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.

Guidance Center Inc (NPI 1457785776)

Field	Value
Entity Type	Organization
Organization	Guidance Center Inc
Address	2187 N Vickey St
City	Flagstaff
State	AZ
ZIP	86004
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 22, 2013

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	43,960	$50	$2.2M
S9485	Crisis intervention mental health services, per diem	2,550	$710	$1.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	10,220	$160	$1.6M
H0031	Mental health assessment, by non-physician	4,650	$310	$1.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2,280	$350	$799K
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…	3,220	$120	$395.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	2,840	$110	$309.2K
H0038	Self‑help/peer services, per 15 minutes	3,510	$70	$245.6K
S9484	Crisis intervention mental health services, per hour	350	$340	$121.1K
H2027	Psychoeducational service, per 15 minutes	1,020	$110	$110.9K

Showing 1–10 of 20

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

Guidance Center Inc — 0 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	92	360	430	$320	$2.3M
S9485	Crisis intervention mental health services, per diem	14	40	1,010	$100	$1.5M
T1016	Case management, each 15 minutes	163	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	303	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	269	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	435	780	1,610	$100	$868.2K
A0100	Non-emergency transportation; taxi	67	70	870	$10	$717.8K
H2027	Psychoeducational service, per 15 minutes	219	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	177	580	1,250	$80	$479.7K
H0031	Mental health assessment, by non-physician	131	810	280	$120	$360.5K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Guidance Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$26.1M
North Country Healthcare Inc	AZ	Multi-Specialty Clinic/Center	$0	$15.1M
Technical Resource Management LLC	AZ	Clinical Medical Laboratory	$68.2K	$14.7M
Child & Family Support Services, Inc	AZ	Community/Behavioral Health Agency	$0	$13.6M
Native Americans For Community Action, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$7.9M
Northern Arizona Healthcare Corporation	AZ	Multi-Specialty Clinic/Center	$0	$6M
Kevin Duwe	AZ	Vascular & Interventional Radiology Physician	$857.5K	$8.5K
Ang Chen	AZ	Nephrology Physician	$231.4K	$0
Coconino County	AZ	Public Health or Welfare Agency	$58K	$139K
Steven Jones	AZ	Diagnostic Radiology Physician	$83.2K	$107.7K

Guidance Center Inc — Billing Profile & Reimbursement Data

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Guidance 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

Nearby Providers

Frequently Asked Questions

References