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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Border Area Mental Health Services, Inc (NPI 1609886787)

Border Area Mental Health Services, Inc is a mental health clinic/center (including community mental health center) provider located in Silver City, New Mexico. This profile covers 0 Medicare and 27 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	Border Area Mental Health Services, Inc
Address	315 S. Hudson
City	Silver City
State	NM
ZIP	88061
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	9,240	$80	$729.9K
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…	4,970	$130	$635.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7,010	$70	$462.5K
90863	The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.	6,720	$40	$262K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,080	$90	$176.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	430	$150	$62.5K
99204	The provider sees a new 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 provider…	220	$140	$31.2K
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…	550	$40	$22.1K
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…	60	$170	$10.2K
Q3014	Telehealth originating site facility fee	210	$20	$4.3K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Border Area Mental Health Services, Inc — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q3014	Telehealth originating site facility fee	129	180	620	$160	$546.7K
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…	546	930	910	$80	$521.6K
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…	107	960	1,010	$90	$490K
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…	156	920	860	$120	$361.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	83	380	400	$80	$213.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	25	290	470	$70	$161.5K
99204	The provider sees a new 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 provider…	162	380	150	$130	$132.8K
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…	81	120	130	$130	$79.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	90	340	80	$130	$69.4K
90863	The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.	4	50	360	$40	$67.3K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandra Crane	NM	Social Worker	$65.8K	$0
Deanna Joy Mynatt	NM	Psychiatric/Mental Health Nurse Practitioner	$28.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gila Regional Medical Center	NM	Critical Access Hospital	$0	$33.3M
Trauma And Recovery Centers	NM	Mental Health Counselor	$0	$9.9M
Silver Health Care PC	NM	Internal Medicine Physician	$0	$5.7M
Victor A. Nwachuku, M.d., PC	NM	Obstetrics Physician	$0	$2.6M
Supporting People In Need	NM	Social Worker	$0	$2.4M
Kids In Need Of Supportive Services	NM	Community/Behavioral Health Agency	$0	$2.1M
Recovery Management Center, PC	NM	Addiction (Substance Use Disorder) Counselor	$0	$2M
Hidalgo Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$1.9M
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$1.7M
James Skee	NM	Internal Medicine Physician	$303.2K	$0

Border Area Mental Health Services, Inc — Billing Profile & Reimbursement Data

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Border Area Mental Health Services, 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

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