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

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

Southwest Behavioral Health Services,inc. (NPI 1093942161)

Field	Value
Entity Type	Organization
Organization	Southwest Behavioral Health Services,inc.
Address	2580 Highway 95 Ste 119-125
City	Bullhead City
State	AZ
ZIP	86442
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 16, 2009

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	36,170	$50	$1.7M
T1016	Case management, each 15 minutes	83,850	$20	$1.4M
H0031	Mental health assessment, by non-physician	8,880	$110	$985.5K
H2014	Skills training and development, per 15 minutes	17,910	$20	$411.9K
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…	5,410	$60	$324.6K
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…	1,590	$160	$249.8K
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…	4,030	$60	$229.6K
H0038	Self‑help/peer services, per 15 minutes	6,030	$40	$217.2K
S0215	Non-emergency transportation; mileage, per mile	10,460	$20	$156.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	670	$120	$79.5K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Southwest Behavioral Health Services,inc. — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	104	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	183	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	88	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	86	780	1,610	$100	$868.2K
A0100	Non-emergency transportation; taxi	71	70	870	$10	$717.8K
H2027	Psychoeducational service, per 15 minutes	124	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	117	580	1,250	$80	$479.7K
H0031	Mental health assessment, by non-physician	56	810	280	$120	$360.5K
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…	601	3,040	750	$50	$343.9K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	201	510	5,500	$10	$267.6K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Behavioral Health Services,inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Behavioral Health Services Inc	AZ	Community/Behavioral Health Agency	$0	$83.5M
Southwest Behavioral Health Services, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.4M
Raymond W Lemberg Phd PC	AZ	Psychologist	$0	$7.5M
Marci Haines	AZ	Clinical Psychologist	$5.3K	$0

Nearby Providers

Other providers in the same ZIP code as Southwest Behavioral Health Services,inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bullhead City Hospital Corporation	AZ	General Acute Care Hospital	$0	$28.6M
Rivyve Behavioral Health, Inc.	AZ	Substance Abuse Rehabilitation Facility	$0	$13.2M
Bullhead City Fire Department	AZ	Land Ambulance	$812.5K	$10.9M
Tempe Emergency Physicians, Ltd	AZ	Emergency Medicine Physician	$0	$6.1M
Burhan Chinikhanwala	AZ	Rheumatology Physician	$1.2M	$0
Steven Rosinski	AZ	Hematology & Oncology Physician	$1.1M	$0
Physicians Surgery Center LLC	AZ	Ambulatory Surgical Clinic/Center	$412.7K	$493K
Muhammad Nayer	AZ	Neurology Physician	$725.8K	$0
Michael Proctor	AZ	Dermatology Physician	$694.5K	$0
Hamdy Mohtaseb	AZ	Hematology & Oncology Physician	$573.5K	$0

Southwest Behavioral Health Services,inc. — Billing Profile & Reimbursement Data

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Southwest Behavioral Health Services,inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References