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

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

Health Solutions (NPI 1033165527)

Field	Value
Entity Type	Organization
Organization	Health Solutions
Address	41 Montebello Rd Ste 204
City	Pueblo
State	CO
ZIP	81001
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$118.6M
Medicare	$0

Key Findings

HEALTH SOLUTIONS is effectively a single-payer Medicaid provider: there is no Medicare billing on file while reported Medicaid revenue totals $118.6M. Its NPI was enumerated on 2006-05-26 (≈20 years ago), indicating an established operating history in Pueblo, CO.

Revenue is concentrated: the precomputed top-three Medicaid codes account for 39.2% of the provider’s total Medicaid revenue. Those top drivers are 90837 ($22.5M, 19.8%), 99214 ($11.6M, 10.2%), and H0017 ($10.3M, 9.1%), showing a substantial share of earnings tied to a small set of service lines.

The code mix indicates a comprehensive behavioral health operation combining long-session psychotherapy, office-based medical management, and residential services. High-revenue psychotherapy codes (90837, 90834, 90832) alongside evaluation codes (90791/90792), per-diem residential billing (H0017), and medication-support codes (H0034, H0033) suggest integrated outpatient therapy, medication-assisted services, and residential treatment capacity.

HEALTH SOLUTIONS is a dominant statewide provider for multiple behavioral-health codes: 90837 ranks #3 of 1668 providers in CO and is labeled an extreme outlier, H0017 ranks #1 of 16 and is described as notably above typical state volume, and H0034 ranks #1 of 39 and is an extreme outlier. Several other codes (H0023, H0002, H0032, 90832, 90791, S9480) also sit at the 100th-percentile or near the top of state rankings, reinforcing a major competitive standing in Colorado for these services.

Operational volume is very large across several service lines, with claim counts such as 79K claims for 90837, 73.5K claims for H0023, 62K claims for H0034, and 46.2K claims for 99214. Paired with per-claim payment patterns (e.g., $285 avg for 90837, $970 avg for H0017, $104 avg for H0034), this mix implies substantial throughput and a range of reimbursement intensities across outpatient, per-diem, and minute-based services.

Several codes are explicitly flagged as statistical outliers or notably above typical state volume, which signals that HEALTH SOLUTIONS operates at scale relative to peers: examples include 90837 (extreme outlier), H0034 (extreme outlier), H0023 (extreme outlier), and H0017 (notably above typical state volume). These labels indicate the provider’s service volumes are materially higher than typical in-state peers for core behavioral-health programs.

While the top three codes capture 39.2% of Medicaid revenue, the remaining revenue is distributed across a wide set of behavioral-health services—high-volume outreach/case-management codes (H0023, T1017, H0002), medication/methadone services (H0034, H0020, H0033), and habilitation/rehabilitation supports (H2017, H2014, H2033). That breadth suggests revenue diversification within behavioral health even as the top three codes remain critical to overall receipts.

Clinical intensity and program breadth are evident: the presence of long-session psychotherapy (90837), intensive outpatient per-diem services (S9480), residential per-diem billing (H0017), multisystemic therapy (H2033), and crisis intervention (H2011) indicates the provider supplies both high-intensity and routine outpatient care. This combination supports a service model capable of managing complex, higher-acuity behavioral-health cases as well as ongoing outpatient treatment.

Medicaid: Complete Services Breakdown

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

46 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…	79,020	$290	$22.5M
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…	46,230	$250	$11.6M
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	10,660	$970	$10.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	34,200	$250	$8.4M
H0034	Medication training and support, per 15 minutes	62,020	$100	$6.5M
H0023	Alcohol and/or drug outreach	73,470	$80	$5.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	56,710	$100	$5.6M
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…	24,700	$190	$4.8M
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…	23,950	$170	$4.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10,120	$370	$3.8M

Showing 1–10 of 46

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Health Solutions — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	116	280	2,330	$210	$4.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	18	50	21,450	$20	$1.8M
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	1	20	700	$540	$1.7M
H2033	Multisystemic therapy for juveniles, per 15 minutes	2	10	2,130	$280	$1.5M
T1005	Respite care services, up to 15 minutes	1	10	3,360	$350	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	76	100	960	$100	$1.1M
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	6	10	50	$2,070	$870.9K
H0039	Assertive community treatment, face-to-face, per 15 minutes	11	20	1,090	$160	$521.1K
S9480	Intensive outpatient psychiatric services, per diem	1	20	1,240	$220	$518.5K
J2315	Injection, naltrexone, depot form, 1 mg	26	30	100	$1,080	$511.1K

Showing 1–10 of 46

Nearby Providers

Other providers in the same ZIP code as Health Solutions, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Argus Home Care Inc	CO	Home Health Agency	$0	$24.9M
Oakshire Gardens	CO	Assisted Living Facility	$0	$14.8M
Pueblo Community Health Center Inc	CO	Federally Qualified Health Center (FQHC)	$0	$7.7M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$7M
Pueblo Community Health Center Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$6M
Family & Kids Dental PC	CO	General Practice Dentistry	$0	$4.9M
Richard Rivera Mdpc	CO	Health Service Clinic/Center	$0	$4.3M
Rocky Mountain Eye Center Inc A Colorado Provider Network	CO	Ophthalmology Physician	$0	$3.9M
Pueblo Ambulatory Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$273K	$968K
Skyline Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$358.4K	$238K

Health Solutions — Billing Profile & Reimbursement Data

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Health Solutions — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References