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

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

Winners Circle Group Of Texas Inc (NPI 1821610205)

Field	Value
Entity Type	Organization
Organization	Winners Circle Group Of Texas Inc
Address	11811 North Fwy Ste 385
City	Houston
State	TX
ZIP	77060
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 8, 2020

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	48,030	$250	$12M
T1017	Targeted case management, each 15 minutes	42,810	$160	$6.6M
H2011	Crisis intervention service, per 15 minutes	3,540	$350	$1.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,180	$90	$108.3K
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…	30	$110	$3.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Winners Circle Group Of Texas Inc — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	41	560	9,630	$80	$1.4M
T1017	Targeted case management, each 15 minutes	20	220	4,700	$90	$1.4M
H2011	Crisis intervention service, per 15 minutes	13	60	950	$210	$434K
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…	1,574	1,700	610	$80	$111.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	85	850	90	$110	$51.6K

Nearby Providers

Other providers in the same ZIP code as Winners Circle Group Of Texas Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Outreach Health Community Care Services LP	TX	Home Health Agency	$0	$52.4M
Rx Health LLC	TX	Case Management Agency	$0	$23.4M
Pediatric Home Healthcare	TX	Home Health Agency	$0	$17.5M
Pediatric Home Healthcare	TX	Home Health Agency	$0	$16.8M
Family Solutions Of Louisiana, Inc.	TX	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13M
Patient Recovery Healthcare Management Services, LLC	TX	In Home Supportive Care Agency	$0	$11.6M
Medistar Provider Services, Inc.	TX	Personal Care Attendant	$0	$11.5M
Trudx LLC	TX	Clinical Medical Laboratory	$1.6M	$3.5K
Aptive Diagnostics LLC	TX	Clinical Medical Laboratory	$274.1K	$0
Thomas Falvey	TX	Internal Medicine Physician	$148.7K	$0

Winners Circle Group Of Texas Inc — Billing Profile & Reimbursement Data

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Winners Circle Group Of Texas 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

Nearby Providers

Frequently Asked Questions

References