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.

Horizon Health And Wellness, Inc. (NPI 1164451381)

Field	Value
Entity Type	Organization
Organization	Horizon Health And Wellness, Inc.
Address	210 E Cottonwood Ln
City	Casa Grande
State	AZ
ZIP	85222
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	61,370	$40	$2.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	28,040	$90	$2.4M
H0031	Mental health assessment, by non-physician	6,120	$190	$1.2M
H0038	Self‑help/peer services, per 15 minutes	3,450	$60	$189.6K
H0043	Supported housing, per diem	1,910	$100	$189.4K
S0215	Non-emergency transportation; mileage, per mile	5,760	$30	$144.1K
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…	1,730	$80	$135K
H2014	Skills training and development, per 15 minutes	3,550	$30	$117.1K
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…	720	$130	$93.9K
S5110	Home care training, family; per 15 minutes	6,410	$10	$89.7K

Showing 1–10 of 19

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

Horizon Health And Wellness, Inc. — 0 of 19 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

19 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…	110	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	132	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	231	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	116	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	253	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	403	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	179	580	1,250	$80	$479.7K
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…	33	70	820	$30	$388.1K
S5110	Home care training, family; per 15 minutes	41	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	97	810	280	$120	$360.5K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Horizon Health And Wellness, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Health And Wellness, Inc.	AZ	General Practice Physician	$0	$36.4M
Christian Moher	AZ	Family Medicine Physician	$124.7K	$0
Claudia Scott	MI	Psychiatric/Mental Health Nurse Practitioner	$2.7K	$0

Nearby Providers

Other providers in the same ZIP code as Horizon Health And Wellness, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado River Behavioral Health System, LLC	AZ	Community/Behavioral Health Agency	$0	$6.6M
C&f Concrete Engravers, Inc.	AZ	Attendant Care Provider	$0	$6M
Scott Mcmillan	AZ	Surgical Physician Assistant	$285.7K	$0
Habib Khan	AZ	Neurology Physician	$250.4K	$14.3K
Kelly Chavez	AZ	Physician Assistant	$210.1K	$0
Eric Wheeler	AZ	Physician Assistant	$206.7K	$0
Karen Fairlamb	AZ	Certified Registered Nurse Anesthetist	$14.9K	$0
Jeremy Cull	AZ	Oral and Maxillofacial Surgery (Dentist)	$4.5K	$0

Horizon Health And Wellness, Inc. — Billing Profile & Reimbursement Data

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Horizon Health And Wellness, 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