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.

Mark Twain Association For Mental Health, Inc (NPI 1104368703)

Field	Value
Entity Type	Organization
Organization	Mark Twain Association For Mental Health, Inc
Address	154 Forrest Dr
City	Hannibal
State	MO
ZIP	63401
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 14, 2016

Payer Source	Total Paid
Medicaid	$153.3M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and the provider reports $153.3M in total Medicaid revenue. The NPI was enumerated 2016-11-14 (~10 years ago), indicating roughly a decade of enrollment during which it has built its Medicaid billing footprint.

Medicaid revenue is extremely concentrated: the precomputed top three codes account for 99.8% of this provider's total Medicaid revenue, and a single code, T1040, drives the lion’s share with $152.5M in revenue (99.4% of Medicaid revenue). That concentration means the provider’s financial performance is tightly linked to the reimbursement and utilization dynamics of the T1040 per diem service.

The dominant code, T1040 (Medicaid certified community behavioral health clinic services, per diem), indicates the organization operates primarily as a community/behavioral health clinic model reimbursed on a per‑diem basis. The code mix — with T1040 as the revenue driver and multiple psychotherapy and rehabilitation codes present — is consistent with a clinic-level, bundled payment approach to delivering comprehensive behavioral health services.

Despite its dominant revenue from T1040, the provider’s T1040 volume ranks #6 of 31 in-state (83th percentile) and is described as a typical, unremarkable volume for this code. In other words, although T1040 produces almost all reported Medicaid dollars for this entity, the provider is not the highest-volume T1040 biller statewide and sits in the middle-to-upper range of peers rather than as an outlier market leader.

Psychotherapy activity is notable in encounter counts and state standing even though it represents only a small share of revenue: 90832 generated 35.7K claims and $393K in revenue (0.3% of Medicaid revenue) and ranks #4 of 391 in-state (99th percentile, described as notably above typical state volume); 90837 generated 14.1K claims and $239.3K in revenue (0.2% of Medicaid revenue) and ranks #5 of 439 in-state (99th percentile, labeled an extreme outlier). These ranks indicate above-typical psychotherapy service volume relative to peers despite their limited direct impact on reported Medicaid dollars.

Several high-volume procedure codes appear with large claim counts but $0 reported paid amount (for example H0036: 418.4K claims; H2012: 77K claims; H2017: 50.1K claims; H2010: 39.7K claims; H0005: 26.4K claims). The presence of many high-count, $0-paid codes alongside a dominant T1040 per diem suggests payment for those activities may be captured under the T1040 bundled/per‑diem arrangement or other non‑fee‑for‑service mechanisms in the dataset, creating a billing profile where encounter activity is high but standalone claim payments are centralized under a single per‑diem code.

Evaluation & management codes are present but not major revenue drivers: 99214 (11.8K claims, $142K revenue, 0.1% of Medicaid revenue) and 99213 (12.2K claims, $73.4K revenue, 0.0% of Medicaid revenue) both rank at high state percentiles (99214 is #88 of 3166, 97th percentile; 99213 is #131 of 4312, 97th percentile) and are described as typical, unremarkable volume. This pattern indicates that medical E/M services are part of the clinical mix but contribute only modestly to billed Medicaid dollars compared with the T1040 per diem.

Taken together, the provider’s profile indicates an established, Medicaid‑focused community behavioral health operation with extremely high revenue concentration in a single per‑diem code (T1040) and above‑typical psychotherapy encounter volumes by state comparison. For payers and analysts, key implications are reliance on per‑diem reimbursement dynamics, potential bundling of many service-level claims into a single revenue stream, and operational scale in psychotherapy delivery despite most dollars flowing through the T1040 mechanism.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	602,590	$250	$152.5M
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…	35,720	$10	$393K
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…	14,080	$20	$239.3K
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…	11,840	$10	$142K
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…	12,230	$10	$73.4K
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…	690	$20	$12.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	2,700	$1	$5.4K
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,…	1,290	$1	$5.1K
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…	240	$10	$1.7K
99205	The provider sees a new 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 provider…	140	$10	$1.4K

Showing 1–10 of 29

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

Mark Twain Association For Mental Health, Inc — 4 of 13 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	6	30	198,100	$260	$125.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7	20	214,040	$20	$10.8M
H2036	Alcohol and/or other drug treatment program, per diem	7	10	17,770	$200	$7.4M
H2015	Comprehensive community support services, per 15 minutes	9	20	4,550	$50	$2.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	11	20	40,460	$20	$2M
H2012	Behavioral health day treatment, per hour	4	10	33,050	$30	$1.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	15	40	3,680	$30	$978K
H0005	Alcohol and/or drug services; group counseling by a clinician	9	20	16,420	$20	$858.5K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	15	30	6,100	$10	$339.7K
H2010	Comprehensive medication services, per 15 minutes	4	20	8,760	$10	$336.6K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Mark Twain Association For Mental Health, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boone Supported Living, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$46.5M
Northeast Independent Living Services	MO	Personal Care Attendant	$0	$21.2M
Riney-walden Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.6M
Hannibal Regional Healthcare System, Inc	MO	Rural Acute Care Hospital	$0	$14.5M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Marion County Services For The Developmentally Disabled	MO	Case Management Agency	$0	$6.9M
Marion County Services, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$6.4M
Marion County Ambulance	MO	Land Ambulance	$715.4K	$4.4M
Skills Development, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$4.3M
Jackson Group Home LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.6M

Mark Twain Association For Mental Health, Inc — Billing Profile & Reimbursement Data

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Mark Twain Association For 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

Nearby Providers

Frequently Asked Questions

References