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

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

Dekalb Community Service Board (NPI 1073686978)

Field	Value
Entity Type	Organization
Organization	Dekalb Community Service Board
Address	445 Winn Way
City	Decatur
State	GA
ZIP	30030
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 16, 2006

Payer Source	Total Paid
Medicaid	$38.8M
Medicare	$0

Key Findings

This provider is effectively single-payer: DEKALB COMMUNITY SERVICE BOARD has no Medicare billing on file and reports $38.8M in lifetime Medicaid revenue, so its scale and financial profile are driven almost entirely by Medicaid programs. Analysts should treat Medicaid policy and rate changes as primary drivers of revenue variability for this entity.

Revenue is highly concentrated in a small set of Medicaid waiver and residential codes: the top three Medicaid codes (T2033, T2025, H2017) account for 67.4% of the provider’s total Medicaid revenue. In absolute terms those codes are T2033 $12.1M (31.3%), T2025 $10.2M (26.3%), and H2017 $3.8M (9.8%), indicating a heavy operational reliance on residential and waiver-funded services.

The code mix points to a community/behavioral health operator that runs both residential waiver programs and intensive psychosocial rehabilitation: T2033 is Residential care (waiver) and T2025 is Waiver services (NOS), while H2017 is Psychosocial rehabilitation per 15 minutes. The presence of substantial volume in these codes alongside many psychotherapy and non-physician assessment codes implies an integrated model of residential supports plus outpatient behavioral health and care management.

H2017 is a clear in-state strength: the provider ranks #1 of 21 for H2017 at the 100th percentile and is described as notably above typical state volume, which, combined with $3.8M in revenue (9.8% of Medicaid revenue), suggests market leadership in psychosocial rehabilitation services within the state. This makes the provider a go-to vendor for time-based psychosocial rehab in Georgia.

Despite being the top revenue drivers, T2033 and T2025 do not show state dominance: T2033 ranks #5 of 10 (56th percentile; typical) while T2025 ranks #5 of 30 (86th percentile; typical). In other words, the provider’s residential and waiver revenues are large in absolute dollars but are not necessarily unique in-state — peers also maintain meaningful volumes in those waiver/residential lines.

Outpatient clinical services and non-physician assessments are also material and concentrated at high percentiles: psychotherapy codes such as 90834 (98th percentile, extreme outlier), 90837 (98th percentile, notably above typical), 90832 (98th percentile, notably above typical) and non-physician codes like H0032 (98th percentile, extreme outlier) and H0031 (92th percentile, notably above typical) all appear well above typical state volume. This pattern indicates robust capacity for therapy, assessment, and service-plan development beyond just residential care.

The provider’s revenue concentration in a few Medicaid-funded lines (top three = 67.4% of Medicaid revenue) creates operational sensitivity: any state-level changes to waiver enrollment, per-diem residential rates, or reimbursement rules for psychosocial rehabilitation could materially affect overall revenue. Combined with the absence of Medicare revenue, this means limited diversification of payer risk.

Tenure and market presence are long-standing: the NPI was enumerated on 2006-11-16 (~20 years ago), which, together with $38.8M in Medicaid lifetime revenue and top-state positions on multiple behavioral health codes, suggests an established community behavioral health organization with durable programmatic offerings in residential, waiver, and psychotherapy services.

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	52,760	$230	$12.1M
T2025	Waiver services; not otherwise specified (nos)	149,830	$70	$10.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	59,180	$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…	17,420	$80	$1.4M
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…	14,910	$100	$1.4M
H0031	Mental health assessment, by non-physician	12,860	$90	$1.2M
H0038	Self‑help/peer services, per 15 minutes	17,280	$70	$1.1M
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…	15,190	$70	$1.1M
T1016	Case management, each 15 minutes	17,510	$60	$1.1M
H0032	Mental health service plan development by non-physician	10,890	$90	$947.3K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Dekalb Community Service Board — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	5	10	32,460	$440	$30.4M
T2017	Habilitation, residential, waiver; 15 minutes	8	10	18,160	$180	$18.4M
T2025	Waiver services; not otherwise specified (nos)	5	30	15,890	$130	$7.5M
H0038	Self‑help/peer services, per 15 minutes	4	10	14,500	$60	$1.3M
T1003	Lpn/lvn services, up to 15 minutes	10	20	470	$150	$1.1M
T1016	Case management, each 15 minutes	4	10	4,850	$70	$923.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	1	20	3,800	$70	$896.7K
T2028	Specialized supply, not otherwise specified, waiver	12	20	2,190	$210	$854K
H2015	Comprehensive community support services, per 15 minutes	14	40	2,260	$70	$518.1K
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…	112	920	370	$60	$360.6K

Showing 1–10 of 35

Nearby Providers

Other providers in the same ZIP code as Dekalb Community Service Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gillian Jones	GA	Oral and Maxillofacial Surgery (Dentist)	$0	$8M
Dekalb Women's Specialists	GA	Obstetrics & Gynecology Physician	$0	$2.4M
John Thomas	GA	Ophthalmology Physician	$1.3M	$0
Reunited Counseling & Training LLC	GA	Preferred Provider Organization	$0	$1.1M
American Access Care Of Atlanta Asc LLC	GA	Ambulatory Surgical Clinic/Center	$1M	$0
Dekalb County Board Of Health	GA	Public Health or Welfare Agency	$0	$1M
Cheryl Gardner	GA	Professional Counselor	$0	$639.3K
Alliance Recovery Center, Inc.	GA	Methadone Clinic	$325.9K	$276.5K
Eps Surgical Center, LLC	GA	Ambulatory Surgical Clinic/Center	$414.4K	$0
Shalin Shah	GA	Ophthalmology Physician	$326.7K	$0

Dekalb Community Service Board — Billing Profile & Reimbursement Data

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Dekalb Community Service Board — 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

Nearby Providers

Frequently Asked Questions

References