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

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

Tropical Texas Behavioral Health (NPI 1588643787)

Field	Value
Entity Type	Organization
Organization	Tropical Texas Behavioral Health
Address	1901 S 24th Ave
City	Edinburg
State	TX
ZIP	78539
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	January 16, 2006

Payer Source	Total Paid
Medicaid	$61.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	181,150	$110	$19.6M
H2014	Skills training and development, per 15 minutes	128,560	$130	$16.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	66,850	$150	$9.7M
H2011	Crisis intervention service, per 15 minutes	12,580	$300	$3.8M
H2015	Comprehensive community support services, per 15 minutes	25,400	$120	$3.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	11,660	$140	$1.7M
T2027	Specialized childcare, waiver; per 15 minutes	20,800	$60	$1.2M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	40,800	$30	$1.1M
H2032	Activity therapy, per 15 minutes	19,780	$50	$969.2K
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…	5,290	$160	$856.2K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2032	Activity therapy, per 15 minutes	8	50	3,520	$170	$2.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	5	90	6,780	$130	$2.5M
H2014	Skills training and development, per 15 minutes	6	560	9,630	$80	$1.4M
T1017	Targeted case management, each 15 minutes	1	220	4,700	$90	$1.4M
H2015	Comprehensive community support services, per 15 minutes	13	120	2,880	$100	$1.2M
H2011	Crisis intervention service, per 15 minutes	2	60	950	$210	$434K
T2027	Specialized childcare, waiver; per 15 minutes	1	10	590	$80	$323.8K
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…	493	6,040	710	$40	$232.8K
T2003	Non-emergency transportation; encounter/trip	248	440	12,510	$10	$203K
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…	361	5,810	540	$50	$155.5K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tropical Texas Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tropical Texas Behavioral Health	TX	Case Management Agency	$0	$13.1M
Andres Tapia	TX	Clinical Psychologist	$115K	$0
Alexis Gonzalez	PR	Psychiatry Physician	$2.6K	$0

Nearby Providers

Other providers in the same ZIP code as Tropical Texas Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcallen Hospitals L P	TX	General Acute Care Hospital	$0	$124.6M
Doctors Hospital At Renaissance, Ltd	TX	General Acute Care Hospital	$0	$65.1M
Nuestro Sagrado Corazon Primary Home Care, Inc.	TX	Personal Care Attendant	$0	$56.5M
Regional Nursing Services Mgmt., Inc.	TX	Home Health Agency	$0	$45.5M
Verge Primary Home Care	TX	Personal Care Attendant	$0	$42.7M
Arc Primary Care, LLC.	TX	Home Health Agency	$0	$42.3M
Heaven Sent Services, L.L.C.	TX	Personal Care Attendant	$0	$40.4M
Ddnj, Inc.	TX	In Home Supportive Care Agency	$0	$34.3M
Life Choices Unlimited, Inc.	TX	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$28M
Palm Valley Primary Home Care, Inc.	TX	Personal Care Attendant	$0	$27.6M

Tropical Texas Behavioral Health — Billing Profile & Reimbursement Data

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Tropical Texas Behavioral Health — 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