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.

Crossroads Extension Residential (NPI 1962910976)

Crossroads Extension Residential is a community/behavioral health agency provider located in Mesa, Arizona. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Crossroads Extension Residential
Address	244 N Extension Rd
City	Mesa
State	AZ
ZIP	85201
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 12, 2018

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	104,900	$150	$15.4M
H0046	Mental health services, not otherwise specified	108,520	$1	$108.5K
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…	260	$70	$17.9K
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…	200	$50	$9.1K
99203	The provider sees a new 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 provider…	50	$70	$3.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	40	$50	$1.7K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	70	$20	$1.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	80	$20	$1.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	40	$10	$260
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	20	$10	$230

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

Crossroads Extension Residential — 2 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	4	360	430	$320	$2.3M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	288	400	200	$120	$403K
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…	1,979	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…	1,865	2,780	600	$50	$267K
99203	The provider sees a new 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 provider…	690	1,030	130	$70	$134.1K
H0046	Mental health services, not otherwise specified	1	70	2,340	$10	$91.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	213	310	80	$40	$34.6K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	182	210	210	$10	$13.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	412	630	160	$10	$12K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	37	80	60	$10	$2.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossroads, Inc	AZ	Substance Abuse Rehabilitation Facility	$0	$23.9M
Crossroads West	AZ	Substance Abuse Rehabilitation Facility	$0	$12.8M
Crossroads Arcadia	AZ	Substance Abuse Rehabilitation Facility	$0	$11M
Crossroads East	AZ	Substance Abuse Rehabilitation Facility	$0	$10.9M
Crossroads For Women	AZ	Mental Illness Community Based Residential Treatment Facility	$0	$9.8M
Crossroads, Inc. Red Mountain	AZ	Substance Abuse Rehabilitation Facility	$0	$9.4M
Crossroads Midtown	AZ	Substance Abuse Rehabilitation Facility	$0	$7M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Of Maricopa, LLC	AZ	Ambulance	$4.9M	$171.3M
Marc Community Resources, Inc	AZ	Preferred Provider Organization	$0	$80.4M
Partners In Recovery, LLC	AZ	Community/Behavioral Health Agency	$0	$55.8M
R M Arizona Holdings Inc	AZ	Land Ambulance	$1.5M	$51.1M
City Of Mesa	AZ	Ambulance	$1.5M	$21.6M
Mesa Unified School District No. 4	AZ	Local Education Agency (LEA)	$0	$20.5M
Brown Road Senior Housing, LLC	AZ	Assisted Living Facility	$0	$16.9M
Therapy One, PLLC	AZ	Speech-Language Pathologist	$0	$15.1M
Avista Senior Living Vita Bella, LLC	AZ	Health Service Clinic/Center	$0	$12.9M
Supreme Positive Innovation Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M

Crossroads Extension Residential — Billing Profile & Reimbursement Data

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Crossroads Extension Residential — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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