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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Mental Health Services En Espanol LLC (NPI 1811089014)

Field	Value
Entity Type	Organization
Organization	Mental Health Services En Espanol LLC
Address	10565 Fairfax Blvd Ste 300
City	Fairfax
State	VA
ZIP	22030
Taxonomy	Assistant Behavior Analyst
NPI Enumerated	September 28, 2006

Payer Source	Total Paid
Medicaid	$22.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	52,090	$210	$11M
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…	26,990	$220	$5.9M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	12,170	$290	$3.5M
H2012	Behavioral health day treatment, per hour	2,980	$360	$1.1M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	2,490	$330	$830.2K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	3,460	$140	$470.7K
H0032	Mental health service plan development by non-physician	60	$220	$13K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	70	$130	$8.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Mental Health Services En Espanol LLC — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	9	80	5,390	$210	$3.8M
H2012	Behavioral health day treatment, per hour	204	360	3,770	$200	$1.8M
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…	7	90	4,220	$210	$1.6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	7	90	1,030	$260	$977.2K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	7	40	350	$290	$278K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	7	10	1,430	$110	$169.5K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	5	50	320	$160	$164.1K
H0032	Mental health service plan development by non-physician	142	240	100	$70	$32.2K

Nearby Providers

Other providers in the same ZIP code as Mental Health Services En Espanol LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Community Of Virginia, Inc.	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$51.3M
Premium Care Usa LLC	VA	In Home Supportive Care Agency	$0	$47.9M
Chimes Virginia, Inc.	VA	Intellectual & Developmental Disabilities Psychologist	$0	$35.5M
Nova Home Health Care, LLC	VA	Home Health Agency	$0	$35.3M
Kahak Va, Inc.	VA	Home Health Agency	$0	$22.2M
Director Of Finance-county Of Fairfax Va	VA	Early Intervention Provider Agency	$0	$19.9M
Sagun Home Care Inc	VA	Home Health Agency	$0	$18.8M
Alliance Nurses For Home Health And Wellness, L.L.C.	VA	Home Health Agency	$0	$16.4M
Pediatric Services Of America, LLC	VA	Nursing Care Agency	$0	$12.1M
Nirmal Enterprises	VA	Home Health Agency	$0	$10.2M

Mental Health Services En Espanol LLC — Billing Profile & Reimbursement Data

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Mental Health Services En Espanol LLC — Billing Profile & Reimbursement Data

Sign up for Mental Health Services En Espanol LLC — 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