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

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

Madison Rankin Simpson Mental Health (NPI 1063428761)

Field	Value
Entity Type	Organization
Organization	Madison Rankin Simpson Mental Health
Address	613 Marquette Road
City	Brandon
State	MS
ZIP	39042
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicaid	$110.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while total Medicaid revenue is $110.4M. That concentration makes Medicaid reimbursement policy and state program changes the primary driver of the provider’s revenue trajectory and contracting leverage in the market.

The provider’s NPI was enumerated on 2006-08-01 (~20 years ago), indicating roughly two decades of enrollment and operational presence in the state. That tenure is consistent with the high volumes reported across multiple long‑standing community mental health service codes.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicaid codes by revenue account for 54.4% of this provider's total Medicaid revenue. Those three codes are H2012 ($24.8M, 22.6%), 90837 ($23.6M, 21.4%), and H2017 ($11.4M, 10.4%), showing that over half of Medicaid receipts are driven by behavioral health day treatment, long psychotherapy sessions, and psychosocial rehabilitation.

The code mix indicates an operational model built around time‑based community mental health and psychotherapy delivery: H2012 (behavioral health day treatment), H2017 (psychosocial rehabilitation per 15 minutes), H2015 (comprehensive community support per 15 minutes), H2030 (clubhouse services), and H0036 (community psychiatric supportive treatment) together imply high-throughput, multi‑service outpatient and community rehabilitation programming. Large claim counts—227.5K for H2012 and 226.5K for 90837—underscore a high volume, visit‑centric clinical workflow rather than a small‑clinic psychiatric model.

State competitive standing is strong for several core codes: 90837 ranks #3 of 283 providers in-state at the 99th percentile and is labeled an “extreme outlier,” while H2012 ranks #3 of 27 at the 92th percentile and H2017 ranks #3 of 26 at the 92th percentile. These positions indicate the provider is a major statewide operator for both intensive psychotherapy and day treatment/rehabilitation services.

Multiple codes are flagged as extreme outliers or top‑ranked for the state, signaling exceptional volume in specific service lines: T1002 ranks #1 of 27 providers (100th percentile; extreme outlier) for RN services, H2011 ranks #1 of 19 providers (100th percentile; extreme outlier) for crisis intervention, and 99213 ranks #21 of 1909 providers (99th percentile; extreme outlier) for E/M office visits. Collectively these standings point to unusually large operational scale in nursing, crisis, and routine outpatient evaluation services compared with peers.

The revenue profile shows both breadth and vertical scope across community and residential modalities: the provider also bills H0018 (short‑term residential) with $1.6M, T2048 (long‑term care residential) with $394.4K, J0401 (aripiprazole injection) with $302.6K, and 90853 (group psychotherapy) with $279.9K. This mix suggests capacity for both day/outpatient programming and some residential treatment and medication administration services within the same billing entity.

From a payer or contracting perspective, the combination of single‑payer dependence on Medicaid and the fact that a majority of revenue is concentrated in a few time‑based behavioral health codes (54.4% from top three codes) creates both negotiating clarity and financial concentration risk. Any targeted changes to reimbursement, prior authorization, or utilization management for codes like H2012, 90837, or H2017 would disproportionately affect this provider’s revenue base.

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	227,550	$110	$24.8M
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…	226,450	$100	$23.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	165,420	$70	$11.4M
H2015	Comprehensive community support services, per 15 minutes	142,120	$70	$9.7M
H2030	Mental health clubhouse services, per 15 minutes	131,580	$70	$8.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	114,580	$60	$7.1M
T1002	Rn services, up to 15 minutes	163,510	$30	$5.6M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	39,500	$80	$3.2M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	34,830	$80	$2.9M
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…	54,810	$50	$2.6M

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Madison Rankin Simpson Mental Health — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	3	30	3,380	$90	$4.3M
H2030	Mental health clubhouse services, per 15 minutes	3	20	30,170	$60	$3.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	30	12,170	$70	$3.3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5	10	4,420	$380	$2.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3	30	19,670	$60	$2.3M
H2015	Comprehensive community support services, per 15 minutes	2	30	5,320	$60	$2.2M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	6	10	2,180	$380	$1.3M
T1017	Targeted case management, each 15 minutes	10	40	2,060	$60	$996.6K
H0039	Assertive community treatment, face-to-face, per 15 minutes	11	20	7,880	$90	$914.3K
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…	3	280	600	$100	$681.9K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Madison Rankin Simpson Mental Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region 8 Mh/mr Commission	MS	Intellectual & Developmental Disabilities Psychologist	$0	$9.3M

Nearby Providers

Other providers in the same ZIP code as Madison Rankin Simpson Mental Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mississippi State Department Of Health	MS	Public Health or Welfare Agency	$0	$15.4M
Brandon Hma LLC	MS	General Acute Care Hospital	$0	$10.1M
Family Health Care Clinic, Inc	MS	Federally Qualified Health Center (FQHC)	$0	$6.9M
Mobile Health Solutions Inc	MS	Dental Clinic/Center	$0	$6.1M
New Progressions Of Mississippi, LLC	MS	Community/Behavioral Health Agency	$0	$5.7M
Region 8 Mental Health	MS	Community/Behavioral Health Agency	$0	$2.9M
Albert W. Tutor, Jr., D.m.d. PA	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2M
Lakeland Home Program, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M
Isd Brandon LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M
Reliable Healthcare Services	MS	Nursing Care Agency	$0	$1.6M

Madison Rankin Simpson Mental Health — Billing Profile & Reimbursement Data

Sign up for Madison Rankin Simpson Mental Health — Billing Profile & Reimbursement Data policy alerts

Madison Rankin Simpson Mental Health — Billing Profile & Reimbursement Data

Sign up for Madison Rankin Simpson Mental Health — Billing Profile & Reimbursement Data policy alerts

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