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.

Sage Counseling, Inc. (NPI 1891294021)

Field	Value
Entity Type	Organization
Organization	Sage Counseling, Inc.
Address	15650 N Black Canyon Hwy Ste B121
City	Phoenix
State	AZ
ZIP	85053
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 2, 2018

Payer Source	Total Paid
Medicaid	$40.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	517,520	$60	$29M
H0031	Mental health assessment, by non-physician	38,520	$130	$5.2M
T1016	Case management, each 15 minutes	147,610	$30	$4.6M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	16,230	$50	$811.3K
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…	7,130	$100	$677.3K
H0001	Alcohol and/or drug assessment	11,300	$40	$406.8K
H0023	Alcohol and/or drug outreach	1,370	$10	$19.1K
H0038	Self‑help/peer services, per 15 minutes	710	$10	$9.9K
T1013	Sign language or oral interpretive services, per 15 minutes	1,080	$10	$8.7K
A0160	Non-emergency transportation: per mile - case worker or social worker	520	$1	$1K

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

Sage Counseling, Inc. — 4 of 10 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
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…	45	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	59	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	2	1,150	1,700	$90	$1M
H0038	Self‑help/peer services, per 15 minutes	348	580	1,250	$80	$479.7K
H0031	Mental health assessment, by non-physician	16	810	280	$120	$360.5K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	11	290	460	$40	$190K
H0001	Alcohol and/or drug assessment	3	220	90	$30	$26.1K
A0110	Non-emergency transportation and bus, intra or inter state carrier	75	90	1,610	$10	$26K
H0023	Alcohol and/or drug outreach	14	90	200	$20	$13.6K
A0160	Non-emergency transportation: per mile - case worker or social worker	33	80	350	$10	$9.7K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Sage Counseling, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Touchstone Behavioral Health	AZ	Community/Behavioral Health Agency	$0	$15.3M
Pediatric Group Specialists, Ltd.	AZ	Pediatrics Physician	$0	$15.3M
Just For Kids Therapy	AZ	Speech-Language Pathologist	$0	$14.6M
Touchstone Behavioral Health	AZ	Community/Behavioral Health Agency	$0	$13.7M
Touchstone Behavioral Health	AZ	Community/Behavioral Health Agency	$0	$13.2M
Prn Medical Services, LLC	AZ	Durable Medical Equipment & Medical Supplies	$804.1K	$11.5M
Apex Recovery Center LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$11.6M
Strength Training Inc	AZ	Physical Therapist	$0	$11.6M
Sima Health Care LLC	AZ	Developmental Disabilities Clinic/Center	$0	$11.4M
Bilingual Slp Services	AZ	Speech-Language Pathologist	$0	$7.6M

Sage Counseling, Inc. — Billing Profile & Reimbursement Data

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Sage Counseling, 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

Nearby Providers

Frequently Asked Questions

References