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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMental Health Center Of Denver
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    Mental Health Center Of Denver — Billing Profile & Reimbursement Data

    NPI 1083217756 · Denver, CO · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Mental Health Center Of Denver is a mental health clinic/center (including community mental health center) provider located in Denver, Colorado. This profile covers 0 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMental Health Center Of Denver
    Address4455 E 12th Ave
    CityDenver
    StateCO
    ZIP80220
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedNovember 17, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1017Targeted case management, each 15 minutes41,280$50$1.9M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes19,220$50$961K
    90837In 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…16,250$50$780K
    99214The 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…13,780$50$689.1K
    H0046Mental health services, not otherwise specified3,210$110$353.3K
    H2017Psychosocial rehabilitation services, per 15 minutes10,630$30$319K
    H0002Behavioral health screening to determine eligibility for admission to treatment program5,570$60$306.2K
    H2023Supported employment, per 15 minutes4,720$40$207.7K
    H0023Alcohol and/or drug outreach12,540$10$150.5K
    H2036Alcohol and/or other drug treatment program, per diem720$200$145.6K

    Showing 1–10 of 37

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Colorado median

    37 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0038Self‑help/peer services, per 15 minutes1652802,330$210$4.8M
    H2036Alcohol and/or other drug treatment program, per diem27401,910$300$1.7M
    T1017Targeted case management, each 15 minutes12310640$80$494.3K
    H2014Skills training and development, per 15 minutes51140870$150$457.7K
    H0046Mental health services, not otherwise specified13601,380$140$397.2K
    H2011Crisis intervention service, per 15 minutes1560200$170$359.7K
    99213The 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…1,3592,520330$100$352K
    H0004Behavioral health counseling and therapy, per 15 minutes89290480$70$280.8K
    99214The 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…1382,630430$90$268.2K
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem8301,040$130$251.6K

    Showing 1–10 of 37

    Nearby Providers

    Other providers in the same ZIP code as Mental Health Center Of Denver, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Healthone LLCCOGeneral Acute Care Hospital$0$10.9M
    Blue Spruce Home Care Inc.COHomemaker$0$8.9M
    Blue Spruce Home Care Inc.COIn Home Supportive Care Agency$0$5.7M
    Senior Housing Options, Inc.COAssisted Living Facility$0$4.5M
    Bending Birch Behavioral Services, LLCCOBehavior Analyst$0$4.1M
    Carepoint Emergency Medicine, PLLCCOEmergency Medicine Physician$0$3.5M
    Rose Ambulatory Surgery Center LPCOAmbulatory Surgical Clinic/Center$1.4M$538.2K
    Karen SundbyCOMOHS-Micrographic Surgery Physician$1.1M$0
    Mabel MardonesCOHematology & Oncology Physician$866K$0
    Ralph RoundCONeurology Physician$724.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Colorado Providers
    1 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Mental Health Center Of Denver — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado