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

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

Vera French Community Mental Health (NPI 1245291129)

Field	Value
Entity Type	Organization
Organization	Vera French Community Mental Health
Address	1441 W Central Park Ave
City	Davenport
State	IA
ZIP	52804
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	March 30, 2006

Payer Source	Total Paid
Medicaid	$27.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: there is no Medicare billing on file while Medicaid revenue totals $27.9M, indicating Medicaid is the dominant — and functionally sole — public payer backing its operations. Analysts should treat Medicaid utilization and reimbursement policy as the primary driver of this entity's financial performance.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 74.7% of total Medicaid revenue, driven by 99490 ($11.2M, 40.2%), 90834 ($6.9M, 24.8%), and 99214 ($2.7M, 9.7%). This concentration means a small set of services (chronic care management, psychotherapy, and moderate-complexity E/M visits) produces the bulk of the provider’s Medicaid receipts.

The code mix and volumes point to an operation centered on high-volume outpatient behavioral health and care coordination: 99490 shows 83.6K claims for chronic care management, 90834 shows 76K psychotherapy claims, and 99214 appears 39.3K times for E/M services. Together these figures imply sustained, repeated patient contact and programmatic delivery focused on psychotherapy and provider-directed clinical staff time rather than inpatient or procedural services.

Statewide competitive standing is strong for core behavioral health services: 90834 ranks #4 of 675 providers in-state (100th percentile, labeled an "extreme outlier"), 90791 ranks #6 of 401 (99th percentile, also an "extreme outlier"), and 99214 ranks #18 of 1063 (98th percentile). 99490 ranks #5 of 57 (93th percentile, "notably above typical" state volume), indicating the provider is a major outlier in psychotherapy and care‑management activity compared with peers.

Community and per‑diem program codes are present but not dominant: H0040 (assertive community treatment) generated $2M (7.2% of Medicaid revenue) and ranks #8 of 12 in-state (36th percentile), while H0037 (community psychiatric supportive treatment) produced $955.3K (3.4%) and ranks #7 of 26 (76th percentile). These per‑diem services supplement the high-volume outpatient psychotherapy and CCM activity but represent a smaller share of revenue.

The provider demonstrates breadth within outpatient behavioral health: additional psychotherapy and E/M codes appear with meaningful volume and elevated state percentiles — 90832 (8.4K claims, $410.4K; 94th percentile), 90837 ($167.2K; 73th percentile), 99213 ($1.2M; 94th percentile), and 99215 ($333.2K; 98th percentile). This spread indicates the organization delivers a mix of short and long psychotherapy sessions alongside low‑ to high‑complexity office visits, supporting a full outpatient therapy and medical management workflow.

The heavy reliance on very high claim volumes (e.g., 83.6K claims for 99490 and 76K claims for 90834) together with the 74.7% revenue concentration in three codes creates operational sensitivity: changes in Medicaid reimbursement, utilization policy for CCM or psychotherapy, or audit/coverage criteria for these specific services could materially affect revenue. Stakeholders should monitor policy changes tied to chronic care management and psychotherapy payment rules.

The provider has long tenure in the NPI registry (enumerated 2006-03-30, ~20 years ago), which aligns with the scale of its statewide footprint and sustained high volumes. This extended presence likely supports established referral patterns and capacity to deliver repeated outpatient behavioral health and care‑management services at scale.

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	83,650	$130	$11.2M
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…	75,970	$90	$6.9M
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…	39,280	$70	$2.7M
H0040	Assertive community treatment program, per diem	37,310	$50	$2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9,070	$130	$1.2M
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…	20,210	$60	$1.2M
H0037	Community psychiatric supportive treatment program, per diem	4,490	$210	$955.3K
H2016	Comprehensive community support services, per diem	1,800	$290	$517.2K
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…	8,380	$50	$410.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,060	$110	$333.2K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Vera French Community Mental Health — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	134	180	10,790	$390	$15.2M
H0040	Assertive community treatment program, per diem	8	10	48,800	$60	$4.6M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	5	60	16,120	$150	$3.8M
H0037	Community psychiatric supportive treatment program, per diem	7	30	1,050	$210	$800.8K
S9485	Crisis intervention mental health services, per diem	7	10	470	$370	$572.7K
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…	4	680	670	$70	$343.5K
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…	75	120	980	$50	$230.3K
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…	18	1,060	480	$40	$154.5K
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…	86	1,310	760	$20	$153.1K
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…	74	140	210	$120	$152.1K

Showing 1–10 of 32

Nearby Providers

Other providers in the same ZIP code as Vera French Community Mental Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Health System	IA	Family Medicine Physician	$0	$23.2M
Family Resources Inc	IA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$5.8M
Robert Mixsell	IA	Family Medicine Physician	$427.8K	$1.4M
Signature Management	IA	Assisted Living Facility	$0	$923.2K
Manisha Fenzl	IA	Family Medicine Physician	$123.1K	$111.7K
Mitchell Binkley	IA	Family Medicine Physician	$186.8K	$0
Joanne Miller	IA	Emergency Medicine Physician	$65K	$99.4K
Kiwhoon Lee	IA	Radiation Oncology Physician	$162.5K	$0
Antonio Vigliotti	IA	Radiation Oncology Physician	$146.8K	$1.3K
Christine Sharis	IA	Radiation Oncology Physician	$97.3K	$0

Vera French Community Mental Health — Billing Profile & Reimbursement Data

Sign up for Vera French Community Mental Health — Billing Profile & Reimbursement Data policy alerts

Vera French Community Mental Health — Billing Profile & Reimbursement Data

Sign up for Vera French Community Mental Health — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References