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.

Guidance Center Of Lea County, Inc (NPI 1740211333)

Field	Value
Entity Type	Organization
Organization	Guidance Center Of Lea County, Inc
Address	920 W Broadway St
City	Hobbs
State	NM
ZIP	88240
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$38.2M
Medicare	$0

Key Findings

GUIDANCE CENTER OF LEA COUNTY, INC operates as a Medicaid-focused community/behavioral health agency: its top billed services are coordinated care fees and intensive community behavioral interventions (notably G9001, G9003 and H2017), supported by activity in medication management and psychotherapy codes. The mix of large coordinated-care payments (G9001/G9003) together with high-volume per-15-minute rehabilitation codes (H2017, H2015, H2010) indicates an operating model built around managed-care coordination plus time-based psychosocial and medication services.

Revenue is highly concentrated: the provider reports $38.2M of Medicaid revenue with the precomputed top three Medicaid codes accounting for 77.7% of that total; specifically G9001 ($14.8M, 38.9%), G9003 ($9.8M, 25.7%) and H2017 ($5M, 13.1%). This concentration signals heavy reliance on coordinated-care payment constructs and a single service cluster for the majority of cash flow.

The payer mix is effectively single-payer Medicaid: Total Medicare revenue is listed as none and all reported lifetime revenue is $38.2M from Medicaid, so the organization’s financial exposure and strategic positioning are strongly tied to Medicaid policy, rates, and managed-care arrangements. That absence of Medicare billing makes the provider particularly sensitive to state Medicaid reimbursement changes and care-management contracting.

GUIDANCE CENTER is a leading in-state provider for coordinated care fees and psychosocial rehabilitation: G9003 ranks #1 of 5 providers in-state (100th percentile; notably above typical state volume for this code), G9001 ranks #2 of 18 (94th percentile; notably above typical state volume for this code), and H2017 ranks #3 of 31 (93th percentile; notably above typical state volume for this code). These ranks identify the center as a major statewide player for risk-adjusted coordinated-care payments and high-volume psychosocial rehab services.

Claim volumes and payment amounts show an operational emphasis on both scale and higher-rate risk-adjusted care: G9001 totaled 52.8K claims at $281 avg paid/claim while G9003 totaled 5K claims at $1984 avg paid/claim, and H2017 recorded 26.1K claims at $192 avg paid/claim. The combination of very high claim counts for G9001 and substantial per-claim payments for G9003 suggests the center delivers broad care-management services augmented by higher-acuity, risk-adjusted coordinated-care encounters.

Beyond the top three, the provider shows above-typical state presence across several ancillary behavioral-health services—H2010 ranks #2 of 14 (92th percentile), 90832 ranks #10 of 285 (97th percentile), H0038 ranks #3 of 54 (96th percentile), and 90863 ranks #3 of 51 (96th percentile). This spread indicates operational breadth across medication management, shorter psychotherapy sessions, peer/self-help services, and psychopharmacologic follow-up, reinforcing a comprehensive community-behavioral service line rather than a single narrow program.

Telehealth and substance-use program activity are present but represent a smaller share of revenue: Q3014 (telehealth originating site) generated 3.2K claims for $77.3K revenue and H0015 (intensive outpatient substance-abuse services) produced 6.2K claims for $710.1K revenue. These figures show the center delivers telehealth and addiction-treatment modalities alongside its core coordinated-care and rehabilitation services, but they do not drive the revenue base.

The provider has established tenure in the market, with an NPI enumerated on 2006-07-05 (~20 years ago), and its reported $38.2M Medicaid lifetime revenue plus top-code rankings support characterization as a long-standing, high-volume Medicaid behavioral-health provider in New Mexico. That longevity combined with concentrated, high-ranking code activity suggests institutional relationships with state Medicaid managed-care constructs and sustained demand for its coordinated-care and psychosocial services.

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9001	Coordinated care fee, initial rate	52,810	$280	$14.8M
G9003	Coordinated care fee, risk adjusted high, initial	4,950	$1,980	$9.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	26,050	$190	$5M
H2015	Comprehensive community support services, per 15 minutes	15,330	$100	$1.6M
H2010	Comprehensive medication services, per 15 minutes	19,650	$60	$1.2M
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…	11,450	$100	$1.2M
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…	14,720	$50	$780.2K
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…	6,230	$110	$710.1K
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	6,440	$110	$701.9K
H0038	Self‑help/peer services, per 15 minutes	15,250	$40	$610.2K

Showing 1–10 of 34

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

Guidance Center Of Lea County, Inc — 4 of 25 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9001	Coordinated care fee, initial rate	2	20	730	$320	$4M
G9003	Coordinated care fee, risk adjusted high, initial	1	10	880	$1,770	$3.1M
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…	26	50	4,480	$150	$2.7M
H2015	Comprehensive community support services, per 15 minutes	15	120	2,640	$150	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	30	3,760	$140	$1.1M
H2012	Behavioral health day treatment, per hour	3	10	10,480	$110	$924K
Q3014	Telehealth originating site facility fee	43	180	620	$160	$546.7K
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…	706	960	1,010	$90	$490K
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	3	20	840	$160	$425.3K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	5	10	830	$190	$386.4K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Guidance Center Of Lea County, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lynette Brown	UT	Family Nurse Practitioner	$100.7K	$0
Rebecca Chavez	NM	Family Nurse Practitioner	$8.5K	$0

Nearby Providers

Other providers in the same ZIP code as Guidance Center Of Lea County, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Miracle Home Health Care, Inc.	NM	Home Health Agency	$0	$29.4M
American Medical Group Inc.	NM	General Practice Physician	$0	$25.7M
Lin-mar Inc.	NM	In Home Supportive Care Agency	$0	$18.2M
Leaders Industries	NM	Developmentally Disabled Services Day Training Agency	$0	$15.1M
Alteon Health New Mexico LLC	NM	Emergency Medicine Physician	$0	$12M
Lea Regional Hospital LLC	NM	General Acute Care Hospital	$0	$10.6M
Covenant Hospital Hobbs	NM	General Acute Care Hospital	$0	$10.1M
Family Hospice, Ltd.	NM	Community Based Hospice Care Agency	$0	$7.4M
Nor-lea Hospital District	NM	Rural Health Clinic/Center	$0	$6.8M
Sherif Pediatrics Clinic	NM	Adolescent and Children Mental Health Clinic/Center	$0	$6.2M

Guidance Center Of Lea County, Inc — Billing Profile & Reimbursement Data

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Guidance Center Of Lea County, Inc — 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