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    OpenPayerNPI Medicare & MedicaidRegion Vi Community Mental Health Commission
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    Region Vi Community Mental Health Commission — Billing Profile & Reimbursement Data

    NPI 1154433233 · Greenwood, MS · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Region Vi Community Mental Health Commission is a mental health clinic/center (including community mental health center) provider located in Greenwood, Mississippi. This profile covers 0 Medicare and 36 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRegion Vi Community Mental Health Commission
    Address2504 Browning Road
    CityGreenwood
    StateMS
    ZIP38930
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedAugust 31, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$100.2M
    Medicare$0

    Key Findings

    Region VI Community Mental Health Commission is effectively a single-payer Medicaid provider with $100.2M in lifetime Medicaid revenue and no Medicare billing on file; all utilization and revenue patterns described below are driven by Medicaid populations rather than Medicare beneficiaries. The absence of Medicare billing on file means any analysis of elderly or fee-for-service Medicare behavioral health activity should not use this entity as a comparator.

    Revenue is highly concentrated in a few high-volume behavioral health service lines: the top three Medicaid codes (H2012, H2017, H2030) together account for 53.1% of this provider’s total Medicaid revenue, indicating that day treatment, psychosocial rehabilitation, and clubhouse services are the dominant business lines. This concentration suggests operational focus and scale in structured community-based behavioral health programs rather than a diffuse outpatient E/M practice.

    Operational profile: large-scale programmatic behavioral health services. H2012 (behavioral health day treatment), H2017 (psychosocial rehabilitation), and H2030 (mental health clubhouse services) are the top revenue drivers and, by description, point to an organization running ongoing day‑programs and clubhouse-style supports that provide recurring, time-based services to many members. These codes’ prominence implies facility-based or programmatic staffing models (group activities, therapeutic day programming, clubhouse supports) rather than one-to-one psychotherapy as the primary revenue engine.

    Competitive standing in-state: this provider is a market leader for multiple Medicaid codes. It ranks #1 of 26 for H2017 and #1 of 19 for H2030 (both 100th percentile), and ranks #4 of 27 for H2012 (88th percentile), demonstrating that it delivers substantially more of these programmatic services than most peers in Mississippi. Several additional codes show notably high percentile ranks (for example, 90837 at the 98th percentile and T1017 at the 95th), reinforcing the provider’s dominant role in community behavioral health services statewide.

    High-volume psychotherapy and family services coexist with programmatic offerings. The provider reports 101.8K claims for 90837 ($11.6M, 11.6% of Medicaid revenue) and 46.6K claims for 90846 ($4.0M, 4.0%), with both listed as extreme outliers or far above typical state volume; this indicates a significant parallel capacity for individual psychotherapy and family therapy alongside day-program services, supporting a blended service model.

    Service mix includes residential and long-term care components: H0018 (short-term residential per diem) and T2048 (long-term residential with room and board) together represent material revenue ($6.4M and $3.5M respectively) and both rank #1 of peers where reported. That combination signals the organization operates or manages both non-hospital residential treatment programs and longer‑term residential placements as part of its continuum.

    Medication administration and long-acting injectables form a distinct, high-cost subset of claims. High average paid claims for J2426 ($1.1M revenue, ranks #1 in-state) and meaningful volumes in J0401 and J2794 show the provider administers long‑acting injectable antipsychotics at scale, which has implications for pharmacy contracting, cold‑chain logistics, and nursing resources. The large volume of 96372 claims (29.4K claims, extreme outlier at 99th percentile) further supports a substantial role for injection administration services across the population served.

    Tenure: the provider’s NPI was enumerated on 2006-08-31 (~20 years ago), indicating longstanding establishment in the market. The multi-decade presence combined with top-state rankings on several codes suggests entrenched program capacity and payer relationships that underpin sustained Medicaid revenue.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2012Behavioral health day treatment, per hour205,240$100$21.3M
    H2017Psychosocial rehabilitation services, per 15 minutes237,100$70$17.3M
    H2030Mental health clubhouse services, per 15 minutes213,970$70$14.3M
    90837In 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…101,780$110$11.6M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem14,340$450$6.4M
    90846A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.46,630$90$4M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes65,810$60$3.9M
    T2048Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem7,930$440$3.5M
    H2015Comprehensive community support services, per 15 minutes42,270$70$2.7M
    T1017Targeted case management, each 15 minutes118,470$20$2.6M

    Showing 1–10 of 36

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Mississippi median

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2012Behavioral health day treatment, per hour4303,380$90$4.3M
    H2030Mental health clubhouse services, per 15 minutes12030,170$60$3.6M
    H2017Psychosocial rehabilitation services, per 15 minutes13012,170$70$3.3M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem1104,420$380$2.5M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes83019,670$60$2.3M
    H2015Comprehensive community support services, per 15 minutes10305,320$60$2.2M
    T2023Targeted case management; per month10202,380$240$1.4M
    T2048Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem1102,180$380$1.3M
    T2015Habilitation, prevocational, waiver; per hour2530940$610$1.3M
    T1017Targeted case management, each 15 minutes3402,060$60$996.6K

    Showing 1–10 of 36

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Region Vi Community Mental Health Commission, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Region 6 Community Mental Health CommissionMSCommunity/Behavioral Health Agency$0$4M

    Nearby Providers

    Other providers in the same ZIP code as Region Vi Community Mental Health Commission, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Total Health Care Services, Inc.MSHomemaker$0$72.5M
    State Of Mississippi - University Of Mississippi Medical CenterMSGeneral Acute Care Hospital$0$31.9M
    Complete Health Care ServicesMSHomemaker$0$8.5M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.5M
    Life Help IndustriesMSMental Health Clinic/Center (Including Community Mental Health Center)$0$5.3M
    Greenwood Leflore HospitalMSRural Health Clinic/Center$0$4.7M
    Coleman Cataract And Eye Laser Surgery Center, IncMSOphthalmologic Surgery Clinic/Center$1.6M$1.5M
    Greenwood Leflore HospitalMSEmergency Medicine Physician$0$2.7M
    Happicare One LLC Ppec Pediatric DaycareMSPediatric Skilled Nursing Facility$0$2.7M
    Med-trans CorporationMSAir Ambulance$968.5K$1.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Region Vi Community Mental Health Commission — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi