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

Why is the Medicaid comparison limited to California 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. California (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.

Behavioral Health Works LLC (NPI 1952672297)

Field	Value
Entity Type	Organization
Organization	Behavioral Health Works LLC
Address	12459 Lewis St Ste 201
City	Garden Grove
State	CA
ZIP	92840
Taxonomy	Behavior Analyst
NPI Enumerated	January 18, 2012

Payer Source	Total Paid
Medicaid	$42.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	266,230	$100	$27.4M
H0032	Mental health service plan development by non-physician	75,780	$90	$7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	15,010	$130	$2M
H0031	Mental health assessment, by non-physician	10,410	$140	$1.4M
S5110	Home care training, family; per 15 minutes	16,080	$80	$1.2M
H0046	Mental health services, not otherwise specified	11,740	$100	$1.2M
H2012	Behavioral health day treatment, per hour	6,700	$160	$1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	3,720	$140	$517.6K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1,820	$110	$200.1K
S5111	Home care training, family; per session	2,500	$80	$189.8K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Behavioral Health Works LLC — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	20	20	13,390	$320	$5M
H2019	Therapeutic behavioral services, per 15 minutes	9	660	4,750	$140	$3.1M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	13	90	2,960	$150	$2.6M
H0032	Mental health service plan development by non-physician	16	980	1,080	$160	$1.5M
H2012	Behavioral health day treatment, per hour	31	110	3,310	$160	$1.3M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	23	80	1,300	$150	$798.6K
H0046	Mental health services, not otherwise specified	19	140	1,570	$130	$598.9K
H0031	Mental health assessment, by non-physician	28	360	330	$180	$492.6K
H2014	Skills training and development, per 15 minutes	37	140	790	$120	$395.1K
0365T	Adaptive behavior tx addl	4	10	1,000	$130	$388K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altamed Health Services Corp	CA	Community Health Clinic/Center	$0	$30.7M
Act Home Health, Inc.	CA	Home Health Agency	$0	$28.5M
Massoud Arbabzadeh	CA	Vascular & Interventional Radiology Physician	$1.3M	$0
Eddie Pyune	CA	Family Medicine Physician	$587.1K	$1.3K
Ocvac - Asc LLC	CA	Ambulatory Surgical Clinic/Center	$275.6K	$246.5K
Garden Grove Surgical Center Inc	CA	Ambulatory Surgical Clinic/Center	$351.4K	$8.7K

Behavioral Health Works LLC — Billing Profile & Reimbursement Data

Sign up for Behavioral Health Works LLC — Billing Profile & Reimbursement Data policy alerts

Behavioral Health Works LLC — Billing Profile & Reimbursement Data

Sign up for Behavioral Health Works LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References