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.

Behavioral Medicine Associates, Inc. (NPI 1750451746)

Behavioral Medicine Associates, Inc. is a health service psychologist provider located in Roswell, New Mexico. This profile covers 0 Medicare and 16 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	Behavioral Medicine Associates, Inc.
Address	601 W 2nd St Ste 10
City	Roswell
State	NM
ZIP	88201
Taxonomy	Health Service Psychologist
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,900	$130	$491.4K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	4,840	$90	$435.2K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,690	$260	$434.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,110	$130	$414.2K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	2,890	$140	$410K
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…	7,090	$60	$396.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2,030	$120	$233.3K
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…	1,000	$130	$129.5K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	3,030	$40	$106.2K
96101	N/A	600	$170	$100.6K

Showing 1–10 of 16

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

Behavioral Medicine Associates, Inc. — 6 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	486	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…	184	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…	205	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…	24	290	470	$70	$161.5K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	11	180	300	$100	$134.2K
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…	155	380	150	$130	$132.8K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	1	10	330	$150	$96K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1	20	50	$210	$72.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9	340	80	$130	$69.4K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	5	20	60	$180	$54.7K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspire Developmental Services, LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$45.5M
Roswell Hospital Corporation	NM	General Acute Care Hospital	$0	$41.3M
Bca Medical Associates, PA	NM	Pediatrics Physician	$0	$41.2M
Lovelace Health System LLC	NM	General Acute Care Hospital	$0	$20.1M
Pathology Consultants Of New Mexico	NM	Anatomic Pathology Physician	$376.7K	$18M
Roswell Clinic Corp	NM	Family Medicine Physician	$0	$14.7M
La Casa De Buena Salud Inc	NM	Federally Qualified Health Center (FQHC)	$0	$11M
Masoud Khorsand- Sahbaie Md P A	NM	Hematology & Oncology Physician	$0	$8.1M
Agape Home Care LLC	NM	Supports Brokerage Agency	$0	$7.4M
Roswell Family Care, LLC	NM	Family Nurse Practitioner	$0	$6.3M

Behavioral Medicine Associates, Inc. — Billing Profile & Reimbursement Data

Sign up for Behavioral Medicine Associates, Inc. — Billing Profile & Reimbursement Data policy alerts

Behavioral Medicine Associates, Inc. — Billing Profile & Reimbursement Data

Sign up for Behavioral Medicine Associates, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References