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.

Southwest Network, Inc. (NPI 1487981338)

Field	Value
Entity Type	Organization
Organization	Southwest Network, Inc.
Address	1465 W Chandler Blvd
City	Chandler
State	AZ
ZIP	85224
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 13, 2009

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	338,850	$10	$3.4M
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…	32,980	$20	$626.5K
T1002	Rn services, up to 15 minutes	40,420	$10	$525.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	6,230	$80	$523.5K
H0031	Mental health assessment, by non-physician	5,650	$80	$474.4K
H2014	Skills training and development, per 15 minutes	26,890	$10	$188.2K
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…	3,690	$40	$151.1K
H0038	Self‑help/peer services, per 15 minutes	11,680	$10	$128.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,900	$50	$96.7K
S5110	Home care training, family; per 15 minutes	4,380	$20	$87.6K

Showing 1–10 of 29

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

Southwest Network, Inc. — 3 of 25 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	27	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	265	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	349	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	163	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	62	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	63	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	67	580	1,250	$80	$479.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	160	400	200	$120	$403K
S5110	Home care training, family; per 15 minutes	57	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	108	810	280	$120	$360.5K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Network	AZ	Community/Behavioral Health Agency	$0	$8.6M
Southwest Network	AZ	Community/Behavioral Health Agency	$0	$6.6M
Southwest Network, Inc.	AZ	Community/Behavioral Health Agency	$0	$6.4M
Southwest Network, Inc.	AZ	Community/Behavioral Health Agency	$0	$6.1M
James Lamousin	AL	Psychiatry Physician	$18.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arion Care Solutions, LLC	AZ	In Home Supportive Care Agency	$0	$608.8M
Dignity Community Care	AZ	General Acute Care Hospital	$0	$71M
Momdoc, LLC	AZ	Obstetrics & Gynecology Physician	$0	$63.3M
Valley Perinatal Services, LLC	AZ	Maternal & Fetal Medicine Physician	$0	$23.6M
Amy Grulke, PLLC	AZ	Speech-Language Pathologist	$0	$21M
Phoenix Neurological Institute, Inc	AZ	Neurology Physician	$0	$18M
360 Physical Therapy LLC	AZ	Multi-Specialty Clinic/Center	$0	$16.8M
Phoenician Medical Center, Inc	AZ	Family Medicine Physician	$0	$15.7M
Twelfth One, LLC	AZ	Home Infusion Therapy Pharmacy	$0	$14.3M
Chandler Emergency Medical Group, LLC	AZ	Emergency Medicine Physician	$0	$14.3M

Southwest Network, Inc. — Billing Profile & Reimbursement Data

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Southwest Network, 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