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.

Swann Clinic For Behavioral Health (NPI 1235763111)

Field	Value
Entity Type	Organization
Organization	Swann Clinic For Behavioral Health
Address	1001 Grand Ave Unit 5
City	Glenwood Springs
State	CO
ZIP	81601
Taxonomy	Behavior Analyst
NPI Enumerated	February 28, 2020

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	9,810	$400	$3.9M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	5,490	$260	$1.4M

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

Swann Clinic For Behavioral Health — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	26	150	2,450	$270	$1.5M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	16	150	800	$210	$457.9K

Nearby Providers

Other providers in the same ZIP code as Swann Clinic For Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maura Stack Oden LLC	CO	Community/Behavioral Health Agency	$0	$22.9M
Mountain Valley Developmental Services	CO	Case Management Agency	$0	$15.7M
Mountain Family Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$8.9M
All Kids Dental Pediatrics And Orthodontics	CO	Pediatric Dentistry	$0	$8.7M
Valley View Hospital Association	CO	General Acute Care Hospital	$0	$4.5M
Pediatric Psychology Services Of Colorado	CO	Clinical Psychologist	$0	$3.5M
Lola Sawyer	CO	Diagnostic Radiology Physician	$130.7K	$379K
Matthew Ehrlich	CO	Ophthalmology Physician	$250K	$0
Carl Valentin	CO	Diagnostic Radiology Physician	$84.9K	$135.2K
Peter Rossi	CO	Radiation Oncology Physician	$200.5K	$0

Swann Clinic For Behavioral Health — Billing Profile & Reimbursement Data

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Swann Clinic For Behavioral Health — 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