psychosocial rehabilitation and community psychiatric supportive treatment, with secondary services (E/M visits, evaluations) playing a much smaller revenue role.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 311,800 | $60 | $18.1M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 249,590 | $70 | $17.7M |
| 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… | 20,960 | $40 | $838.5K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 10,630 | $50 | $488.9K |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 1,540 | $210 | $325.6K |
| 96156 | The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are… | 2,200 | $90 | $191.1K |
| 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… | 4,390 | $40 | $184.3K |
| 99203 | The provider sees a new 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 provider… | 3,590 | $40 | $132.9K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 340 | $100 | $33.8K |
| 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… | 330 | $50 | $15.2K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 13 | 20 | 2,150 | $200 | $1.1M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 1 | 460 | 5,030 | $80 | $1M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 1 | 400 | 6,490 | $60 | $958.2K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including… | 109 | 130 | 2,290 | $90 | $928.9K |
| 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… | 2,523 | 2,890 | 980 | $40 | $246.8K |
| 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… | 280 | 3,230 | 1,120 | $30 | $204.3K |
| 99204 | The provider sees a new 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 provider… | 683 | 1,170 | 160 | $80 | $102.7K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 497 | 700 | 180 | $60 | $77K |
| 99203 | The provider sees a new 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 provider… | 72 | 1,280 | 180 | $50 | $64.8K |
| 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… | 72 | 910 | 440 | $40 | $61.6K |
Showing 1–10 of 16
Other providers in the same ZIP code as Fairway Counseling Agency, Inc., ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.