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

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

Mental Health Centers Of Central Illinois (NPI 1225008113)

Field	Value
Entity Type	Organization
Organization	Mental Health Centers Of Central Illinois
Address	710 N 8th St
City	Springfield
State	IL
ZIP	62702
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 24, 2006

Payer Source	Total Paid
Medicaid	$38.4M
Medicare	$0

Key Findings

MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $38.4M, indicating the organization’s clinical and billing focus is almost entirely within Medicaid-funded behavioral health services. The provider’s NPI was enumerated on 2006-01-24 (~20 years ago), indicating long-standing operation and likely established payer relationships in the state.

Revenue is highly concentrated in a small set of Medicaid service lines: the precomputed top three Medicaid codes account for 62.9% of the provider’s total Medicaid revenue. The three largest contributors—H0004 ($10.3M, 26.8%), H2000 ($7.1M, 18.6%), and H2015 ($6.7M, 17.5%)—collectively dominate the revenue base, so changes in reimbursement or utilization for these codes would materially affect overall revenue.

The code mix indicates a service model centered on intensive outpatient and community-based behavioral health: H0004 (behavioral health counseling and therapy, per 15 minutes) is the single largest revenue source, supported by very high claim volume (113.2K claims). Substantial revenue from H2000 (comprehensive multidisciplinary evaluation) and H2015 (comprehensive community support services, per 15 minutes) further signal a focus on evaluation, care planning, and ongoing community support rather than inpatient or medical-somatic care.

Competitive standing in Illinois is strong and concentrated for multiple codes: the provider ranks in top percentiles statewide for several high-volume codes—H2000 ranks #3 (100th percentile, extreme outlier), H0004 ranks #9 (99th percentile, extreme outlier), and H2015 ranks #12 (97th percentile, notably above typical). These rankings indicate the organization is a major provider of these specific Medicaid behavioral health services in-state and operates at volumes far above typical peers.

Several codes are statistical outliers by state benchmarks, reflecting unusually high utilization patterns for certain services. In addition to H2000 and H0004 being described as "extreme outlier" volumes, H2011 (crisis intervention service, per 15 minutes) also posts $6.7M and ranks #2 statewide (99th percentile, extreme outlier), implying that crisis intervention and evaluation services are particular areas of scale and specialization for this provider.

While most high-volume codes are per-15-minute or per-encounter behavioral health services, the provider also bills meaningful per-diem and hourly crisis and support services: H2016 (per diem comprehensive community support services) and S9484 (crisis intervention mental health services, per hour) contribute $3.5M and $1.8M respectively, showing a mix of episodic and time-based billing that complements the high-volume minute-based therapy and evaluation codes. This mix suggests capacity for both ongoing community support programs and time-intensive crisis response.

Several non-dominant codes further reflect the breadth of behavioral health operations and point to ancillary capabilities: T1016 (case management) contributes $1.5M and ranks in the 91st percentile, while H0031 (mental health assessment by non-physician) and H0032 (service plan development) are high-percentile outliers (#2 and #3 statewide respectively) despite lower dollar totals, indicating extensive use of non-physician assessment and care planning resources within the organization.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	113,170	$90	$10.3M
H2000	Comprehensive multidisciplinary evaluation	83,920	$90	$7.1M
H2015	Comprehensive community support services, per 15 minutes	103,530	$70	$6.7M
H2011	Crisis intervention service, per 15 minutes	42,320	$160	$6.7M
H2016	Comprehensive community support services, per diem	32,400	$110	$3.5M
S9484	Crisis intervention mental health services, per hour	4,780	$370	$1.8M
T1016	Case management, each 15 minutes	23,400	$60	$1.5M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	820	$340	$280.2K
H0031	Mental health assessment, by non-physician	3,450	$80	$268.9K
H0032	Mental health service plan development by non-physician	2,250	$60	$130.3K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Mental Health Centers Of Central Illinois — 6 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	15	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	12	430	3,260	$80	$1.3M
S9484	Crisis intervention mental health services, per hour	23	80	1,600	$260	$972.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	9	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	2	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	3	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	41	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	46	110	1,030	$40	$179.2K
H2010	Comprehensive medication services, per 15 minutes	103	250	690	$30	$145.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	4	50	230	$340	$119.5K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Mental Health Centers Of Central Illinois, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$25.7M
Zhenqiang Gao	IL	Anatomic Pathology & Clinical Pathology Physician	$67.5K	$19.5M
Advanced Medical Transport Of Springfield Inc	IL	Ambulance	$879.6K	$8.4M
Memorial Home Services Of Central Illinois, Inc	IL	Durable Medical Equipment & Medical Supplies	$0	$8.9M
Lifestar Ambulance Service, Inc.	IL	Ambulance	$249.2K	$5.6M
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$4.5M
Timothy Gillison	IL	Hematology & Oncology Physician	$1.7M	$54.1K
Scott Mink	IL	Hematology & Oncology Physician	$1.6M	$60.3K
Amit Gupta	IL	Hematology & Oncology Physician	$1.5M	$9.4K
Mhd Yahia Zeino	IL	Obstetrics & Gynecology Physician	$9.2K	$1.3M

Mental Health Centers Of Central Illinois — Billing Profile & Reimbursement Data

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Mental Health Centers Of Central Illinois — 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