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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Behavioral Health Solutions LLC (NPI 1548765258)

Behavioral Health Solutions LLC is a community/behavioral health agency provider located in Henderson, Nevada. This profile covers 0 Medicare and 45 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Behavioral Health Solutions LLC
Address	2200 Paseo Verde Pkwy Ste 190
City	Henderson
State	NV
ZIP	89052
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 26, 2018

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	70,320	$90	$6.5M
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	68,780	$10	$962.9K
H0031	Mental health assessment, by non-physician	6,350	$150	$926.7K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	38,330	$20	$920K
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…	5,000	$60	$319.8K
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…	4,500	$60	$279.2K
99358	Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient.	11,460	$20	$217.8K
99451	A consulting physician or other qualified healthcare professional performs a 5–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a written report to the…	26,720	$10	$187.1K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	24,650	$10	$172.6K
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…	4,690	$30	$159.4K

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Behavioral Health Solutions LLC — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	321	350	240	$110	$685.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	198	470	380	$70	$281.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	248	430	500	$40	$214.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	1	330	360	$130	$174.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	215	430	180	$130	$158K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2	140	690	$40	$145.2K
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…	102	970	360	$80	$139.2K
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…	204	2,250	290	$60	$138K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	6	150	460	$20	$119.6K
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…	447	2,480	330	$50	$107.6K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1 Love Wellness Society LLC	NV	Community/Behavioral Health Agency	$0	$2.1M
Hadon Monaghan	TN	Nurse Practitioner	$1.1M	$0
Anthony Quinn	NV	Psychiatry Physician	$604.9K	$23.8K
Emerald Sonico	NV	Primary Care Nurse Practitioner	$485.4K	$16.3K
Audra Omwanghe	NV	Psychiatric/Mental Health Nurse Practitioner	$437.1K	$1.3K
Manbir Goraya	NV	Family Nurse Practitioner	$313.7K	$0
Cathey Hamman	NV	Family Nurse Practitioner	$311.6K	$0
Wayne Seare	NV	Acute Care Nurse Practitioner	$307.9K	$0
Kaushal Mehta	NV	Family Nurse Practitioner	$173.2K	$118K
James Mauldin	CO	Psychiatry Physician	$268.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Platinum Hospitalists LLP	NV	Hospitalist Physician	$0	$38.8M
Urgent Care Nevada, LLC	NV	Urgent Care Clinic/Center	$0	$34.9M
Dignity Health	NV	General Acute Care Hospital	$0	$18.7M
Lamotte Pediatrics, LLP	NV	Pediatrics Physician	$0	$9.4M
Minghsun Liu Md PC	NV	Infectious Disease Physician	$0	$5.1M
Optimized Management LLC	NV	Clinical Social Worker	$0	$5M
Misch/hyun/hodapp Healthcare, LLP	NV	Pediatrics Physician	$0	$4.5M
Ellsworth Cox Pediatric Dentistry LLC	NV	Pediatric Dentistry	$0	$3.7M
Total Infusion Care LLC	NV	Home Infusion Therapy Pharmacy	$0	$3.1M
Rupesh Parikh	NV	Hematology & Oncology Physician	$3.1M	$9.6K

Behavioral Health Solutions LLC — Billing Profile & Reimbursement Data

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Behavioral Health Solutions 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

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