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.

Pronghorn Psychiatry (NPI 1700377983)

Field	Value
Entity Type	Organization
Organization	Pronghorn Psychiatry
Address	5940 E. Copper Hill Dr
City	Prescott Valley
State	AZ
ZIP	86314
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	May 23, 2018

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9480	Intensive outpatient psychiatric services, per diem	18,150	$320	$5.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	5,920	$90	$509.5K
T1016	Case management, each 15 minutes	3,290	$30	$108.5K
H2014	Skills training and development, per 15 minutes	2,460	$30	$63.8K
H0031	Mental health assessment, by non-physician	280	$150	$42.4K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	170	$80	$14.1K
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…	50	$60	$3.3K

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

Pronghorn Psychiatry — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9480	Intensive outpatient psychiatric services, per diem	4	90	1,820	$350	$1.5M
T1016	Case management, each 15 minutes	500	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	357	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	300	780	1,610	$100	$868.2K
H0031	Mental health assessment, by non-physician	406	810	280	$120	$360.5K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	198	290	460	$40	$190K
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…	134	180	220	$40	$46.4K

Nearby Providers

Other providers in the same ZIP code as Pronghorn Psychiatry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Child & Family Support Service, Inc	AZ	Community/Behavioral Health Agency	$0	$30.2M
Metro Care Services, Inc	AZ	Community/Behavioral Health Agency	$0	$27.3M
Angels On Duty	AZ	Home Health Agency	$0	$26.4M
Summit Behavioral Health Of Arizona	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$19.7M
West Yavapai Guidance Clinic, Inc.	AZ	Clinic/Center	$0	$18.7M
West Yavapai Guidance Clinic, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.3M
Summit Behavioral Health Of Arizona	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.9M
Brighter Heights Arizona, LLC -foster Care	AZ	Public Health or Welfare Agency	$0	$7.6M
Priority Ambulance Yavapai LLC	AZ	Land Ambulance	$1.4M	$6.1M
Amad Zineldine	AZ	Cardiovascular Disease Physician	$587K	$0

Pronghorn Psychiatry — Billing Profile & Reimbursement Data

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Pronghorn Psychiatry — 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