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

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

Hamilton Center, Inc. (NPI 1205980901)

Field	Value
Entity Type	Organization
Organization	Hamilton Center, Inc.
Address	620 8th Ave
City	Terre Haute
State	IN
ZIP	47804
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$22.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	231,990	$50	$10.7M
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…	72,330	$40	$2.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	28,020	$70	$2M
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…	48,910	$40	$1.8M
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…	20,400	$60	$1.2M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	18,060	$40	$722.4K
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…	5,600	$90	$481.7K
H2014	Skills training and development, per 15 minutes	3,460	$130	$463.8K
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…	35,220	$10	$457.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20,730	$10	$248.7K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Hamilton Center, Inc. — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	29	50	75,600	$130	$34.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	23	30	240,980	$20	$6.4M
T1016	Case management, each 15 minutes	32	50	8,980	$30	$3.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	16	20	4,500	$120	$1.4M
T2022	Case management, per month	81	100	710	$180	$1.1M
H0031	Mental health assessment, by non-physician	27	40	6,070	$70	$724.3K
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…	5	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	28	30	7,890	$20	$529.8K
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…	137	2,120	870	$60	$450.6K
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…	223	690	1,070	$80	$422.3K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hamilton Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamilton Center, Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.5M
Hamilton Center, Inc.	IN	Psychiatric Hospital	$0	$28.6M
Hamilton Center Inc.	IN	Methadone Clinic	$0	$4.8M
John Wheat	IN	General Practice Physician	$129K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Hospital Inc.	IN	General Acute Care Hospital	$0	$47.1M
Cep America LLC	IN	Emergency Medicine Physician	$0	$9M
Union Hospital, Inc.	IN	Family Medicine Physician	$0	$6.9M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$4.8M
Gaurav Verma	IN	Nephrology Physician	$551.8K	$0
Manish Gera	IN	Nephrology Physician	$543K	$0
Raj Jeevan	IN	Nephrology Physician	$377.3K	$0
Stephen Fern	IN	Orthopaedic Surgery Physician	$283.6K	$0
Carlos Belmar	IN	Orthopaedic Surgery Physician	$191.6K	$0
Robert Haerr	IN	Radiation Oncology Physician	$179.9K	$0

Hamilton Center, Inc. — Billing Profile & Reimbursement Data

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Hamilton Center, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References