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.

Southwest Network, Inc. (NPI 1912164039)

Field	Value
Entity Type	Organization
Organization	Southwest Network, Inc.
Address	1840 N 95th Ave Ste 132
City	Phoenix
State	AZ
ZIP	85037
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 16, 2008

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	379,730	$10	$3.4M
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…	34,280	$30	$925.5K
H0031	Mental health assessment, by non-physician	7,210	$80	$540.6K
T1002	Rn services, up to 15 minutes	30,400	$10	$303.9K
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…	2,670	$100	$255.9K
H2014	Skills training and development, per 15 minutes	26,890	$10	$161.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,340	$90	$123.3K
H0038	Self‑help/peer services, per 15 minutes	5,340	$20	$85.5K
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…	2,430	$30	$82.5K
S0215	Non-emergency transportation; mileage, per mile	5,600	$10	$56K

Showing 1–10 of 28

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

Southwest Network, Inc. — 2 of 25 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	23	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	235	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	627	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	253	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	63	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	94	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	132	580	1,250	$80	$479.7K
S5110	Home care training, family; per 15 minutes	43	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	73	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…	115	3,040	750	$50	$343.9K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Network, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Network	AZ	Community/Behavioral Health Agency	$0	$8.6M
Southwest Network	AZ	Community/Behavioral Health Agency	$0	$6.6M
Southwest Network, Inc.	AZ	Community/Behavioral Health Agency	$0	$6.5M
Southwest Network, Inc.	AZ	Community/Behavioral Health Agency	$0	$6.4M
James Lamousin	AL	Psychiatry Physician	$18.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Estrella Medical Center	AZ	General Acute Care Hospital	$0	$108M
Therapy Tree, PLLC	AZ	Hearing and Speech Clinic/Center	$0	$54.6M
Desert Valley Pediatrics	AZ	Pediatrics Physician	$0	$21.2M
Pedro Denga	AZ	Contractor	$0	$20.7M
Arizona Surgical Specialists Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$1.4M	$8.1M
Southwest Kidney Davita Dialysis Partners LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.3M
Healthy Life Corporation	AZ	Family Medicine Physician	$0	$6.8M
Clear Vision Ophthalmology PC	AZ	Ophthalmology Physician	$0	$6.3M
Az Pediatric Care	AZ	Primary Care Clinic/Center	$0	$6.3M
Nehad Soloman	AZ	Rheumatology Physician	$5.1M	$0

Southwest Network, Inc. — Billing Profile & Reimbursement Data

Sign up for Southwest Network, Inc. — Billing Profile & Reimbursement Data policy alerts

Southwest Network, Inc. — Billing Profile & Reimbursement Data

Sign up for Southwest Network, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References