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

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

Abbe Center For Community Mental Health, Inc (NPI 1063586071)

Field	Value
Entity Type	Organization
Organization	Abbe Center For Community Mental Health, Inc
Address	615 5th St Se
City	Cedar Rapids
State	IA
ZIP	52401
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 20, 2006

Payer Source	Total Paid
Medicaid	$85.7M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid organization: there is no Medicare billing on file and the provider reports $85.7M in lifetime Medicaid revenue, indicating that Medicaid is the dominant — essentially exclusive — revenue source for the practice. The absence of Medicare activity suggests its business model and patient population are focused on Medicaid-covered behavioral health services rather than dual-eligible or fee-for-service Medicare markets.

Revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (H2016, 99490, H0040) account for 67.5% of this provider’s total Medicaid revenue. Individually those top codes are H2016 $27.7M (32.3% of Medicaid revenue), 99490 $24.2M (28.2%), and H0040 $6M (7.0%), so per-diem and care-management services are driving the majority of dollars.

The code mix points to a community-based, longitudinal behavioral health operation: H2016 (Comprehensive community support services, per diem) has 130K claims and 99490 (clinical staff services/care coordination) has 154K claims, while H0040 (Assertive community treatment program, per diem) has 103.8K claims. High volumes on these per-diem and chronic-care coordination codes indicate the provider operates large-scale community support and ACT programs rather than being limited to episodic outpatient visits.

Alongside per-diem programs, the provider also reports very high volumes of psychotherapy and psychiatric evaluation services, which complements its community programs: 90834 has 59.8K claims ($5.7M, 6.6% of Medicaid revenue), 90792 has 12.6K claims ($2.7M, 3.1%), and 90791 has 15.1K claims ($2M, 2.3%). This mix suggests an integrated model that combines ongoing per-diem supports with substantial one-to-one clinical evaluation and psychotherapy capacity.

The provider is a statewide outlier and in some cases a market leader for several codes: 99490 ranks #1 of 57 providers in-state (100th percentile; extreme outlier), H0037 ranks #1 of 26 (100th percentile; extreme outlier), 90791 ranks #2 of 401 (100th percentile; extreme outlier), and 90834 ranks #11 of 675 (99th percentile; extreme outlier). These rankings indicate the organization is a dominant or unusually large provider of chronic care coordination, community psychiatric supportive treatment, psychiatric evaluations, and psychotherapy relative to in-state peers.

Not all high-revenue per-diem codes are unusual in-state: H2016 (Comprehensive community support services) generates $27.7M and ranks #10 of 176 (95th percentile) and H0040 (Assertive community treatment) generates $6M and ranks #4 of 12 (73th percentile), both annotated as typical or unremarkable volumes despite their large absolute dollars. This pattern implies the provider’s largest revenue streams are either consistent with other established community providers (H2016) or concentrated within a smaller set of ACT programs (H0040).

The provider maintains a notable crisis-intervention footprint: S9485 (crisis intervention per diem) produced 6.9K claims and $2.4M in revenue (2.8% of Medicaid revenue) and ranks #1 of 14 providers in-state (100th percentile; notably above typical state volume). S9484 (crisis intervention per hour) also appears in the mix, indicating formalized, higher-acuity crisis response capacity that complements ACT and community support services.

Ancillary and telehealth elements are present but materially smaller contributors to revenue: Q3014 (telehealth originating site facility fee) had 13.7K claims for $288.3K (0.3% of Medicaid revenue) and ranks #7 of 75 in-state (92th percentile; notably above typical state volume). Group therapy, brief assessments (96127), and day habilitation codes appear in the tail of the revenue profile, reinforcing that the organization’s primary business is per-diem community supports and care coordination rather than high-volume ancillary or facility fee billing.

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	129,970	$210	$27.7M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	153,970	$160	$24.2M
H0040	Assertive community treatment program, per diem	103,820	$60	$6M
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…	59,800	$100	$5.7M
H0037	Community psychiatric supportive treatment program, per diem	24,000	$180	$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…	63,460	$60	$3.8M
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…	38,450	$90	$3.3M
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…	12,600	$210	$2.7M
S9485	Crisis intervention mental health services, per diem	6,930	$350	$2.4M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	15,120	$130	$2M

Showing 1–10 of 42

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Abbe Center For Community Mental Health, Inc — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	10	180	10,790	$390	$15.2M
H0040	Assertive community treatment program, per diem	4	10	48,800	$60	$4.6M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1	60	16,120	$150	$3.8M
T2020	Day habilitation, waiver; per diem	76	100	10,960	$110	$3M
H2019	Therapeutic behavioral services, per 15 minutes	91	90	5,380	$100	$1.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	16	20	3,280	$160	$960.3K
H0037	Community psychiatric supportive treatment program, per diem	1	30	1,050	$210	$800.8K
S9485	Crisis intervention mental health services, per diem	1	10	470	$370	$572.7K
T2021	Day habilitation, waiver; per 15 minutes	26	100	2,780	$60	$386.9K
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…	11	680	670	$70	$343.5K

Showing 1–10 of 42

Related Providers

Other providers that share a Tax Identification Number (TIN) with Abbe Center For Community Mental Health, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shelby Biller	KY	Psychiatric/Mental Health Nurse Practitioner	$16.2K	$0
Ellen Natvig	IA	Physician Assistant	$15.6K	$0

Nearby Providers

Other providers in the same ZIP code as Abbe Center For Community Mental Health, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of East Central Iowa	IA	Community/Behavioral Health Agency	$0	$15.5M
Horizons, A Family Service Alliance	IA	Community/Behavioral Health Agency	$0	$2.5M
Irving Point Limited Partnership	IA	Assisted Living Facility	$0	$1.6M
Beyond Behavior Aba	IA	Community/Behavioral Health Agency	$0	$1.5M
Melanie Stahlberg	IA	Internal Medicine Physician	$262.5K	$0
Ryan Hollenbeck	IA	Interventional Cardiology Physician	$221.6K	$0
Amandeep Singh Dhaliwal	IA	Cardiovascular Disease Physician	$205.3K	$0
Trisha Sheeley	IA	Internal Medicine Physician	$198.9K	$0
Fadi Yacoub	IA	Internal Medicine Physician	$183.3K	$0
Abha Saxena	IA	Nephrology Physician	$169.8K	$0

Abbe Center For Community Mental Health, Inc — Billing Profile & Reimbursement Data

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Abbe Center For Community 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