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

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

Colorado West Regional Mental Health, Inc. (NPI 1992708176)

Field	Value
Entity Type	Organization
Organization	Colorado West Regional Mental Health, Inc.
Address	515 28 3/4 Rd
City	Grand Junction
State	CO
ZIP	81501
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 23, 2005

Payer Source	Total Paid
Medicaid	$84.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused behavioral health organization: it reports $84.2M in Medicaid revenue and has no Medicare billing on file. The absence of Medicare activity indicates its revenue and service footprint are concentrated in the state Medicaid system rather than dual-payer care pathways.

Revenue is materially concentrated in a few service lines: the precomputed top 3 Medicaid codes account for 39.0% of this provider's total Medicaid revenue, with H2036 generating $15.1M (18.5%), H0004 generating $10.1M (12.3%), and 90837 generating $6.6M (8.1%). This concentration shows a reliance on per-diem substance-use programming plus higher-intensity psychotherapy and therapy counseling sessions as core revenue drivers.

The code mix signals a hybrid operation delivering both addiction treatment and outpatient psychotherapy: H2036 (13.2K claims, $1145 avg paid/claim, $15.1M) is a large per-diem alcohol/other drug treatment revenue source while H0004 (43.6K claims, $231 avg paid/claim, $10.1M) and 90837 (25.2K claims, $263 avg paid/claim, $6.6M) indicate heavy investment in behavioral health counseling and long-form psychotherapy. Together these codes imply integrated services spanning residential or per-diem substance-use care and high-volume outpatient therapy.

The provider is a statewide volume leader on several clinical codes tied to assessment and intensive psychotherapy: 90791 (11.1K claims, $252 avg paid/claim, $2.8M) ranks #1 of 512 providers in-state (100th percentile; extreme outlier), and 90837 ranks #19 of 1668 providers in-state (99th percentile; extreme outlier). These rankings suggest the organization is a major destination for psychiatric evaluation and prolonged psychotherapy compared with peers across Colorado.

The organization also appears to operate extensive community and peer-support programs: H0038 (39K claims, $152 avg paid/claim, $5.9M) and H0023 (26.8K claims, $98 avg paid/claim, $2.6M) show high volumes of self-help/peer services and behavioral health outreach, with H0023 ranking #3 of 186 providers in-state (99th percentile; extreme outlier). High claim counts for T1017 (46.4K claims, $113 avg paid/claim, $5.2M; rank #10 of 309, 97th percentile) further indicate substantial targeted case management capacity.

The provider offers inpatient/residential detox and addiction services at measurable scale but not as statewide dominance: H0010 (5.3K claims, $650 avg paid/claim, $3.4M) ranks #6 of 19 providers in-state (72th percentile; typical, unremarkable), and H0011 (1.9K claims, $1240 avg paid/claim, $2.3M) ranks #3 of 12 providers in-state (82th percentile; typical, unremarkable). These placements suggest it supplies residential detox services within a relatively small cohort of specialized providers rather than leading that niche statewide.

Multiple other codes reinforce the provider's breadth and competitive standing across community, outpatient, and group modalities: H0005 (33.1K claims, $126 avg paid/claim, $4.2M) ranks #6 of 169 (97th percentile; extreme outlier) and 90853 (14K claims, $56 avg paid/claim, $782.5K) ranks #5 of 179 (98th percentile; extreme outlier). Collectively, high ranks and percentiles across therapy, group counseling, outreach, and case management indicate the provider is a major entrenched player in Colorado Medicaid behavioral health.

This organization has long operational tenure in the NPI system, enumerated on 2005-05-23 (~21 years ago), which aligns with the depth and scale of its Medicaid billing patterns. The combination of sustained presence, concentrated revenue in addiction and psychotherapy codes, and repeated top-percentile ranks suggests an established, Medicaid-centered service network rather than a nascent or primarily Medicare-facing practice.

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	13,160	$1,150	$15.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	43,580	$230	$10.1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	25,250	$260	$6.6M
H0038	Self‑help/peer services, per 15 minutes	38,970	$150	$5.9M
T1017	Targeted case management, each 15 minutes	46,410	$110	$5.2M
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…	43,070	$100	$4.3M
H0005	Alcohol and/or drug services; group counseling by a clinician	33,090	$130	$4.2M
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…	20,990	$180	$3.9M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	5,290	$650	$3.4M
H2011	Crisis intervention service, per 15 minutes	11,440	$250	$2.9M

Showing 1–10 of 50

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Colorado West Regional Mental Health, Inc. — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	28	280	2,330	$210	$4.8M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	233	480	5,200	$150	$3.5M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	6	20	1,410	$280	$2.2M
H2036	Alcohol and/or other drug treatment program, per diem	7	40	1,910	$300	$1.7M
H2021	Community-based wrap-around services, per 15 minutes	59	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	39	90	1,540	$130	$1M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	3	10	330	$860	$1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	6	20	1,090	$160	$521.1K
T1017	Targeted case management, each 15 minutes	10	310	640	$80	$494.3K
H2014	Skills training and development, per 15 minutes	36	140	870	$150	$457.7K

Showing 1–10 of 50

Related Providers

Other providers that share a Tax Identification Number (TIN) with Colorado West Regional Mental Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

Other providers in the same ZIP code as Colorado West Regional Mental Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mesa Developmental Services Dba Strive	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$59.6M
Tazco, Inc.	CO	Taxi	$0	$39.7M
Hilltop Health Services Corporation	CO	Adult Day Care Clinic/Center	$0	$27.7M
Hilltop Health Services Corporation	CO	Professional Counselor	$0	$24.2M
Mosaic	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.3M
Martha Amos	CO	Mental Health Counselor	$0	$14.6M
St. Mary's Hospital And Medical Center, Inc.	CO	General Acute Care Hospital	$0	$14.5M
Colorado West Emergency Physicians, LLC	CO	Emergency Medicine Physician	$0	$10.6M
Mls Senior Care	CO	Homemaker	$0	$9M
Amos Counseling LLC	CO	Mental Health Counselor	$0	$6.5M

Colorado West Regional Mental Health, Inc. — Billing Profile & Reimbursement Data

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Colorado West Regional Mental Health, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References