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.

Happy House Behavioral Valley (NPI 1376263657)

Field	Value
Entity Type	Organization
Organization	Happy House Behavioral Valley
Address	8037 N 43rd Ave
City	Phoenix
State	AZ
ZIP	85051
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 29, 2022

Payer Source	Total Paid
Medicaid	$62.3M
Medicare	$0

Key Findings

HAPPY HOUSE BEHAVIORAL VALLEY is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $62.3M in lifetime Medicaid revenue. This makes the organization functionally single-payer in the available data rather than a mixed Medicare/Medicaid operator.

Revenue at this provider is heavily concentrated in a small set of service codes: the top three Medicaid codes (H0015, H0038, H2027) together account for 68.2% of its total Medicaid revenue. Individually those codes are H0015 $25.5M (41.0%), H0038 $8.5M (13.7%), and H2027 $8.4M (13.5%), indicating a dominant dependence on a few program types.

The code mix points to an outpatient behavioral health service model focused on structured programs and peer supports: H0015 (intensive outpatient) is the single largest revenue driver, while H0038 (self-help/peer services) and H2027 (psychoeducational service) round out the top three. Combined with sizable case management and skills-training billing elsewhere, this suggests the provider operates multi-hour IOP programs, group-based and peer-led activities, and structured educational interventions rather than primarily one-on-one psychotherapy.

Per-encounter reimbursement levels suggest higher-resource interventions are part of the operation: H0015 has an average paid per claim of $3164 and H2011 (crisis intervention) averages $2499 per claim. These high average payments, alongside the large aggregate dollars reported for those codes, support that the organization bills for intensive and crisis-oriented services as core components of its offering.

Operational volume is concentrated in repeatable, short-interval services: claim counts are high for H0038 (20.4K claims) and H2027 (15.3K claims), with H0015 showing 8.1K claims. The combination of high claim counts and substantial average paid per claim indicates both throughput (many brief/periodic encounters) and episodic intensive services.

State-level competitive positioning is mixed: H2027 ranks #32 of 498 providers in-state (94th percentile) and is explicitly described as notably above typical state volume, indicating relative strength in psychoeducational services. Other top codes show strong percentile placement but are characterized as typical or unremarkable for their volumes—H0038 is #38 of 583 (94th percentile, typical), H0015 is #36 of 283 (88th percentile, typical), and H2011 is #17 of 140 (88th percentile, typical)—so the provider is a clear regional player for some services but not uniformly dominant across all its high-revenue codes.

The provider’s revenue mix beyond the top three includes meaningful support services that complement its core programs: T1016 (case management) accounts for $6.2M (10.0%) and H2014 (skills training and development) contributes $4.3M (6.9%), while smaller streams include H0004 $861.3K (1.4%) and H2017 $490.9K (0.8%). These additional codes and their ranks (for example T1016 at #289 of 1157, 75th percentile; H2014 at #80 of 783, 90th percentile) point to a service mix that pairs clinical/intensive programs with case management and rehabilitation supports.

Tenure is relatively short: the NPI was enumerated on 2022-08-29 (~4 years ago). Achieving $62.3M in reported Medicaid revenue since enumeration suggests a rapid scale-up into intensive outpatient and peer/psychoeducational program lines, which is consistent with the high volumes and dollar values observed for H0015, H0038, and H2027.

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…	8,070	$3,160	$25.5M
H0038	Self‑help/peer services, per 15 minutes	20,440	$420	$8.5M
H2027	Psychoeducational service, per 15 minutes	15,260	$550	$8.4M
H2011	Crisis intervention service, per 15 minutes	3,170	$2,500	$7.9M
T1016	Case management, each 15 minutes	15,230	$410	$6.2M
H2014	Skills training and development, per 15 minutes	19,550	$220	$4.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	11,330	$80	$861.3K
H2017	Psychosocial rehabilitation services, per 15 minutes	3,690	$130	$490.9K

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

Happy House Behavioral Valley — 0 of 8 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

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…	36	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	289	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	251	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	37	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	80	780	1,610	$100	$868.2K
H2011	Crisis intervention service, per 15 minutes	17	140	330	$210	$659.5K
H2027	Psychoeducational service, per 15 minutes	32	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	38	580	1,250	$80	$479.7K

Nearby Providers

Other providers in the same ZIP code as Happy House Behavioral Valley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gibson Lane Behavioral Health Care LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$42.2M
Motherland Counseling, LLC	AZ	Community/Behavioral Health Agency	$0	$41.9M
Diamond S Enterprises, Inc	AZ	In Home Supportive Care Agency	$0	$39.9M
Crossroads West	AZ	Substance Abuse Rehabilitation Facility	$0	$12.8M
Artemis Of Arizona LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.1M
Whispering Palms Medical Inc	AZ	Family Medicine Physician	$0	$9.7M
Ican Health Care & Services LLC	AZ	Community/Behavioral Health Agency	$0	$9.3M
M.b. Best Medical Group, Inc.	AZ	Family Medicine Physician	$0	$9.3M
Ac Recovery Center And Wellness LLC	AZ	Community/Behavioral Health Agency	$0	$8.5M
Joyd Wellness Center LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M

Happy House Behavioral Valley — Billing Profile & Reimbursement Data

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Happy House Behavioral Valley — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References