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.

Southeastern Arizona Behavioral Health Services, Inc. (NPI 1760830137)

Field	Value
Entity Type	Organization
Organization	Southeastern Arizona Behavioral Health Services, Inc.
Address	611 W Union St
City	Benson
State	AZ
ZIP	85602
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 26, 2016

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	61,590	$50	$3.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	22,020	$110	$2.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	6,980	$320	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	15,800	$130	$2M
H0031	Mental health assessment, by non-physician	5,510	$230	$1.2M
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…	6,810	$90	$640K
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…	900	$200	$178.1K
H0038	Self‑help/peer services, per 15 minutes	2,270	$60	$133.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	500	$260	$131K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	940	$130	$123.4K

Showing 1–10 of 27

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

Southeastern Arizona Behavioral Health Services, Inc. — 0 of 24 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	54	360	430	$320	$2.3M
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…	216	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	131	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	145	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	445	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	268	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	225	580	1,250	$80	$479.7K
H2019	Therapeutic behavioral services, per 15 minutes	5	40	1,300	$60	$456.7K
S5110	Home care training, family; per 15 minutes	145	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	112	810	280	$120	$360.5K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Southeastern Arizona Behavioral Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Benson Hospital Corporation	AZ	Critical Access Hospital	$0	$12.2M
Southeastern Arizona Behavioral Health Services, Inc.	AZ	Community/Behavioral Health Agency	$0	$11M
Chiricahua Community Health Centers, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$9.3M
Healthcare Innovations Inc.	AZ	Land Ambulance	$551.6K	$8.6M

Southeastern Arizona Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Southeastern Arizona Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Southeastern Arizona Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Southeastern Arizona Behavioral Health Services, 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