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.

Elite Innovative Health LLC (NPI 1881264273)

Field	Value
Entity Type	Organization
Organization	Elite Innovative Health LLC
Address	325 E Baseline Rd
City	Gilbert
State	AZ
ZIP	85233
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 28, 2021

Payer Source	Total Paid
Medicaid	$16.7M
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
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…	370	$13,330	$4.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	1,650	$1,950	$3.2M
H2014	Skills training and development, per 15 minutes	1,950	$1,650	$3.2M
T1016	Case management, each 15 minutes	1,940	$1,380	$2.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	1,940	$1,350	$2.6M

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

Elite Innovative Health LLC — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	210	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	592	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	583	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	67	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	349	780	1,610	$100	$868.2K

Nearby Providers

Other providers in the same ZIP code as Elite Innovative Health LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Red Mountain Behavioral Health Services LLC	AZ	Community/Behavioral Health Agency	$0	$47.5M
San Tan Behavioral Health Services	AZ	Community/Behavioral Health Agency	$0	$45.2M
Legacy Healthcare LLC	AZ	Community/Behavioral Health Agency	$0	$15.7M
Four Directions LLC	AZ	Community/Behavioral Health Agency	$0	$12.2M
Samia Psychiatry Iop PLLC	AZ	Community/Behavioral Health Agency	$0	$9.2M
Brookdale North Gilbert, LLC	AZ	Assisted Living Facility	$0	$6.1M
Joel Rainwater	AZ	Diagnostic Radiology Physician	$1.7M	$0
Jeffrey Braxton	AZ	Surgery Physician	$817.2K	$0
Karen Garby	AZ	Vascular & Interventional Radiology Physician	$620.3K	$0
Ajay Narwani	AZ	Pain Medicine (Anesthesiology) Physician	$151K	$54.7K

Elite Innovative Health LLC — Billing Profile & Reimbursement Data

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Elite Innovative Health LLC — 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