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.

Red Mountain Behavioral Health Services LLC (NPI 1811289010)

Field	Value
Entity Type	Organization
Organization	Red Mountain Behavioral Health Services LLC
Address	890 W Elliot Rd Ste 103
City	Gilbert
State	AZ
ZIP	85233
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 5, 2011

Payer Source	Total Paid
Medicaid	$47.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	68,150	$180	$12.4M
T1016	Case management, each 15 minutes	331,420	$30	$10.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	10,560	$640	$6.7M
H2011	Crisis intervention service, per 15 minutes	77,800	$50	$4.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	32,070	$120	$3.8M
S0215	Non-emergency transportation; mileage, per mile	47,590	$70	$3.3M
S5110	Home care training, family; per 15 minutes	14,350	$210	$3M
H0031	Mental health assessment, by non-physician	9,590	$190	$1.8M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	47,570	$20	$903.8K
H2014	Skills training and development, per 15 minutes	10,620	$50	$499.1K

Showing 1–10 of 13

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

Red Mountain Behavioral Health Services LLC — 3 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	19	190	5,090	$100	$2.9M
T1016	Case management, each 15 minutes	29	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	60	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	98	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	16	270	600	$410	$983.9K
H2015	Comprehensive community support services, per 15 minutes	7	20	2,230	$80	$913K
H2014	Skills training and development, per 15 minutes	138	780	1,610	$100	$868.2K
H2011	Crisis intervention service, per 15 minutes	1	140	330	$210	$659.5K
S5110	Home care training, family; per 15 minutes	23	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	51	810	280	$120	$360.5K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Red Mountain Behavioral Health Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Tan Behavioral Health Services	AZ	Community/Behavioral Health Agency	$0	$45.2M
Elite Innovative Health LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.7M
Legacy Healthcare LLC	AZ	Community/Behavioral Health Agency	$0	$15.7M
Four Directions LLC	AZ	Community/Behavioral Health Agency	$0	$12.2M
Samia Psychiatry Iop PLLC	AZ	Community/Behavioral Health Agency	$0	$9.2M
Brookdale North Gilbert, LLC	AZ	Assisted Living Facility	$0	$6.1M
Joel Rainwater	AZ	Diagnostic Radiology Physician	$1.7M	$0
Jeffrey Braxton	AZ	Surgery Physician	$817.2K	$0
Karen Garby	AZ	Vascular & Interventional Radiology Physician	$620.3K	$0
Ajay Narwani	AZ	Pain Medicine (Anesthesiology) Physician	$151K	$54.7K

Red Mountain Behavioral Health Services LLC — Billing Profile & Reimbursement Data

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Red Mountain Behavioral Health Services LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References