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.

Rio Grande Alcoholism Treatment Center Incorporated (NPI 1194924928)

Field	Value
Entity Type	Organization
Organization	Rio Grande Alcoholism Treatment Center Incorporated
Address	105 Paseo Del Canon W Ste A
City	Taos
State	NM
ZIP	87571
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	July 12, 2007

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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…	28,990	$140	$4.1M
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…	12,210	$130	$1.6M
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…	4,080	$80	$317.9K
H0031	Mental health assessment, by non-physician	1,440	$160	$236.3K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	810	$150	$118.6K
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…	530	$60	$32.8K
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…	190	$40	$7.5K
H2015	Comprehensive community support services, per 15 minutes	30	$40	$1.2K

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

Rio Grande Alcoholism Treatment Center Incorporated — 0 of 8 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

8 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…	9	50	4,480	$150	$2.7M
H2015	Comprehensive community support services, per 15 minutes	119	120	2,640	$150	$1.2M
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…	60	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…	50	380	400	$80	$213.5K
H0031	Mental health assessment, by non-physician	4	40	120	$160	$209.6K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	18	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…	149	190	970	$40	$189.7K
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…	134	290	470	$70	$161.5K

Nearby Providers

Other providers in the same ZIP code as Rio Grande Alcoholism Treatment Center Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Taos Health Systems, Inc., Holy Cross Hospital	NM	Critical Access Hospital	$0	$30.9M
Nonviolence Works, Inc.	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.3M
Gregory & Associates	NM	Case Management Agency	$0	$19.1M
Taos Picuris Health Center	NM	Clinic/Center	$0	$6.6M
Taos Pueblo Division Of Health And Community Services	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Taos Clinic For Children And Youth	NM	Pediatrics Physician	$0	$3.1M
Taos Urgent Care, Inc	NM	Urgent Care Clinic/Center	$0	$2.9M
Taos Professional Services,llc	NM	Surgery Physician	$0	$2.5M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$2.3M
Human Resource Development Associates, Inc.	NM	Mental Health Counselor	$0	$2.2M

Rio Grande Alcoholism Treatment Center Incorporated — Billing Profile & Reimbursement Data

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Rio Grande Alcoholism Treatment Center Incorporated — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References