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.

Touchstone Behavioral Health (NPI 1861855702)

Field	Value
Entity Type	Organization
Organization	Touchstone Behavioral Health
Address	12409 W Indian School Rd Bldg E
City	Avondale
State	AZ
ZIP	85392
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 29, 2016

Payer Source	Total Paid
Medicaid	$10M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	43,200	$100	$4.2M
T1016	Case management, each 15 minutes	137,120	$30	$3.6M
H2014	Skills training and development, per 15 minutes	22,000	$40	$967.8K
S5110	Home care training, family; per 15 minutes	17,940	$40	$628K
H0031	Mental health assessment, by non-physician	3,500	$150	$508.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	5,150	$20	$118.4K
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…	490	$70	$33K
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	40	$90	$3.4K
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…	30	$100	$2.8K
A0160	Non-emergency transportation: per mile - case worker or social worker	190	$10	$960

Showing 1–10 of 11

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

Touchstone Behavioral Health — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	65	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	64	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	75	780	1,610	$100	$868.2K
S5110	Home care training, family; per 15 minutes	19	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	154	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…	2,777	3,040	750	$50	$343.9K
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…	1,477	2,780	600	$50	$267K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	27	370	110	$20	$47.2K
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	23	40	90	$50	$43.5K
A0160	Non-emergency transportation: per mile - case worker or social worker	53	80	350	$10	$9.7K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chow Counseling Family Services	AZ	Professional Counselor	$0	$12.6M
National Cardiovascular Surgery Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$1.3M	$0
Akhilesh Sharma	AZ	Infectious Disease Physician	$1.2M	$0
Ravi Galhotra	AZ	Internal Medicine Physician	$103.6K	$783.2K
Vikram Kapur	AZ	Internal Medicine Physician	$118.3K	$753.5K
Riyaz Sumar	AZ	Cardiovascular Disease Physician	$538.4K	$0
Christine Saraceni	AZ	Hematology & Oncology Physician	$506.5K	$0
Lorne Murray	AZ	Cardiovascular Disease Physician	$462.2K	$0
Adhar Seth	AZ	Cardiovascular Disease Physician	$389.6K	$0
Vishal Ganesh	AZ	Orthopaedic Surgery Physician	$355.7K	$0

Touchstone Behavioral Health — Billing Profile & Reimbursement Data

Sign up for Touchstone Behavioral Health — Billing Profile & Reimbursement Data policy alerts

Touchstone Behavioral Health — Billing Profile & Reimbursement Data

Sign up for Touchstone Behavioral Health — 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