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.

Caps - Mental Health And Dui Services, LLC (NPI 1194275636)

Field	Value
Entity Type	Organization
Organization	Caps - Mental Health And Dui Services, LLC
Address	1100 W Littleton Blvd Ste 320
City	Littleton
State	CO
ZIP	80120
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 8, 2016

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	65,510	$80	$5.4M
H0023	Alcohol and/or drug outreach	10,670	$90	$970.8K
H0033	Oral medication administration, direct observation	16,980	$20	$288.6K
H0001	Alcohol and/or drug assessment	870	$90	$77.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	960	$60	$61.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	350	$90	$31.9K
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…	160	$100	$14.8K
H0032	Mental health service plan development by non-physician	210	$40	$9.2K
H0006	Alcohol and/or drug services; case management	80	$40	$3.3K

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

Caps - Mental Health And Dui Services, LLC — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	15	280	2,330	$210	$4.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	156	290	480	$70	$280.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	84	170	940	$60	$276.5K
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…	1,213	1,670	550	$100	$229.3K
H0023	Alcohol and/or drug outreach	14	190	360	$60	$163.1K
H0033	Oral medication administration, direct observation	3	40	390	$20	$72.9K
H0006	Alcohol and/or drug services; case management	97	130	400	$40	$62.2K
H0032	Mental health service plan development by non-physician	76	180	120	$40	$61.3K
H0001	Alcohol and/or drug assessment	25	130	200	$110	$61.1K

Nearby Providers

Other providers in the same ZIP code as Caps - Mental Health And Dui Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Life Choices	CO	Developmentally Disabled Services Day Training Agency	$0	$123.6M
Actualize Behavior Alternatives	CO	Clinical Social Worker	$0	$6.4M
Andy M. Fine, M.d., Inc	CO	Internal Medicine Physician	$0	$3.8M
Rocky Mountain Health & Rehab, LLC	CO	Physical Therapist	$0	$3.5M
Manojkumar Bupathi	CO	Hematology & Oncology Physician	$1.4M	$0
Functional Neurosurgical Ambulatory Surgery Center,llc	CO	Ambulatory Surgical Clinic/Center	$955.9K	$0
Arapahoe Surgicenter, LLC	CO	Ambulatory Surgical Clinic/Center	$452K	$353.4K
Charles Leonard	CO	Radiation Oncology Physician	$495.5K	$0
Littleton Day Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$384.3K	$0
Marie Weeks	CO	Radiation Oncology Physician	$355.2K	$0

Caps - Mental Health And Dui Services, LLC — Billing Profile & Reimbursement Data

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Caps - Mental Health And Dui Services, LLC — Billing Profile & Reimbursement Data

Sign up for Caps - Mental Health And Dui Services, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References