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.

Hlgl LLC (NPI 1295120319)

Field	Value
Entity Type	Organization
Organization	Hlgl LLC
Address	3655 E 2nd St
City	Tucson
State	AZ
ZIP	85716
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	April 6, 2015

Payer Source	Total Paid
Medicaid	$21M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 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…	20,060	$750	$15.1M
H2016	Comprehensive community support services, per diem	8,390	$290	$2.5M
S0201	Partial hospitalization services, less than 24 hours, per diem	850	$1,810	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	4,880	$170	$844.9K
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…	3,410	$120	$401.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	2,160	$100	$214K
T1016	Case management, each 15 minutes	4,340	$40	$173.4K
H0031	Mental health assessment, by non-physician	600	$180	$107.9K
H0034	Medication training and support, per 15 minutes	5,530	$20	$105.1K
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…	200	$100	$19K

Showing 1–10 of 12

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

Hlgl LLC — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0201	Partial hospitalization services, less than 24 hours, per diem	5	10	860	$1,000	$6.6M
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…	17	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	450	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	392	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	65	270	600	$410	$983.9K
H2016	Comprehensive community support services, per diem	20	290	840	$280	$890.1K
H0031	Mental health assessment, by non-physician	337	810	280	$120	$360.5K
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…	2,109	3,040	750	$50	$343.9K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	223	290	460	$40	$190K
99204	The provider sees a new 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 provider…	896	1,160	150	$90	$96.5K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Hlgl LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Social Services Of The Southwest	AZ	In Home Supportive Care Agency	$0	$31.7M
Soreo In Home Support Services LLC	AZ	Public Health or Welfare Agency	$0	$11.8M
Larry Onate	AZ	Psychiatry Physician	$560	$1.5M
Samuel Day	AZ	Radiation Oncology Physician	$1.3M	$0
Ambulatory Surgery Center Of Tucson, Inc.	AZ	Ambulatory Surgical Clinic/Center	$475.2K	$184.9K
Robert Gin	AZ	Radiation Oncology Physician	$624.4K	$0
Amy Wagelie Steffen	AZ	Specialist	$142.7K	$214.2K
James Evans	AZ	Rheumatology Physician	$251.6K	$0
Michael Duperret	AZ	Family Medicine Physician	$156.4K	$0
Surekha Bandlamuri	AZ	Internal Medicine Physician	$127.4K	$0

Hlgl LLC — Billing Profile & Reimbursement Data

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Hlgl 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

Nearby Providers

Frequently Asked Questions

References