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

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

Hinds County Mental Health Comission (NPI 1205853652)

Field	Value
Entity Type	Organization
Organization	Hinds County Mental Health Comission
Address	3450 Highway 80 West
City	Jackson
State	MS
ZIP	39209
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 15, 2006

Payer Source	Total Paid
Medicaid	$42.9M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file while lifetime Medicaid revenue totals $42.9M, indicating operations are concentrated in the Medicaid market rather than split across Medicare/Medicaid. The absence of Medicare activity suggests payer strategy and patient mix are focused on Medicaid-eligible populations and state behavioral-health contracts rather than fee-for-service Medicare beneficiaries.

Revenue concentration is significant: the precomputed top 3 Medicaid codes account for 41.5% of this provider’s total Medicaid revenue, showing that a relatively small set of behavioral-health services drives a large share of overall revenue. In particular, 90837 alone contributes $8.9M (21.0% of Medicaid revenue), making it the single largest revenue driver.

The code mix indicates a service-line emphasis on intensive psychotherapy and community behavioral-health supports. High-volume claim lines such as 90837 (85.5K claims, $8.9M), H0036 (76.2K claims, $4.5M), and H2017 (60.5K claims, $4.2M) point to a combination of long psychotherapy sessions, community psychiatric supportive treatment, and psychosocial rehabilitation as the core of clinical operations. This pattern, together with sizable H2030 and H2015 volumes, is consistent with a community mental health center model that provides both one-on-one psychotherapy and structured rehabilitative programs.

The provider also operates residential and congregate-program capacity alongside outpatient care: H0018 (short-term residential) generated $3.4M and T2048 (long-term residential per diem) appears on the ledger, indicating on-site residential treatment components. These residential revenue lines combined with high-volume clubhouse and rehabilitation codes (H2030, H2017) suggest an integrated continuum from residential care to day/clubhouse services rather than a pure outpatient-only clinic.

Medication management and on-site injectable administration are material revenue contributors, with J2426 ($774.8K), J0401 ($572.6K; rank #1 of 9 providers in-state), and J2794 ($267.9K; rank #1 of 3 providers in-state) reflecting regular use of long-acting injectable antipsychotics. The presence of these high-cost drug codes alongside high psychotherapy volume implies the organization provides combined pharmacologic and psychosocial treatment pathways for serious mental illness.

Competitive standing in-state is strong on multiple codes: 90837 ranks #7 of 283 providers in-state and is described as notably above typical state volume, while several administrative and assessment codes (e.g., H0036, H2017, H2030) sit at mid-to-high percentiles consistent with a large community provider. Additionally, the provider ranks highly on non-therapy codes such as H0032 (rank #2 of 25) and 90791 (rank #5 of 164), supporting the view that it is a major behavioral-health service provider within the state.

There are marked statistical outliers in specific care categories: 99213 appears as an extreme outlier (67.4K claims, $2.7M, 99th percentile) and 96372 similarly registers as an extreme outlier (23.1K claims, $277.5K, 98th percentile), indicating unusually high volumes of routine E/M visits and injections compared with peers. These extreme-volume CPT/HCPCS codes suggest very high visit frequency and procedural throughput relative to other in-state providers, consistent with large caseload management or centralized service delivery workflows.

The provider has long-tenure billing presence: the NPI was enumerated on 2006-07-15 (~20 years ago), which aligns with the profile of an established community mental health center with sustained Medicaid relationships. That longevity, combined with the vertical mix of psychotherapy, rehabilitation, residential, and injectable medication services, supports a strategic position as an entrenched behavioral-health safety-net provider in the state.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	85,520	$100	$8.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	76,170	$60	$4.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	60,500	$70	$4.2M
H2030	Mental health clubhouse services, per 15 minutes	62,760	$60	$3.9M
H2015	Comprehensive community support services, per 15 minutes	55,840	$60	$3.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	10,600	$320	$3.4M
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…	67,390	$40	$2.7M
90846	A 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.	29,600	$80	$2.3M
H0039	Assertive community treatment, face-to-face, per 15 minutes	16,040	$90	$1.5M
H0031	Mental health assessment, by non-physician	15,090	$80	$1.3M

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Hinds County Mental Health Comission — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	12	30	3,380	$90	$4.3M
H2030	Mental health clubhouse services, per 15 minutes	7	20	30,170	$60	$3.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	7	30	12,170	$70	$3.3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2	10	4,420	$380	$2.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	5	30	19,670	$60	$2.3M
H2015	Comprehensive community support services, per 15 minutes	8	30	5,320	$60	$2.2M
T2048	Behavioral 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 diem	7	10	2,180	$380	$1.3M
T1017	Targeted case management, each 15 minutes	9	40	2,060	$60	$996.6K
H0039	Assertive community treatment, face-to-face, per 15 minutes	5	20	7,880	$90	$914.3K
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…	7	280	600	$100	$681.9K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as Hinds County Mental Health Comission, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$4.1M
Pediatric Dentistry, P.A.	MS	Pediatric Dentistry	$0	$3.6M
North Grove Assisted Living	MS	Assisted Living Facility	$0	$2.9M
Alexander, Vincent & Alexandria LLC	MS	Home Health Agency	$0	$2.6M
Methodist Children's Homes	MS	Community/Behavioral Health Agency	$0	$1.7M
Phillip Barkley	MS	Dentist	$0	$1.2M
Kregg Bly	MS	Optometrist	$15.3K	$978.2K
Philip Massey	MS	Clinical Social Worker	$13.9K	$68.7K

Hinds County Mental Health Comission — Billing Profile & Reimbursement Data

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Hinds County Mental Health Comission — 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