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.

Compass Health, Inc. (NPI 1073055208)

Field	Value
Entity Type	Organization
Organization	Compass Health, Inc.
Address	1800 Community
City	Clinton
State	MO
ZIP	64735
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 4, 2016

Payer Source	Total Paid
Medicaid	$1.3B
Medicare	$0

Key Findings

COMPASS HEALTH, INC. reports no Medicare billing on file and $1.28B in lifetime Medicaid revenue, making its activity in this dataset effectively single‑payer Medicaid — analysts should treat Medicaid as the dominant (in practice, only) payer when assessing this entity’s billing footprint. The absence of Medicare entries means comparisons to national Medicare peers are not applicable for this provider.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 99.8% of the provider’s Medicaid revenue, driven overwhelmingly by T1040 ($1.27B; 99.4% of Medicaid revenue) with 90834 ($3M; 0.2%) and 99214 ($2.2M; 0.2%) making up the remainder of that top-three share. This concentration indicates the provider’s paid Medicaid dollars are dominated by a single code rather than being evenly distributed across many CPT/HCPCS lines.

The provider’s taxonomy as a Community/Behavioral Health Agency paired with the dominance of T1040 (Medicaid certified community behavioral health clinic services, per diem) indicates it operates primarily as a Medicaid‑certified, clinic‑style behavioral health provider using per‑diem clinic billing as its core business model. Secondary code mix — including psychiatric evaluation (90791, 90792) and psychotherapy codes (90832, 90834, 90837) — confirms an operational focus on outpatient behavioral health services, but those lines contribute only a small share of paid revenue compared with the T1040 per‑diem.

COMPASS HEALTH is a statewide leader on multiple behavioral-health codes: T1040 ranks #1 of 31 providers in-state (100th percentile; extreme outlier), 90834 ranks #1 of 1059 providers (100th percentile; extreme outlier), and 99214 ranks #2 of 3166 providers (100th percentile; extreme outlier). These rank/percentile positions signal the provider is a dominant in‑state player for the high-volume behavioral health services represented in its billing profile.

Several programmatic H‑codes and community support codes appear with very large claim volumes but show $0 avg paid/claim in the dataset (examples include H0038: 299.3K claims, rank #1 of 36, 100th percentile; H0036: 2.9M claims, rank #1 of 23, 100th percentile; H0004: 190K claims, rank #2 of 40). These zero‑paid claim lines suggest the provider submits high volumes of encounter or programmatic activity for these service categories that do not translate into recorded paid dollars in this data extract, and they warrant further adjudication‑level review rather than immediate assumptions about revenue impact.

There is a clear split between per‑diem and fee‑for‑service economics in the portfolio: the T1040 per‑diem payment drives nearly all paid revenue while common FFS psychotherapy and E/M services (90834 with 334.8K claims yielding $3M; 99214 with 217.6K claims yielding $2.2M) show very low unit payments relative to the per‑diem volume. For payers, that suggests rate and utilization management strategies for per‑diem CCBHC services will have outsized impact on total spend compared with adjustments to individual psychotherapy or E/M unit rates.

The NPI was enumerated on 2016-11-04 (~10 years ago), and within that ~10‑year tenure COMPASS HEALTH has accumulated a very large Medicaid lifetime revenue footprint and achieved extreme statewide volumes on multiple behavioral health codes. That pace and scale are notable for analysts building peer comparisons or evaluating market concentration in community behavioral health services.

For payer and provider analysts, the combination of (a) $1.28B lifetime Medicaid revenue concentrated 99.8% in the top three codes, (b) extreme outlier statewide ranks on T1040, 90834, and 99214, and (c) numerous high‑volume H‑codes with $0 avg paid/claim, flags COMPASS HEALTH as a major Medicaid community behavioral health clinic whose billing and payment patterns merit targeted review of per‑diem program definition, encounter accounting, and claim adjudication processes rather than routine FFS line‑item auditing alone.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	4,651,510	$270	$1.3B
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…	334,830	$10	$3M
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…	217,560	$10	$2.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	45,570	$10	$638K
90832	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…	72,640	$10	$508.5K
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…	139,810	$1	$419.4K
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…	13,740	$20	$261K
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…	29,040	$10	$232.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	12,530	$1	$25.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	450	$20	$8.2K

Showing 1–10 of 39

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

Compass Health, Inc. — 10 of 17 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	1	30	198,100	$260	$125.7M
H0037	Community psychiatric supportive treatment program, per diem	2	20	56,420	$120	$11.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1	20	214,040	$20	$10.8M
H2036	Alcohol and/or other drug treatment program, per diem	3	10	17,770	$200	$7.4M
H2015	Comprehensive community support services, per 15 minutes	2	20	4,550	$50	$2.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	20	40,460	$20	$2M
H2012	Behavioral health day treatment, per hour	3	10	33,050	$30	$1.9M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	3	10	1,150	$160	$1.4M
H0001	Alcohol and/or drug assessment	5	10	380	$280	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	2	40	3,680	$30	$978K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Compass Health	WA	Community/Behavioral Health Agency	$0	$61.1M
Compass Health, Inc	MO	Community/Behavioral Health Agency	$0	$11.1M
Compass Health, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$8.4M
Muhammad Ul Islam	MO	Family Medicine Physician	$31K	$114.4K
Bhaskar Gowda	MO	Psychiatry Physician	$54.1K	$0
Femi Popoola	TX	Psychiatry Physician	$36.5K	$3K

Nearby Providers

Other providers in the same ZIP code as Compass Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four Seasons In Home Services, LLC	MO	Home Health Agency	$0	$18M
Golden Valley Memorial Hospital District	MO	General Acute Care Hospital	$0	$15.6M
Compass Health, Inc.	MO	Case Management Agency	$0	$6.6M
Golden Valley Memorial Hospital District	MO	Rural Health Clinic/Center	$0	$5.6M
Share And Care For Special People, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.6M
Michael Gilbert	MO	Diagnostic Radiology Physician	$100.9K	$3.9K
Richard Woodland	MO	Otolaryngology/Facial Plastic Surgery Physician	$29K	$59.4K
Silas Williams	MO	Vascular & Interventional Radiology Physician	$81.7K	$250
Carroll Wetzel	MO	Surgery Physician	$39.6K	$0
Manik Mehra	MO	Family Medicine Physician	$17.7K	$0

Compass Health, Inc. — Billing Profile & Reimbursement Data

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Compass 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