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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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 & Clinics Of Tennessee (NPI 1255442794)

Field	Value
Entity Type	Organization
Organization	Mental Health Centers & Clinics Of Tennessee
Address	10710 Old Highway 64
City	Bolivar
State	TN
ZIP	38008
Taxonomy	Mental Health Counselor
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$24.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0280	Medical home program, comprehensive care coordination and planning, initial plan	83,100	$160	$12.9M
H0043	Supported housing, per diem	3,960	$1,270	$5M
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…	55,090	$40	$2.4M
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…	42,900	$40	$1.5M
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…	20,270	$30	$668.8K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	6,250	$90	$556.3K
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…	10,170	$50	$488.2K
H0037	Community psychiatric supportive treatment program, per diem	3,710	$130	$474.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,630	$70	$309.9K
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…	1,960	$60	$117.5K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Mental Health Centers & Clinics Of Tennessee — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0280	Medical home program, comprehensive care coordination and planning, initial plan	14	40	22,180	$140	$21.3M
H0037	Community psychiatric supportive treatment program, per diem	12	20	20,260	$150	$19.4M
H0043	Supported housing, per diem	17	20	69,350	$180	$18.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	5	10	2,040	$430	$7.7M
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…	11	360	350	$50	$414.4K
S9485	Crisis intervention mental health services, per diem	10	20	1,410	$60	$291.9K
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…	215	440	530	$70	$282.3K
A0425	Ground mileage, per statute mile	190	340	6,120	$10	$280.5K
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…	21	300	480	$30	$221.2K
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…	313	3,760	610	$40	$202.3K

Showing 1–10 of 27

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bolivar General Hospital, Inc.	TN	Critical Access Hospital	$0	$2.4M
Hardeman County Community Health Center	TN	Federally Qualified Health Center (FQHC)	$0	$2.3M
Star Physical Therapy LP	TN	Rehabilitation Clinic/Center	$0	$2.1M
County Of Hardeman	TN	Land Ambulance	$341.6K	$1.2M
Shanna Shackelford	TN	Psychiatric/Mental Health Nurse Practitioner	$199.5K	$0
Avanti Cross-brown	TN	Psychiatric/Mental Health Nurse Practitioner	$88.7K	$0
Nithyananda Pakkala	TN	Family Medicine Physician	$52K	$9.5K

Mental Health Centers & Clinics Of Tennessee — Billing Profile & Reimbursement Data

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Mental Health Centers & Clinics Of Tennessee — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References