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.

Burrell, Inc. (NPI 1184166027)

Field	Value
Entity Type	Organization
Organization	Burrell, Inc.
Address	1300 E Bradford Pkwy
City	Springfield
State	MO
ZIP	65804
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 9, 2016

Payer Source	Total Paid
Medicaid	$758.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer Medicaid: lifetime Medicaid revenue is $758.9M and there is no Medicare billing on file. The absence of Medicare activity alongside a large Medicaid footprint indicates operations focused on state behavioral health programs rather than traditional Medicare services.

Revenue is extremely concentrated in a single program line: the top 3 Medicaid codes by revenue account for 99.6% of this provider's total Medicaid revenue, with T1040 alone representing $750.9M (98.9% of this provider's total Medicaid revenue). That concentration means nearly all dollars flow through the Medicaid certified community behavioral health clinic per‑diem structure rather than through a broad mix of fee‑for‑service codes.

The code mix points to a community behavioral health clinic model anchored on per‑diem clinic payments (T1040) combined with very high-volume psychotherapy visits (90832, 90834). The presence of large claim counts for 90832 (222.1K claims) and 90834 (221.7K claims) alongside T1040 suggests the organization delivers large numbers of brief and standard psychotherapy encounters within a per‑diem billing framework.

Competitive standing in-state is strong for the clinic and psychotherapy services: T1040 ranks #2 of 31 providers in-state (97th percentile; notably above typical state volume for this code), while 90832 ranks #1 of 391 providers (100th percentile; extreme outlier) and 90834 ranks #2 of 1059 providers (100th percentile; extreme outlier). These ranks indicate BURRELL, INC. is a major, if not dominant, player in Missouri’s Medicaid behavioral health delivery for these services.

Utilization patterns show per‑diem claims driving both volume and revenue totals: T1040 has 2.9M claims and dwarfs other revenue lines, while many encounter codes (H0002 99.9K claims, H0036 1.9M claims, H0025 140K claims, H0040 85K claims) report large claim counts but $0 average paid/claim in the dataset. The combination of high‑volume $0‑paid encounter codes alongside a large per‑diem payment suggests bundled reimbursement or reporting practices where per‑diem payments capture most of the financial value.

Evaluation/management and testing codes are present but represent a small share of revenue relative to T1040: 99214 (78.9K claims, $1M revenue), 99213 (111.4K claims, $668.4K revenue), and testing codes such as 96130 (1.5K claims, $21.1K revenue) show active clinical evaluation services that likely supplement the core per‑diem clinic business. These E/M and testing volumes indicate a comprehensive clinical practice flow but limited standalone revenue contribution.

The provider has an established NPI (enumerated 2016-11-09 (~10 years ago)), and the lifetime Medicaid revenue of $758.9M combined with the statewide ranks and percentiles suggests a sustained, high-volume operational footprint in Missouri Medicaid behavioral health. Given the extreme revenue concentration in T1040, policy, certification, or rate changes to per‑diem clinic payments would materially affect the provider’s financial profile.

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	2,921,790	$260	$750.9M
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…	222,100	$10	$2.4M
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…	221,730	$10	$2.2M
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…	78,930	$10	$1M
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…	111,400	$10	$668.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	38,630	$20	$656.6K
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…	24,420	$20	$366.2K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	13,190	$20	$316.4K
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…	28,190	$10	$141K
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,…	10,310	$10	$51.6K

Showing 1–10 of 44

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

Burrell, Inc. — 12 of 19 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

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	2	30	198,100	$260	$125.7M
H0037	Community psychiatric supportive treatment program, per diem	3	20	56,420	$120	$11.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	2	20	214,040	$20	$10.8M
H2036	Alcohol and/or other drug treatment program, per diem	6	10	17,770	$200	$7.4M
H0031	Mental health assessment, by non-physician	4	10	130	$620	$4.7M
H2015	Comprehensive community support services, per 15 minutes	4	20	4,550	$50	$2.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	4	20	40,460	$20	$2M
H2012	Behavioral health day treatment, per hour	8	10	33,050	$30	$1.9M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	10	10	1,150	$160	$1.4M
H0001	Alcohol and/or drug assessment	3	10	380	$280	$1.1M

Showing 1–10 of 44

Nearby Providers

Other providers in the same ZIP code as Burrell, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoenix Home Care, LLC	MO	Nursing Care Agency	$0	$199.5M
Phoenix Home Care, LLC	MO	In Home Supportive Care Agency	$0	$149M
Integrity Home Care, LLC	MO	Home Health Agency	$0	$115.7M
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$64.5M
Preferred Family Healthcare, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23M
Premier Home Health Care, Inc.	MO	Home Health Agency	$0	$12.1M
Burrell, Inc.	MO	Community/Behavioral Health Agency	$0	$9.1M
2gethertech, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.5M
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$6.6M
Easter Seals Midwest	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.7M

Burrell, 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