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.

Pinwheel Healing Center, LLC (NPI 1154786275)

Pinwheel Healing Center, LLC is a community/behavioral health agency provider located in Rio Rancho, New Mexico. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Pinwheel Healing Center, LLC
Address	12 Unser Blvd Se Ste C
City	Rio Rancho
State	NM
ZIP	87124
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 16, 2015

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

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
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	12,250	$180	$2.2M
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…	10,440	$130	$1.4M
H2015	Comprehensive community support services, per 15 minutes	9,360	$110	$1M
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…	2,890	$70	$214.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	830	$160	$131.5K
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…	590	$120	$72.7K
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…	750	$90	$68.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,900	$40	$66.6K
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…	470	$130	$62K
H0038	Self‑help/peer services, per 15 minutes	380	$80	$29.3K

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

Pinwheel Healing Center, LLC — 0 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
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	16	50	4,480	$150	$2.7M
H2015	Comprehensive community support services, per 15 minutes	34	120	2,640	$150	$1.2M
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…	565	960	1,010	$90	$490K
H2000	Comprehensive multidisciplinary evaluation	43	50	170	$690	$380.3K
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…	71	920	860	$120	$361.9K
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…	147	380	400	$80	$213.5K
H0031	Mental health assessment, by non-physician	28	40	120	$160	$209.6K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	35	50	410	$140	$198.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	67	190	970	$40	$189.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	100	110	630	$60	$175.1K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four Winds Behavioral Health, Inc.	NM	Community/Behavioral Health Agency	$0	$38.2M
Amazing Grace Personal Care Service, Inc	NM	In Home Supportive Care Agency	$0	$27.3M
Red Mountain Family Services, Inc.	NM	Foster Care Agency	$0	$22.7M
Phi Health, LLC	NM	Air Ambulance	$1.5M	$10.9M
Robben R. Gingery, Md, LLC	NM	Geriatric Psychiatry Physician	$0	$10.6M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$9.9M
Re-cycled Man LLC	NM	Community/Behavioral Health Agency	$0	$8M
New Mexico Wellness	NM	Community/Behavioral Health Agency	$0	$7.1M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$5.6M
Gd Psych Services, LLC	NM	Psychologist	$0	$4M

Pinwheel Healing Center, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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