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

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

Sumner Mental Health Center (NPI 1093735896)

Field	Value
Entity Type	Organization
Organization	Sumner Mental Health Center
Address	1601 West 16th Street
City	Wellington
State	KS
ZIP	67152
Taxonomy	Mental Health Counselor
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	36,480	$150	$5.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	16,150	$60	$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…	13,520	$60	$797.9K
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…	10,080	$30	$332.6K
T1017	Targeted case management, each 15 minutes	9,970	$30	$249.3K
H0038	Self‑help/peer services, per 15 minutes	3,670	$50	$164.9K
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…	4,430	$20	$97.4K
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…	2,450	$30	$83.4K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1,800	$30	$48.7K
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…	520	$90	$48.1K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Sumner Mental Health Center — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	45	60	21,510	$90	$8.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	29	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	28	60	12,570	$60	$1.5M
T1017	Targeted case management, each 15 minutes	74	220	5,390	$40	$599.4K
H2021	Community-based wrap-around services, per 15 minutes	26	30	3,140	$60	$441K
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…	184	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	22	60	2,130	$50	$223.2K
S5110	Home care training, family; per 15 minutes	30	30	2,000	$30	$139.3K
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…	190	880	400	$60	$136K
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…	344	730	440	$80	$128.1K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trever Krehbiel	KS	Psychiatry Physician	$335.6K	$6.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Futures Unlimited, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.5M
Sumner Mental Health Center	KS	Community/Behavioral Health Agency	$0	$2.6M
Sumner County Family Care Center PA	KS	Rural Health Clinic/Center	$0	$880.2K
City Of Wellington	KS	Basic Emergency Medical Technician	$229.7K	$131.2K
Tamara Mccue	KS	Family Medicine Physician	$230.6K	$0
Ashley Johnson	KS	Physical Therapist	$93.3K	$0
Bal Sharma	KS	Psychiatry Physician	$43.5K	$21.3K

Sumner Mental Health Center — Billing Profile & Reimbursement Data

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Sumner Mental Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References