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

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

Tri-county Mental Health Services, Inc. (NPI 1003359977)

Field	Value
Entity Type	Organization
Organization	Tri-county Mental Health Services, Inc.
Address	3100 Ne 83rd St
City	Kansas City
State	MO
ZIP	64119
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 28, 2016

Payer Source	Total Paid
Medicaid	$76.4M
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
T1040	Medicaid certified community behavioral health clinic services, per diem	385,680	$200	$76M
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…	30,510	$10	$183K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	16,380	$10	$98.3K
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…	4,790	$10	$57.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,520	$20	$29K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	620	$30	$21K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	4,490	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	10,410	$0	$0
H0005	Alcohol and/or drug services; group counseling by a clinician	16,420	$0	$0
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	38,660	$0	$0

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Tri-county Mental Health Services, Inc. — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	11	30	198,100	$260	$125.7M
H0037	Community psychiatric supportive treatment program, per diem	15	20	56,420	$120	$11.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	14	20	214,040	$20	$10.8M
H2015	Comprehensive community support services, per 15 minutes	13	20	4,550	$50	$2.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	7	20	40,460	$20	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	16	40	3,680	$30	$978K
H0005	Alcohol and/or drug services; group counseling by a clinician	12	20	16,420	$20	$858.5K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	8	30	6,100	$10	$339.7K
H2010	Comprehensive medication services, per 15 minutes	14	20	8,760	$10	$336.6K
H0038	Self‑help/peer services, per 15 minutes	15	40	2,510	$10	$272.7K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Tri-county Mental Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hy-vee Inc	MO	Community/Retail Pharmacy	$287.7K	$0
Deborah Rodman	MO	Family Nurse Practitioner	$112.6K	$0
Walgreen Co	MO	Pharmacy	$52.5K	$0
Haroon Khalid	MO	Allergy & Immunology Physician	$42.8K	$0
Parimal Purohit	MO	Psychiatry Physician	$16K	$0

Tri-county Mental Health Services, Inc. — Billing Profile & Reimbursement Data

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Tri-county Mental Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Tri-county Mental Health Services, Inc. — 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