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

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

Dallas County Mental Health & Mental Retardation Center (NPI 1023239886)

Field	Value
Entity Type	Organization
Organization	Dallas County Mental Health & Mental Retardation Center
Address	3242 Remond Dr
City	Dallas
State	TX
ZIP	75211
Taxonomy	Psychiatry Physician
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicaid	$86M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file while Medicaid revenue totals $86M, making Medicaid the sole recorded source of federal program income and exposing the organization to Medicaid reimbursement and policy changes. The absence of Medicare activity suggests its patient population and service model are primarily aligned with Medicaid-covered behavioral health and habilitation services.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 70.4% of the provider's total Medicaid revenue. Those top three are H2014 ($25.7M, 30.0%), H2017 ($19.9M, 23.2%), and 99214 ($14.7M, 17.2%), indicating a heavy dependence on a few programmatic lines.

The code mix points to a community-based behavioral health operation that combines programmatic habilitation and rehabilitation with clinic-based medical management. Large volumes of H2014 (Skills training and development) and H2017 (Psychosocial rehabilitation) alongside 99214 (office E/M, moderate complexity) indicate the organization runs intensive day or community skills programs plus sizable outpatient evaluation/management capacity.

Competitive standing on key Medicaid codes shows the provider is a dominant statewide player for several services. H2014 ranks #3 of 560 providers in-state and is described as a 100th percentile extreme outlier, H2017 ranks #3 of 92 providers and is 98th percentile (notably above typical), and 99214 ranks #5 of 5814 providers and is a 100th percentile extreme outlier, demonstrating unusually large volume relative to peers.

Beyond the top three, other codes reveal both clinical breadth and further concentrated strengths: 96372 has 25.4K claims and $305.1K revenue and ranks #2 of 1388 providers (100th percentile, extreme outlier), while 90792 has 11.8K claims and $2M revenue and ranks #4 of 338 providers (99th percentile, extreme outlier). These figures suggest the organization also delivers high-volume injection/medication administration services and a large number of psychiatric evaluations.

The provider also reports substantial case management and community support activity, consistent with integrated care delivery models: T1017 (Targeted case management) generated $8.2M (9.6% of Medicaid revenue) and ranks #7 of 218 providers (97th percentile, notably above typical), and H2016 (Comprehensive community support services, per diem) produced $4.4M (5.2%) and ranks #49 of 430 providers (89th percentile, typical). This mix indicates sustained investment in longitudinal care coordination and per-diem community supports.

Service-level detail shows multidisciplinary care capacity: technician-delivered and habilitation codes such as 97153 ($619.4K, 0.7%) and 97112 ($339.1K, 0.4%) appear alongside clinician psychotherapy codes like 90837 ($621.9K, 0.7%) and 90834 ($110.1K, 0.1%). The co-occurrence of these codes supports a workforce that includes both licensed clinicians and supervised technicians delivering behavioral interventions and rehabilitative therapies.

The provider appears to be an established organization with sustained market presence: the NPI was enumerated 2007-05-01 (~19 years ago). This long tenure, combined with extreme-outlier volumes on multiple codes, suggests deeply embedded clinical programs and likely significant contractual leverage or network positioning within Texas Medicaid for behavioral health services.

Medicaid: Complete Services Breakdown

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	168,870	$150	$25.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	121,810	$160	$19.9M
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…	257,810	$60	$14.7M
T1017	Targeted case management, each 15 minutes	83,220	$100	$8.2M
H2016	Comprehensive community support services, per diem	52,520	$80	$4.4M
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…	57,200	$40	$2.2M
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…	11,760	$170	$2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	11,600	$110	$1.3M
T1027	Family training and counseling for child development, per 15 minutes	9,770	$110	$1.1M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	8,280	$120	$985.3K

Showing 1–10 of 56

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Dallas County Mental Health & Mental Retardation Center — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	80	110	6,810	$200	$8.1M
H2016	Comprehensive community support services, per diem	49	430	5,020	$270	$5.6M
T1027	Family training and counseling for child development, per 15 minutes	41	40	29,770	$110	$5.2M
H2032	Activity therapy, per 15 minutes	40	50	3,520	$170	$2.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	90	6,780	$130	$2.5M
H2014	Skills training and development, per 15 minutes	3	560	9,630	$80	$1.4M
T1017	Targeted case management, each 15 minutes	7	220	4,700	$90	$1.4M
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…	5	40	1,710	$130	$1.2M
H2015	Comprehensive community support services, per 15 minutes	114	120	2,880	$100	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	263	1,350	1,860	$80	$872.4K

Showing 1–10 of 56

Dallas County Mental Health & Mental Retardation Center — Billing Profile & Reimbursement Data

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Dallas County Mental Health & Mental Retardation Center — Billing Profile & Reimbursement Data

Sign up for Dallas County Mental Health & Mental Retardation Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References