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.

Southwest Colorado Mental Health Center, Inc (NPI 1417295783)

Field	Value
Entity Type	Organization
Organization	Southwest Colorado Mental Health Center, Inc
Address	281 Sawyer Dr
City	Durango
State	CO
ZIP	81303
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 22, 2013

Payer Source	Total Paid
Medicaid	$13.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,220	$280	$3.7M
H2011	Crisis intervention service, per 15 minutes	6,560	$270	$1.8M
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…	4,760	$190	$895.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,850	$290	$823.1K
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	610	$1,150	$702.1K
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1,410	$480	$672.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,100	$290	$600.6K
T1017	Targeted case management, each 15 minutes	4,610	$130	$594.2K
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…	9,150	$60	$521.5K
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…	2,870	$180	$518.7K

Showing 1–10 of 32

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

Southwest Colorado Mental Health Center, Inc — 2 of 25 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	205	280	2,330	$210	$4.8M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	467	480	5,200	$150	$3.5M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	10	20	1,410	$280	$2.2M
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	10	20	700	$540	$1.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	7	20	1,090	$160	$521.1K
T1017	Targeted case management, each 15 minutes	63	310	640	$80	$494.3K
H2014	Skills training and development, per 15 minutes	57	140	870	$150	$457.7K
H2011	Crisis intervention service, per 15 minutes	9	60	200	$170	$359.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	926	2,520	330	$100	$352K
H0004	Behavioral health counseling and therapy, per 15 minutes	138	290	480	$70	$280.8K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Colorado Mental Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Colorado Mental Health Center, Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.2M
Southwest Colorado Mental Health Center, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.5M
Southwest Colorado Mental Health Center, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.3M
Benjamin Phillips	WI	Ophthalmology Physician	$139.5K	$0
Amber Reiss-holt	CO	Surgical Critical Care Physician	$111.4K	$60
Barton Giessel	CO	Family Medicine Physician	$15.6K	$0
Jill Rimmey	CO	Family Medicine Physician	$610	$3.2K
Donald Kring	CO	Anesthesiology Physician	$2.3K	$0
Kirstin Howell	CO	Family Nurse Practitioner	$2.2K	$0
Laura Mckeon	CO	Clinical Social Worker	$1.7K	$0

Nearby Providers

Other providers in the same ZIP code as Southwest Colorado Mental Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Connections Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.5M
Justin Curtis	CO	Podiatrist	$7.7M	$0
Sara Haug	CO	Retina Specialist (Ophthalmology) Physician	$3.9M	$0
Moss Fenberg	CO	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Durango Fire Protection District	CO	Land Ambulance	$434.9K	$1.7M
Victoria Knauf	CO	Foot & Ankle Surgery Podiatrist	$1.7M	$0
Kayse Lake	CO	Podiatrist	$1.3M	$790
Grant Gebhard	CO	Ophthalmology Physician	$706.5K	$0
Mark Gaughan	CO	Dermatology Physician	$480.5K	$0
Carmen Julian	CO	Dermatology Physician	$420.6K	$0

Southwest Colorado Mental Health Center, Inc — Billing Profile & Reimbursement Data

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Southwest Colorado Mental Health Center, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References