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.

Denova Collaborative Health, LLC (NPI 1609300854)

Field	Value
Entity Type	Organization
Organization	Denova Collaborative Health, LLC
Address	3330 N 2nd St Ste 601
City	Phoenix
State	AZ
ZIP	85012
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 14, 2017

Payer Source	Total Paid
Medicaid	$87.9M
Medicare	$0

Key Findings

DENOVA COLLABORATIVE HEALTH, LLC reports no Medicare billing on file and $87.9M in lifetime Medicaid revenue, making its operations effectively single‑payer (Medicaid) in scale based on the available claims data. This concentration in one payer should frame any competitive or utilization comparisons against peers primarily active in Medicaid markets.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 64.6% of the provider's total Medicaid revenue, led by H0004 ($28.1M, 32.1%), 99214 ($19.1M, 21.8%), and T1016 ($9.4M, 10.8%). Those three codes dominate the financial profile and identify the specific service lines that drive the majority of cash flow.

The coding mix indicates a behavioral‑health–focused outpatient operation: H0004 (behavioral health counseling and therapy), H0002 (behavioral health screening), H0031 (mental health assessment), and T1016 (case management) are among the top revenue generators, signaling sustained delivery of counseling, assessment, and care‑coordination services rather than inpatient or procedural specialties. This pattern is consistent with a multi‑specialty clinic/center organized around high‑volume, short‑interval behavioral health encounters.

Psychotherapy and psychiatric evaluation codes also contribute materially to revenue and show very high state rankings: 90833 (102.1K claims, $6.1M) ranks #1 of 223 providers in-state (100th percentile; extreme outlier), 90792 (33.1K claims, $6M) ranks #3 of 484 (100th percentile; extreme outlier), and 90837 ($2.8M) ranks #1 of 382 (100th percentile; extreme outlier). Together these codes demonstrate that the provider combines both psychotherapy delivery and formal psychiatric evaluation services at volumes well above typical state providers.

On competitive standing within Arizona the provider is a dominant volume outlier for multiple behavioral‑health and related codes: H0004 ranks #6 of 1147 providers (100th percentile; extreme outlier) and 99214 ranks #7 of 3041 providers (100th percentile; extreme outlier), while ancillary measures such as 96127 and 96160 also sit at the top of state volume distributions (100th and 99th percentiles respectively). These rankings characterize DENOVA as a major statewide player for its core outpatient behavioral health and E/M services rather than a modest participant.

Claim counts reinforce the scale and operational model: T1016 shows 525K claims, H0002 shows 384.7K claims, H0004 shows 319.4K claims, and 99214 shows 244.4K claims, indicating very high throughput dominated by frequent, short‑interval services and case management. This volume profile is consistent with a high‑capacity outpatient network or a program model that emphasizes repeated visits and ongoing care coordination.

While behavioral‑health and E/M codes dominate revenue, the provider also bills routine E/M and preventive services at more typical volumes: 99213 (27K claims, $1.9M; ranks #130 of 2775, 95th percentile; typical, unremarkable), 99215 (5.2K claims, $648K; 95th percentile; typical, unremarkable), and well‑visit codes such as 99395 and 99396 appear at modest revenue shares. This mix suggests a core specialization in behavioral health supplemented by general outpatient E/M and preventive visits.

The NPI was enumerated on 2017-04-14 (~9 years ago), so DENOVA has been active long enough to establish large Medicaid volumes and state‑leading rank positions. Given the combination of tenure and extreme outlier volumes on multiple behavioral‑health codes, the data are consistent with rapid scale‑up in Medicaid behavioral health services since enumeration.

Medicaid: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	319,410	$90	$28.1M
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…	244,370	$80	$19.1M
T1016	Case management, each 15 minutes	524,950	$20	$9.4M
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…	102,130	$60	$6.1M
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…	33,130	$180	$6M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	384,660	$20	$5.8M
H0031	Mental health assessment, by non-physician	39,420	$120	$4.6M
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…	34,320	$80	$2.8M
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…	27,010	$70	$1.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,090	$160	$1.2M

Showing 1–10 of 77

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

Denova Collaborative Health, LLC — 14 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

77 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	14	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	6	1,150	1,700	$90	$1M
H2027	Psychoeducational service, per 15 minutes	167	500	750	$170	$592.2K
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.	126	400	200	$120	$403K
H0031	Mental health assessment, by non-physician	15	810	280	$120	$360.5K
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…	7	3,040	750	$50	$343.9K
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…	91	170	960	$40	$295.2K
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…	130	2,780	600	$50	$267K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	146	290	460	$40	$190K
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…	63	80	170	$100	$189K

Showing 1–10 of 77

Related Providers

Other providers that share a Tax Identification Number (TIN) with Denova Collaborative Health, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denova Collaborative Health, LLC	AZ	Multi-Specialty Clinic/Center	$0	$11.2M
Denova Collaborative Health, LLC	AZ	Multi-Specialty Clinic/Center	$0	$9.9M

Nearby Providers

Other providers in the same ZIP code as Denova Collaborative Health, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Park Health Center	AZ	Federally Qualified Health Center (FQHC)	$0	$351.5M
The Tungland Company, LLC	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$332M
Adelante Healthcare, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$245.5M
Banner-university Medical Group	AZ	Multi-Specialty Clinic/Center	$0	$133.7M
Prileo Healthcare LLC Dba Prileo Home Care	AZ	In Home Supportive Care Agency	$0	$88.8M
Southwest Behavioral Health Services Inc	AZ	Community/Behavioral Health Agency	$0	$83.5M
Terros, Inc.	AZ	Community/Behavioral Health Agency	$0	$81.7M
Accentcare At Home, Inc.	AZ	In Home Supportive Care Agency	$0	$65.7M
Banner Physician Super Specialists Arizona LLC	AZ	Multi-Specialty Clinic/Center	$0	$36.9M
Banner - University Hospital Based Physicians LLC	AZ	General Acute Care Hospital	$0	$29.7M

Denova Collaborative Health, LLC — Billing Profile & Reimbursement Data

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Denova Collaborative Health, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References