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.

Southwest Behavioral Health Services, Inc. (NPI 1851610117)

Field	Value
Entity Type	Organization
Organization	Southwest Behavioral Health Services, Inc.
Address	2215 Hualapai Mountain Rd Suites E, H & I
City	Kingman
State	AZ
ZIP	86401
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 26, 2010

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	51,890	$60	$3.1M
T1016	Case management, each 15 minutes	101,010	$20	$1.5M
H0031	Mental health assessment, by non-physician	10,590	$110	$1.1M
H2027	Psychoeducational service, per 15 minutes	5,260	$220	$1.1M
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…	1,580	$230	$357.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,240	$80	$322.2K
S0215	Non-emergency transportation; mileage, per mile	15,070	$20	$286.3K
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…	1,790	$120	$214.3K
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…	3,410	$50	$160.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	15,150	$10	$106.1K

Showing 1–10 of 19

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

Southwest Behavioral Health Services, Inc. — 1 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	89	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	151	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	49	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	175	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	84	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	133	580	1,250	$80	$479.7K
H0031	Mental health assessment, by non-physician	45	810	280	$120	$360.5K
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…	798	3,040	750	$50	$343.9K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	163	510	5,500	$10	$267.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	538	2,780	600	$50	$267K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Behavioral Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Behavioral Health Services Inc	AZ	Community/Behavioral Health Agency	$0	$83.5M
Raymond W Lemberg Phd PC	AZ	Psychologist	$0	$7.5M
Southwest Behavioral Health Services,inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6M
Marci Haines	AZ	Clinical Psychologist	$5.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$107.1K	$11.8M
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$7.5M
Todd Jackson	AZ	Ophthalmology Physician	$431.2K	$21.2K
Kevin O Brien	AZ	Foot & Ankle Surgery Podiatrist	$269.2K	$0
Kurtis Manley	AZ	Medical Physician Assistant	$180.8K	$0
Ernest Monson	AZ	Family Nurse Practitioner	$161.8K	$0
Melissa Ogden	AZ	Nurse Practitioner	$108.1K	$0
Mahmood Khan	AZ	Internal Medicine Physician	$97.9K	$0
Tammy Davison	AZ	Registered Dietitian	$13.9K	$83.2K
Kale Bodily	AZ	Diagnostic Radiology Physician	$88.2K	$0

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

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

Southwest Behavioral Health Services, 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