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.

Jefferson Center For Mental Health (NPI 1154403798)

Field	Value
Entity Type	Organization
Organization	Jefferson Center For Mental Health
Address	4851 Independence St
City	Wheat Ridge
State	CO
ZIP	80033
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 20, 2006

Payer Source	Total Paid
Medicaid	$36.1M
Medicare	$0

Key Findings

JEFFERSON CENTER FOR MENTAL HEALTH is effectively a Medicaid-centric provider: it has no Medicare billing on file while reporting $36.1M in lifetime Medicaid revenue, and its NPI was enumerated 2006-10-20 (~20 years ago), indicating long-standing participation in state Medicaid programs. This single-payer concentration means Medicaid policy and reimbursement trends will disproportionately affect the organization’s revenue profile.

Revenue is highly concentrated in a few behavioral-health services: the top three Medicaid codes (J2426, 90837, 90834) together account for 48.6% of this provider’s total Medicaid revenue. Individually, J2426 accounts for $7M (19.8%), 90837 for $5.9M (16.7%), and 90834 for $4.2M (12.0%), which signals dependency on a narrow set of high-volume behavioral health interventions.

The code mix points to an operation built around both high-volume psychotherapy and medication management: very large psychotherapy volumes (90837: 93K claims; 90834: 82.9K claims; 90832: 31.9K claims) coexist with substantial long-acting injectable antipsychotic administration (J2426: 3.3K claims; J0401: 665 claims). This combination indicates clinic capacity for ongoing outpatient therapy plus on-site administration of injectable psychiatric medications and associated medication management.

JEFFERSON CENTER’s competitive standing in Colorado is strong for multiple core codes: J2426 ranks #1 of 10 providers in-state (100th percentile) and is described as notably above typical state volume; 90837 ranks #2 of 1668 providers (100th percentile) and is an extreme outlier; 90834 ranks #1 of 589 providers (100th percentile) and is also an extreme outlier. These ranks indicate the center is a dominant statewide provider for both long-acting injectable antipsychotic treatment and psychotherapy services.

Beyond psychotherapy and injectables, the provider delivers extensive care-management and prevention services: T1017 (70.3K claims, $1.6M, rank #6 of 309, 98th percentile) and H0025 (64.9K claims, $908.2K, rank #1 of 95, 100th percentile) show notable to extreme volumes for targeted case management and behavioral health prevention education. The presence of H0004 (21.7K claims, $1.5M) and H0038 (31.2K claims, $966.7K) further indicates a broad service mix including counseling, peer services, and care coordination.

Payer and procedure-level reimbursement patterns are bifurcated: high avg paid/claim for injectables (J2426 $2101 avg paid/claim; J0401 $1738 avg paid/claim) contrasts with much lower per-claim payments for psychotherapy (90837 $63 avg paid/claim; 90834 $51 avg paid/claim). Operationally, this means a meaningful share of revenue derives from relatively few, high-cost medication administrations alongside very large volumes of lower-paid therapy and case management encounters.

Claim volume demonstrates substantial throughput supporting the $36.1M Medicaid footprint: top visit codes show tens of thousands of encounters (90837 93K, 90834 82.9K, T1017 70.3K), consistent with a high-capacity outpatient behavioral health system. Those volumes, together with per-claim payment patterns, explain how a behavioral health clinic/center taxonomy translates into material Medicaid revenue.

Because the top three Medicaid codes represent 48.6% of Medicaid revenue and the provider has no Medicare billing on file, JEFFERSON CENTER’s revenue is both service- and payer-concentrated. This concentration makes the organization particularly sensitive to changes in Medicaid reimbursement or utilization for its dominant codes (psychotherapy and long-acting injectable antipsychotics), and any shifts would likely have outsized budgetary impact.

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	3,310	$2,100	$7M
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…	93,040	$60	$5.9M
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…	82,920	$50	$4.2M
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…	40,070	$60	$2.2M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	11,460	$150	$1.7M
T1017	Targeted case management, each 15 minutes	70,280	$20	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	21,710	$70	$1.5M
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…	31,930	$40	$1.3M
J0401	Injection, aripiprazole (abilify maintena), 1 mg	670	$1,740	$1.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10,920	$100	$1.1M

Showing 1–10 of 47

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

Jefferson Center For Mental Health — 16 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	34	280	2,330	$210	$4.8M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	231	480	5,200	$150	$3.5M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	3	20	1,410	$280	$2.2M
H2036	Alcohol and/or other drug treatment program, per diem	9	40	1,910	$300	$1.7M
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	1	10	50	$2,070	$870.9K
J2315	Injection, naltrexone, depot form, 1 mg	20	30	100	$1,080	$511.1K
T1017	Targeted case management, each 15 minutes	6	310	640	$80	$494.3K
H2014	Skills training and development, per 15 minutes	11	140	870	$150	$457.7K
J0401	Injection, aripiprazole (abilify maintena), 1 mg	1	10	30	$1,730	$407.7K
H2011	Crisis intervention service, per 15 minutes	14	60	200	$170	$359.7K

Showing 1–10 of 47

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Real Care, Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$59.7M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$23.6M
Peak Pediatrics PLLC	CO	Clinic/Center	$0	$11.4M
Emergency Service Physicians, Inc.	CO	Emergency Medicine Physician	$0	$11.3M
A Brighter Community LLC	CO	Developmentally Disabled Services Day Training Agency	$0	$10M
Lighthouse Residenital	CO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$8.9M
My Second Home	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$8M
Children's Eye Physicians PC	CO	Eyewear Supplier	$0	$6M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.7M
Ariel Clinical Services	CO	Case Management Agency	$0	$4.8M

Jefferson Center For Mental Health — 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