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.

San Luis Valley Community Mental Health Center (NPI 1063406999)

Field	Value
Entity Type	Organization
Organization	San Luis Valley Community Mental Health Center
Address	8745 County Road 9 S
City	Alamosa
State	CO
ZIP	81101
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 7, 2005

Payer Source	Total Paid
Medicaid	$28.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 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…	20,000	$260	$5.2M
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…	24,730	$200	$4.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	12,610	$280	$3.5M
H2014	Skills training and development, per 15 minutes	9,310	$310	$2.9M
J2315	Injection, naltrexone, depot form, 1 mg	1,670	$1,140	$1.9M
H0005	Alcohol and/or drug services; group counseling by a clinician	18,950	$100	$1.8M
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…	5,770	$240	$1.4M
T1017	Targeted case management, each 15 minutes	15,680	$90	$1.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,770	$290	$792.2K
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…	5,000	$150	$765.2K

Showing 1–10 of 38

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

San Luis Valley Community Mental Health Center — 5 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	206	280	2,330	$210	$4.8M
H0039	Assertive community treatment, face-to-face, per 15 minutes	1	20	1,090	$160	$521.1K
J2315	Injection, naltrexone, depot form, 1 mg	3	30	100	$1,080	$511.1K
T1017	Targeted case management, each 15 minutes	30	310	640	$80	$494.3K
H2014	Skills training and development, per 15 minutes	12	140	870	$150	$457.7K
H2011	Crisis intervention service, per 15 minutes	11	60	200	$170	$359.7K
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…	334	2,520	330	$100	$352K
H0005	Alcohol and/or drug services; group counseling by a clinician	11	170	940	$60	$276.5K
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…	298	2,630	430	$90	$268.2K
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…	28	1,670	550	$100	$229.3K

Showing 1–10 of 38

Nearby Providers

Other providers in the same ZIP code as San Luis Valley Community Mental Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Red Willows, Inc.	CO	Transportation Broker	$0	$12.6M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$10.8M
Lutheran Hospital Association Of The San Luis Valley	CO	General Acute Care Hospital	$0	$10.5M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.8M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.7M
Valley-wide Health Systems, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.6M
Slv Home Services Corp	CO	Home Health Agency	$0	$5.5M
Blue Peaks Developmental Services, Inc.	CO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.4M
Valley-wide Health Systems, Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$5.2M
Sweet Tooth Dental, PC	CO	Dentist	$0	$5.2M

San Luis Valley Community Mental Health Center — Billing Profile & Reimbursement Data

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San Luis Valley Community Mental Health Center — 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