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.

Valle Del Sol, Inc. (NPI 1750712766)

Field	Value
Entity Type	Organization
Organization	Valle Del Sol, Inc.
Address	3807 N 7th St
City	Phoenix
State	AZ
ZIP	85014
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 2, 2013

Payer Source	Total Paid
Medicaid	$20.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	70,780	$220	$15.4M
T1016	Case management, each 15 minutes	211,230	$10	$1.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	72,270	$20	$1.3M
H2010	Comprehensive medication services, per 15 minutes	123,190	$10	$862.3K
H0031	Mental health assessment, by non-physician	9,780	$30	$332.5K
H2014	Skills training and development, per 15 minutes	9,120	$20	$209.7K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	25,890	$10	$207.1K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	65,700	$1	$197.1K
T1003	Lpn/lvn services, up to 15 minutes	44,110	$1	$132.3K
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…	20,430	$10	$102.2K

Showing 1–10 of 56

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

Valle Del Sol, Inc. — 5 of 21 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	32	360	3,640	$230	$7.7M
H2010	Comprehensive medication services, per 15 minutes	26	80	71,620	$10	$1.7M
T1016	Case management, each 15 minutes	42	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	327	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	31	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	264	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	152	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	395	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	115	580	1,250	$80	$479.7K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	34	70	62,920	$1	$408.4K

Showing 1–10 of 56

Related Providers

Other providers that share a Tax Identification Number (TIN) with Valle Del Sol, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valle Del Sol, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$13.4M
Valle Del Sol, Inc.	AZ	Community/Behavioral Health Agency	$0	$9.8M
Leticia Perez-pinto	AZ	Clinical Social Worker	$280	$0

Nearby Providers

Other providers in the same ZIP code as Valle Del Sol, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abrio Family Services & Supports	AZ	In Home Supportive Care Agency	$0	$82.5M
Castle Biosciences, Inc	AZ	Clinical Medical Laboratory	$70.9M	$1.3M
Homeassist Health, Inc	AZ	In Home Supportive Care Agency	$0	$66.1M
Andventure, LLC	AZ	Home Health Agency	$0	$45.8M
Rehema Behavioral Health Clinic LLC	AZ	Community/Behavioral Health Agency	$0	$35.6M
Arizona Youth & Family Services, Inc.	AZ	Community/Behavioral Health Agency	$0	$17.1M
Fsl Programs	AZ	Case Management Agency	$0	$16.9M
Netcor Transports LLC	AZ	Non-emergency Medical Transport (VAN)	$0	$14.9M
Family Involvement Center	AZ	Community/Behavioral Health Agency	$0	$10.8M
The Lodge At 14th St.	AZ	Assisted Living Facility	$0	$10.2M

Valle Del Sol, Inc. — Billing Profile & Reimbursement Data

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Valle Del Sol, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References