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.

Royal Outpatient Clinic LLC (NPI 1689390734)

Field	Value
Entity Type	Organization
Organization	Royal Outpatient Clinic LLC
Address	5060 N 19th Ave Ste 215
City	Phoenix
State	AZ
ZIP	85015
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	October 19, 2022

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	15,160	$190	$2.9M
H2016	Comprehensive community support services, per diem	5,370	$320	$1.7M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2,910	$270	$796.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	6,050	$90	$526.4K
H2017	Psychosocial rehabilitation services, per 15 minutes	160	$580	$90.2K
H0038	Self‑help/peer services, per 15 minutes	450	$30	$15.4K
T1016	Case management, each 15 minutes	170	$80	$13.2K
H2025	Ongoing support to maintain employment, per 15 minutes	370	$10	$4.8K

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

Royal Outpatient Clinic LLC — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	78	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	952	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	354	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	193	270	600	$410	$983.9K
H2016	Comprehensive community support services, per diem	38	290	840	$280	$890.1K
H2014	Skills training and development, per 15 minutes	100	780	1,610	$100	$868.2K
H0038	Self‑help/peer services, per 15 minutes	395	580	1,250	$80	$479.7K
H2025	Ongoing support to maintain employment, per 15 minutes	50	120	250	$50	$54.5K

Nearby Providers

Other providers in the same ZIP code as Royal Outpatient Clinic LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vhs Of Phoenix Inc	AZ	General Acute Care Hospital	$0	$52.4M
Emergency Group Of Arizona Professional Corporation	AZ	Emergency Medicine Physician	$0	$43.8M
Hope Light Care Recovery Center LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
One Point Psychiatric Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28M
Open Hearts	AZ	Community/Behavioral Health Agency	$0	$19.9M
Epangelia Properties, LLC	AZ	Family Medicine Physician	$0	$14M
Family Bond Treatment Center LLC	AZ	Community/Behavioral Health Agency	$0	$12.8M
Care Givers Of Arizona, Inc.	AZ	Home Health Registered Nurse	$0	$10.8M
Surgical Specialty Hospital Of Arizona, LLC	AZ	Special Hospital	$0	$10.5M
American Family Medicine LLC	AZ	Family Medicine Physician	$0	$9.5M

Royal Outpatient Clinic LLC — Billing Profile & Reimbursement Data

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Royal Outpatient Clinic 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

Nearby Providers

Frequently Asked Questions

References