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.

North Central Missouri Mental Health Center (NPI 1154863306)

Field	Value
Entity Type	Organization
Organization	North Central Missouri Mental Health Center
Address	1601 E 28th St
City	Trenton
State	MO
ZIP	64683
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 4, 2016

Payer Source	Total Paid
Medicaid	$42.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	214,730	$200	$42.5M
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…	16,140	$10	$96.8K
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…	8,590	$10	$68.7K
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…	7,720	$1	$23.2K
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…	4,050	$1	$16.2K
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…	170	$30	$5.6K
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…	190	$30	$5.5K
99204	The provider sees a new 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 provider…	580	$10	$5.2K
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…	170	$1	$520
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	50	$0	$0

Showing 1–10 of 23

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

North Central Missouri Mental Health Center — 3 of 9 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	15	30	198,100	$260	$125.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	13	20	214,040	$20	$10.8M
H2015	Comprehensive community support services, per 15 minutes	14	20	4,550	$50	$2.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	17	20	40,460	$20	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	18	40	3,680	$30	$978K
H0005	Alcohol and/or drug services; group counseling by a clinician	23	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)	14	30	6,100	$10	$339.7K
H2010	Comprehensive medication services, per 15 minutes	6	20	8,760	$10	$336.6K
H0038	Self‑help/peer services, per 15 minutes	16	40	2,510	$10	$272.7K
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…	116	3,170	230	$70	$128.1K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green Hills Superior Care, Inc.	MO	Community/Behavioral Health Agency	$0	$12.8M
Serve Link Home Care, Inc.	MO	Home Health Agency	$0	$4.7M
Saint Luke's Hospital Of Trenton	MO	Critical Access Hospital	$0	$3.4M
County Of Grundy	MO	Land Ambulance	$321.2K	$1M

North Central Missouri Mental Health Center — Billing Profile & Reimbursement Data

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North Central Missouri 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

Nearby Providers

Frequently Asked Questions

References