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.

West Yavapai Guidance Clinic Cortez (NPI 1871547430)

Field	Value
Entity Type	Organization
Organization	West Yavapai Guidance Clinic Cortez
Address	505 S Cortez St
City	Prescott
State	AZ
ZIP	86303
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	19,010	$140	$2.6M
T1016	Case management, each 15 minutes	35,400	$40	$1.5M
H2014	Skills training and development, per 15 minutes	19,970	$70	$1.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	3,400	$220	$760.5K
H0031	Mental health assessment, by non-physician	1,720	$210	$363.1K
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…	1,500	$150	$216.9K
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…	1,400	$90	$119.3K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	2,170	$30	$67.3K
T1002	Rn services, up to 15 minutes	580	$40	$20.7K
S5151	Unskilled respite care, not hospice; per diem	110	$130	$14.7K

Showing 1–10 of 14

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

West Yavapai Guidance Clinic Cortez — 0 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	113	190	5,090	$100	$2.9M
T1016	Case management, each 15 minutes	189	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	500	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	164	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	79	780	1,610	$100	$868.2K
S5151	Unskilled respite care, not hospice; per diem	40	40	980	$260	$401.3K
H0031	Mental health assessment, by non-physician	231	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…	1,162	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…	1,008	2,780	600	$50	$267K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	57	290	460	$40	$190K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with West Yavapai Guidance Clinic Cortez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Truman Medical Center, Incorporated	MO	General Acute Care Hospital	$0	$233.8M
West Yavapai Guidance Clinic, Inc.	AZ	Clinic/Center	$0	$18.7M
West Yavapai Guidance Clinic, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.6M
West Yavapai Guidance Clinic, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.3M
West Yavapai Guidance Clinic	AZ	Substance Abuse Rehabilitation Facility	$0	$6.6M
Serena Brawley	AZ	Psychiatric/Mental Health Nurse Practitioner	$18.1K	$0
Angela Demoss	UT	Psychiatric/Mental Health Nurse Practitioner	$4.9K	$0

Nearby Providers

Other providers in the same ZIP code as West Yavapai Guidance Clinic Cortez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Frost	AZ	Family Nurse Practitioner	$159K	$0
Harald Gutgsell	AZ	Pain Medicine (Anesthesiology) Physician	$68.3K	$0

West Yavapai Guidance Clinic Cortez — Billing Profile & Reimbursement Data

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West Yavapai Guidance Clinic Cortez — 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