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NPI 1215979810 · Windsor, CT · Mental Health Clinic/Center (Including Community Mental Health Center)
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Community Health Resources, Inc. is a mental health clinic/center (including community mental health center) provider located in Windsor, Connecticut. This profile covers 1 Medicare and 26 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Community Health Resources, Inc. |
| Address | 2 Waterside Xing Ste 401 |
| City | Windsor |
| State | CT |
| ZIP | 06095 |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| NPI Enumerated | June 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $38.9M |
| Medicare | $168.3K |
COMMUNITY HEALTH RESOURCES, INC. operates as a mental health and substance-use treatment center: its Medicare billing is entirely driven by G2067 (medication assisted treatment, methadone), which shows 714 claims, $236 avg paid/claim, and $168.5K revenue and is listed as 100.0% of the provider's Medicare revenue. On the Medicaid side the mix is dominated by psychotherapy, case management, and methadone services (examples below), indicating co-located outpatient behavioral health and opioid treatment operations rather than a general medical clinic.
Medicare revenue is very small relative to Medicaid: Total Medicare revenue is $168.3K versus Total Medicaid revenue of $38.9M, so the provider is effectively Medicaid-centric for volume and revenue. The precomputed fact that the top 3 Medicare codes by revenue account for 100.0% of Medicare revenue underscores that Medicare activity is narrowly focused on opioid-treatment program services.
Medicaid revenue concentration is substantial but not singular: the precomputed top-3 Medicaid codes account for 45.2% of Medicaid revenue, with 90834 contributing $9.8M (25.0%), 99213 contributing $4.1M (10.5%), and T1017 contributing $3.8M (9.7%). This indicates a revenue base split between psychotherapy, office E/M visits, and targeted case management rather than reliance on a single Medicaid code.
The provider is a major statewide player for several behavioral-health codes: 90834 (147.9K claims, $66 avg paid/claim, $9.8M revenue) ranks #3 of 571 providers in-state (100th percentile; extreme outlier) and 90791 (26.5K claims, $97 avg paid/claim, $2.6M revenue) ranks #2 of 559 providers in-state (100th percentile; extreme outlier). Similarly, 99213 (83.5K claims, $49 avg paid/claim, $4.1M revenue) ranks #31 of 1714 providers in-state (98th percentile; notably above typical), which together signal dominant in-state scale for psychotherapy and psychiatric evaluation services.
Beyond psychotherapy, the dataset shows significant operational breadth: high counts for group therapy and shorter psychotherapy sessions (90853 63K claims, $22 avg, $1.4M; 90832 29.1K claims, $37 avg, $1.1M) plus intensive outpatient and crisis services (S9480 17.1K claims, $102 avg, $1.7M; S9485 5.3K claims, $143 avg, $751.6K; S9484 4.2K claims, $69 avg, $288.8K). The provider also bills substantial Medicaid volume for methadone administration (H0020 269.7K claims, $14 avg, $3.8M) and targeted case management (T1017 38.3K claims, $99 avg, $3.8M), which together point to a combined continuum of outpatient therapy, medication-assisted treatment, and care coordination.
Competitive positioning differs by payer: nationally for Medicare the provider’s single-code Medicare activity (G2067) ranks #368 of 830 providers (56th percentile), indicating only modest national standing for that Medicare service. In contrast, multiple Medicaid codes place the provider at the top of state distributions (e.g., 90834 and 90791 at the 100th percentile, T1017 at #1 of 22 providers), meaning the organization is a dominant in-state provider for core behavioral-health services and case management.
The provider has an established operational tenure: NPI enumerated on 2006-06-11 (~20 years ago), which aligns with the large cumulative Medicaid claim counts (for example, 90834 147.9K claims and H0020 269.7K claims) that suggest sustained service delivery and scale in the Connecticut Medicaid market. This longevity, paired with the concentration of high-volume psychotherapy and opioid-treatment codes, supports a picture of a mature, Medicaid-focused behavioral health organization.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 710 | $240 | $168.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G2067 | 10 | 10 | 860 | $240 | $401.2K |
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
26 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… | 147,870 | $70 | $9.8M |
| 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… | 83,520 | $50 | $4.1M |
| T1017 | Targeted case management, each 15 minutes | 38,260 | $100 | $3.8M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 269,740 | $10 | $3.8M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 32,600 | $100 | $3.3M |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 26,550 | $100 | $2.6M |
| 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… | 31,570 | $80 | $2.4M |
| 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… | 22,340 | $100 | $2.2M |
| S9480 | Intensive outpatient psychiatric services, per diem | 17,090 | $100 | $1.7M |
| 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… | 63,010 | $20 | $1.4M |
Showing 1–10 of 26
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
26 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 18 | 30 | 668,110 | $10 | $15.3M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 7 | 20 | 10,120 | $220 | $4.8M |
| 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… | 44 | 70 | 3,710 | $120 | $1.6M |
| S9480 | Intensive outpatient psychiatric services, per diem | 11 | 60 | 5,640 | $110 | $1.3M |
| T1017 | Targeted case management, each 15 minutes | 1 | 20 | 4,860 | $100 | $965.6K |
| S9485 | Crisis intervention mental health services, per diem | 3 | 10 | 4,210 | $160 | $619.2K |
| 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… | 54 | 1,590 | 740 | $50 | $331.8K |
| 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… | 31 | 1,710 | 750 | $30 | $243.3K |
| 90847 | A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the… | 16 | 150 | 290 | $80 | $206.3K |
| 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… | 15 | 2,180 | 850 | $90 | $202.1K |
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Other providers in the same ZIP code as Community Health Resources, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bartley Dentistry | CT | Pediatric Dentistry | $0 | $4.9M |
| Windsor Volunteer Ambulance Inc | CT | Land Ambulance | $221.9K | $1.6M |
| Ct Valley Pediatric Center, Inc | CT | Pediatrics Physician | $0 | $1.4M |
| Windsor Public School | CT | Local Education Agency (LEA) | $0 | $1.4M |
| Soebrown Inc. | CT | Community/Behavioral Health Agency | $0 | $1.3M |
| Build A Better You Family Services | CT | Community/Behavioral Health Agency | $0 | $1.2M |
| George Curry | CT | Chiropractor | $31.2K | $242K |
| Saint Francis Gi Endoscopy L.L.C | CT | Ambulatory Surgical Clinic/Center | $235.9K | $10.6K |
| Connecticut Cvs Pharmacy, L.L.C. | CT | Pharmacy | $106.1K | $18.6K |
| Andrew Wakefield | CT | Neurological Surgery Physician | $45.7K | $0 |
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