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

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

Southwestern Behavioral Healthcare, Inc. (NPI 1033108766)

Field	Value
Entity Type	Organization
Organization	Southwestern Behavioral Healthcare, Inc.
Address	415 Mulberry St
City	Evansville
State	IN
ZIP	47713
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 15, 2005

Payer Source	Total Paid
Medicaid	$56.6M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reported $56.6M in lifetime Medicaid revenue, making it effectively a Medicaid-focused operation rather than a dual-payer practice. The absence of Medicare activity alongside sizable Medicaid receipts indicates the provider’s services and reimbursement exposure are concentrated in state programs.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes account for 73.1% of the provider’s total Medicaid revenue. In particular, H2014 accounts for $21.6M (38.1%), H0010 accounts for $15.7M (27.7%), and T1016 accounts for $4.1M (7.3%) — together these three codes drive the bulk of the financial profile.

The code mix points to a service line centered on behavioral health and substance-use treatment with both residential and outpatient components. H0010 (43.8K claims, $358 avg paid/claim, $15.7M) signals substantial sub-acute detoxification/residential addiction program activity, while H2014 (197.7K claims, $109 avg paid/claim, $21.6M) reflects a heavy emphasis on skills training and development as an ongoing rehabilitative service.

Operationally, the provider appears to maintain a high-throughput care-management infrastructure: T1016 (153.2K claims, $27 avg paid/claim, $4.1M) is a significant revenue contributor and indicates extensive case-management interactions by non-physician staff. The presence of both per-15-minute case management and a smaller volume of monthly case-management billing (T2022) suggests mixed-intensity care coordination supporting longer-term residential and outpatient treatment episodes.

Outpatient psychotherapy and group modalities are also sizable parts of the activity mix, evidenced by large claim volumes for therapy codes. 90853 (142.9K claims, $13 avg paid/claim, $1.9M) ranks #6 of 217 in-state (98th percentile; notably above typical state volume) and 90834 (72.7K claims, $43 avg paid/claim, $3.1M) ranks #18 of 584 in-state (97th percentile); together these reflect a strong throughput of individual and group psychotherapy sessions alongside the provider’s addiction services.

The provider shows above-typical state-level activity on several adjunct service lines that extend its treatment footprint beyond residential care. Q3014 (18K claims, $18 avg paid/claim, $323.3K) ranks #5 of 55 (93rd percentile; notably above typical state volume) indicating frequent use of telehealth originating-site billing, and 96372 (8.1K claims, $9 avg paid/claim, $72.7K) ranks in the 97th percentile, suggesting notable use of injection procedures or medication administration relative to peers.

Competitively, the provider is a solid but not dominant in-state player on its top revenue drivers: H2014 ranks #17 of 48 (66th percentile; typical, unremarkable volume) and H0010 ranks #19 of 57 (68th percentile; typical, unremarkable volume), while T1016 is stronger at #14 of 52 (75th percentile; typical, unremarkable volume). At the same time, the provider is comparatively prominent for certain therapy and evaluation codes (for example, 90853 and 90791 at the 98th percentile), indicating pockets of above-typical market share in outpatient therapy and psychiatric assessment.

The provider’s NPI was enumerated on 2005-10-15 (~21 years ago), indicating longstanding participation in Medicaid networks. That tenure, combined with concentrated Medicaid revenue and high claim volumes across case management, skills training, residential detoxification, and psychotherapy, supports a profile of an established behavioral health provider with integrated residential and outpatient service lines focused on Medicaid beneficiaries.

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	197,710	$110	$21.6M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	43,800	$360	$15.7M
T1016	Case management, each 15 minutes	153,170	$30	$4.1M
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…	72,720	$40	$3.1M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	142,920	$10	$1.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	17,820	$100	$1.8M
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…	29,520	$60	$1.7M
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…	22,230	$70	$1.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	18,600	$80	$1.4M
H0031	Mental health assessment, by non-physician	12,230	$80	$929.2K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Southwestern Behavioral Healthcare, Inc. — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	17	50	75,600	$130	$34.8M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	19	60	23,940	$380	$12.8M
T1016	Case management, each 15 minutes	14	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	16	70	3,960	$130	$1.9M
T2022	Case management, per month	76	100	710	$180	$1.1M
H2034	Alcohol and/or drug abuse halfway house services, per diem	8	10	4,820	$130	$933.4K
H0031	Mental health assessment, by non-physician	14	40	6,070	$70	$724.3K
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…	18	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	12	30	7,890	$20	$529.8K
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…	90	2,120	870	$60	$450.6K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwestern Behavioral Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gene Flick	IN	Psychiatry Physician	$41.5K	$0
Meghan Cohron	IN	Clinical Social Worker	$8.5K	$0

Nearby Providers

Other providers in the same ZIP code as Southwestern Behavioral Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Echo Community Health Care, Inc	IN	Federally Qualified Health Center (FQHC)	$0	$4.1M
Narothama Reddy Aeddula	IN	Nephrology Physician	$288.6K	$3.8K
Nripesh Pradhan	IN	Nephrology Physician	$265.7K	$7.4K
Adam Becker	IN	Urology Physician	$248.7K	$0
Peter Juran	IN	Nephrology Physician	$241.7K	$4.2K
Jamie Mull	IN	Dermatology Physician	$182.2K	$0
Bruce Schneider	IN	Gastroenterology Physician	$181.5K	$0
Mir Fahad Faisal	IN	Gastroenterology Physician	$162.3K	$0
David Malitz	IN	Ophthalmology Physician	$133K	$17.3K
Charles Vincent	IN	Urology Physician	$145.6K	$0

Southwestern Behavioral Healthcare, Inc. — Billing Profile & Reimbursement Data

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Southwestern Behavioral Healthcare, 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