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.

Modern Wellness Family Counseling, LLC (NPI 1972146611)

Field	Value
Entity Type	Organization
Organization	Modern Wellness Family Counseling, LLC
Address	945 E Main St Ste 5
City	Spartanburg
State	SC
ZIP	29302
Taxonomy	Marriage & Family Therapist
NPI Enumerated	October 25, 2019

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	20,670	$110	$2.2M
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…	1,130	$100	$115K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	700	$150	$101.5K
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.	110	$100	$10.8K
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…	120	$70	$8.5K
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…	30	$40	$1.1K

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

Modern Wellness Family Counseling, LLC — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	142	210	320	$130	$707.4K
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…	25	650	800	$120	$413.8K
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…	145	160	270	$70	$268.1K
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…	66	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.	96	150	220	$160	$192.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	42	320	60	$140	$52.7K

Nearby Providers

Other providers in the same ZIP code as Modern Wellness Family Counseling, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospice Care Of South Carolina, LLC	SC	Community Based Hospice Care Agency	$0	$57.7M
South Carolina School For The Deaf And The Blind	SC	Local Education Agency (LEA)	$0	$9.9M
Carolina Pediatric Dentistry	SC	Dental Clinic/Center	$0	$5.7M
Healing Solutions, LLC	SC	Marriage & Family Therapist	$0	$4.5M
Legacy Healthcare Advantage LLC	SC	In Home Supportive Care Agency	$0	$3.9M
Southern Home Care Services, Inc.	SC	In Home Supportive Care Agency	$0	$3.9M
Spartanburg Medical Center	SC	Home Health Agency	$0	$3.7M
Wiregrass Hospice Of South Carolina, LLC	SC	Community Based Hospice Care Agency	$0	$3.5M
Palmetto Early Intervention Service	SC	Early Intervention Provider Agency	$0	$2.5M
Carolina Vision Associates, LLC	SC	Optometrist	$0	$2M

Modern Wellness Family Counseling, LLC — Billing Profile & Reimbursement Data

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Modern Wellness Family Counseling, LLC — 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