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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

State Of The Heart Recovery (NPI 1871137042)

Field	Value
Entity Type	Organization
Organization	State Of The Heart Recovery
Address	203 California St Ne
City	Albuquerque
State	NM
ZIP	87108
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 31, 2019

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	7,410	$270	$2M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	16,280	$120	$1.9M
H2015	Comprehensive community support services, per 15 minutes	11,000	$100	$1.1M
H0038	Self‑help/peer services, per 15 minutes	17,400	$60	$974.2K
H2000	Comprehensive multidisciplinary evaluation	1,430	$490	$701.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,970	$80	$305.3K
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…	1,830	$120	$224.7K
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…	660	$170	$110K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	5,640	$10	$50.7K
99205	The provider sees a new 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 provider…	250	$200	$50.6K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

State Of The Heart Recovery — 2 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	15	20	290,440	$20	$12.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	24	50	4,480	$150	$2.7M
H2015	Comprehensive community support services, per 15 minutes	27	120	2,640	$150	$1.2M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	4	20	7,950	$80	$839K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	65	80	3,340	$60	$595K
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…	793	930	910	$80	$521.6K
H2000	Comprehensive multidisciplinary evaluation	6	50	170	$690	$380.3K
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…	318	920	860	$120	$361.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	320	380	400	$80	$213.5K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	32	50	410	$140	$198.8K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with State Of The Heart Recovery, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of The Heart Recovery	NM	Methadone Clinic	$85.4K	$4.5M

Nearby Providers

Other providers in the same ZIP code as State Of The Heart Recovery, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Better Way Of Living, Inc.	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$32.4M
Safeway Medical Transportation	NM	Non-emergency Medical Transport (VAN)	$0	$27.3M
Albuquerque Treatment Services LLC	NM	Methadone Clinic	$105.4K	$18.1M
First Nations Community Health Source, Inc.	NM	Clinic/Center	$0	$15.4M
Perfectly Imperfect	NM	Mental Health Counselor	$0	$13.7M
Ds Personal Care Inc	NM	Home Health Agency	$0	$12.9M
Therapeutic Living Services, Inc.	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
A Step Above Case Management	NM	Case Management Agency	$0	$8.5M
Blingual Multicultural Services Inc	NM	Early Intervention Provider Agency	$0	$6.1M
Kidsfirst Dental Care LLC	NM	General Practice Dentistry	$0	$5.5M

State Of The Heart Recovery — Billing Profile & Reimbursement Data

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State Of The Heart Recovery — 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