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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Sbh El Paso, LLC (NPI 1053652438)

Field	Value
Entity Type	Organization
Organization	Sbh El Paso, LLC
Address	5045 Mcnutt Rd
City	Santa Teresa
State	NM
ZIP	88008
Taxonomy	Psychiatric Hospital
NPI Enumerated	March 8, 2013

Payer Source	Total Paid
Medicaid	$42.3M
Medicare	$0

Key Findings

SBH EL PASO, LLC appears to operate primarily as a psychiatric hospital and partial hospitalization/continuum-of-care provider based on its Medicaid code mix, with the two top codes S0201 (partial hospitalization per diem) and H0039 (assertive community treatment per 15 minutes) accounting for a combined 91.9% of its Medicaid revenue and the precomputed note that the top 3 Medicaid codes represent 94.8% of total Medicaid revenue. The dominance of S0201 and H0039 revenues indicates the organization runs both intensive day programs (partial hospitalization) and substantial community-based assertive treatment services rather than providing a broad mix of outpatient procedural billing.

Revenue concentration is extremely high: S0201 alone generates $24.9M (58.9% of Medicaid revenue) while H0039 contributes $13.9M (33.0% of Medicaid revenue), and together with the third-ranked code they make up 94.8% of the provider’s Medicaid receipts. This heavy concentration on a very small number of service lines means the provider’s financial performance is tightly linked to utilization and reimbursement for partial hospitalization and assertive community treatment.

This provider is effectively single-payer in practice: there is no Medicare billing on file while Medicaid revenue totals $42.3M, so SBH EL PASO, LLC’s publicly available payer exposure is concentrated in Medicaid with negligible or no Medicare participation reported. Analysts should treat this entity as Medicaid-dependent when modeling payer risk, demand sensitivity, or policy exposure.

On competitive standing within New Mexico, SBH EL PASO, LLC ranks as a leading in-state provider for its two largest codes: it is #1 of 3 providers for S0201 (100th percentile) and #1 of 19 providers for H0039 (100th percentile). These rank positions indicate the provider is a dominant statewide provider for partial hospitalization services and assertive community treatment, suggesting strong market share in those specialized psychiatric service lines.

Several codes show extreme or notable deviations from typical state volume and warrant attention for operational capacity implications: 99231 is listed as an “extreme outlier, far above typical state volume” where SBH EL PASO, LLC ranks #1 of 48 providers, signaling unusually high volume of lower-complexity subsequent inpatient visits; 90791 and 90792 rank highly as well (99th and 93rd percentiles respectively), indicating substantial psychiatric evaluation activity in addition to the partial hospitalization and ACT service mix.

Even within its Medicaid mix there are numerous lower-revenue E/M and psychiatric service codes (99232, 99233, 99238, 99239, 90791, 90792) that together reflect significant inpatient/observation E/M and psychiatric evaluation throughput beyond the two dominant codes. These secondary codes represent smaller shares individually (each under 3% of Medicaid revenue) but collectively suggest the facility manages transitions between inpatient/observation encounters and outpatient partial hospitalization or community-based care.

The provider’s NPI was enumerated on 2013-03-08 (~13 years ago), indicating a relatively long tenure to establish service lines and payer relationships in the market. That history is consistent with the scale observed in the dominant Medicaid programs and the reported leadership ranks for key codes within the state.

Specific low-volume Medicaid codes (for example H0035 and H0032) show the provider offers a broader set of behavioral health services though they account for negligible revenue relative to S0201 and H0039. These limited-volume services may reflect supplemental program activities or coding of specialized case management/service planning that are not major revenue drivers for the organization.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0201	Partial hospitalization services, less than 24 hours, per diem	26,580	$940	$24.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	68,000	$210	$13.9M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	18,500	$70	$1.2M
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	22,770	$30	$728.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,050	$100	$389.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,620	$110	$387.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	2,390	$120	$282K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,870	$60	$243.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	630	$100	$60K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	200	$220	$44.8K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Sbh El Paso, LLC — 5 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0201	Partial hospitalization services, less than 24 hours, per diem	1	10	12,470	$990	$13M
H0039	Assertive community treatment, face-to-face, per 15 minutes	1	20	1,650	$180	$2.5M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	18	90	570	$80	$392.6K
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…	853	920	860	$120	$361.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	9	120	430	$50	$279.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	18	60	140	$80	$127.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	9	120	130	$130	$79.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	25	60	60	$110	$78.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	4	70	240	$70	$71.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6	340	80	$130	$69.4K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sbh El Paso, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aleksandr Gazarov	NM	Psychiatry Physician	$46.8K	$1.3K
Harry Silsby	NM	Psychiatry Physician	$15.2K	$0

Nearby Providers

Other providers in the same ZIP code as Sbh El Paso, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
At-home Personal Care Services LLC.	NM	Home Health Agency	$0	$88.1M
Amanecer Community Counseling Center	NM	Community/Behavioral Health Agency	$0	$22.1M
Direct Healthcare South Inc	NM	Home Health Agency	$0	$9M
Nm Family Services LLC	NM	Physical Therapist	$0	$8M
Buen Salud Inc	NM	Community/Behavioral Health Agency	$0	$4.2M
Thrive Wellness And Rehab, P.L.L.C	NM	Physical Therapist	$0	$4.1M
Rio Valle Behavioral Health Centre	NM	Psychiatry Physician	$0	$2.7M
Santa Teresa Family Medical Center	NM	Clinic/Center	$0	$2M
Doctors Of Santa Teresa PC	NM	Family Medicine Physician	$0	$1.8M
Waypoint Transportation Agency LLC.	NM	Non-emergency Medical Transport (VAN)	$0	$1.7M

Sbh El Paso, LLC — Billing Profile & Reimbursement Data

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Sbh El Paso, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References