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.

Community Health Network, Inc (NPI 1265477632)

Key Findings

Field	Value
Entity Type	Organization
Organization	Community Health Network, Inc
Address	6950 Hillsdale Ct
City	Indianapolis
State	IN
ZIP	46250
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 18, 2006

Payer Source	Total Paid
Medicaid	$37.4M
Medicare	$0

This provider is effectively a Medicaid-centric behavioral health organization: lifetime Medicare revenue is listed as none and total Medicaid revenue is $37.4M, so its commercial/Medicare footprint is either absent or not on file and Medicaid is the dominant payer for its operations. The NPI was enumerated 2006-06-18 (~20 years ago), indicating a long-tenured presence in the market that aligns with its large Medicaid volumes.

Revenue is highly concentrated in a small set of outpatient psychotherapy and E/M codes: the top three Medicaid codes (90834, 99214, 90853) account for 64.7% of the provider’s total Medicaid revenue. Those top three include 90834 at $16.4M (43.9%), 99214 at $4.7M (12.6%), and 90853 at $3.1M (8.2%), which together drive the majority of billed Medicaid dollars.

The code mix points to a large-scale psychotherapy operation with integrated evaluation/management services: 90834 (individual psychotherapy) shows 373.1K claims and $16.4M revenue, while 90853 (group psychotherapy) has 236.2K claims and $3.1M revenue, and 99214 (moderate-complexity outpatient E/M) accounts for 70K claims and $4.7M. This pattern suggests daily high-volume outpatient psychotherapy (individual and group) with substantial accompanying E/M visits, consistent with a community mental health clinic model.

Clinically acute services are also a revenue driver and an area of statewide dominance: 90839 (crisis psychotherapy) appears with 43.2K claims and $2.8M revenue and is labeled an extreme outlier, ranking #1 of 33 providers in-state. The provider’s top psychotherapy and crisis codes (90834, 90853, 90839) are described as extreme outliers or far above typical state volume, indicating it is a major provider of crisis and therapy services in Indiana.

On competitive standing for core E/M codes, the practice is notably above typical state volume but less uniquely dominant than for psychotherapy codes: 99214 ranks #38 of 2122 providers (98th percentile; notably above typical state volume) with 70K claims and $4.7M, and 99213 registers 52.6K claims and $1.8M (97th percentile). These high percentiles for E/M visits indicate strong capacity for moderate- and low-complexity outpatient medical management in support of behavioral health care.

Operational scale is evident from claim counts that are large even within behavioral health: examples include 373.1K claims for 90834 and 236.2K claims for 90853, which imply significant scheduling, clinical staffing, and billing throughput requirements. Ancillary service lines such as case management (T2022: 1.6K claims, $1.2M) and psychiatric evaluation (90791: 21.8K claims, $1.5M) further suggest a multi-service outpatient program rather than a narrow single-service shop.

While the provider is an extreme outlier for several psychotherapy codes, other codes show more typical or unremarkable volumes, which limits the scope of dominance to core outpatient behavioral health: for example, 99215 ($308.1K, ranks #37 of 511) and 90792 ($298.5K, ranks #18 of 218) are described as typical or unremarkable volumes. This contrast indicates concentrated market leadership in high-volume therapy and crisis services rather than across all possible behavioral health or inpatient E/M categories.

From a payer-strategy perspective, the combination of no Medicare billing on file and $37.4M of Medicaid revenue means any payer analytics or contract strategy should treat this entity as effectively single-payer (Medicaid) at present; strategic engagement or risk arrangements with Medicare would require confirming whether Medicare enrollment/billing exists off-file. Given the provider’s long tenure (~20 years) and documented statewide outlier ranks on key psychotherapy codes, Medicaid-focused network and utilization management approaches will be most impactful for understanding and managing its spend profile.

Medicaid: Complete Services Breakdown

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

42 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…	373,130	$40	$16.4M
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…	70,020	$70	$4.7M
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…	236,240	$10	$3.1M
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	43,150	$70	$2.8M
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…	52,560	$40	$1.8M
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…	50,430	$40	$1.8M
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…	23,520	$70	$1.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	21,820	$70	$1.5M
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…	22,150	$60	$1.2M
T2022	Case management, per month	1,620	$750	$1.2M

Showing 1–10 of 42

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

Community Health Network, Inc — 8 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	31	100	710	$180	$1.1M
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…	2	580	710	$60	$582.9K
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…	38	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…	36	690	1,070	$80	$422.3K
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…	68	2,380	920	$50	$376.8K
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…	2	220	1,380	$20	$360.2K
T1015	Clinic visit/encounter, all-inclusive	378	400	5,220	$20	$360.2K
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…	10	430	630	$40	$243.8K
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…	284	530	740	$30	$210K
90899	Use 90899 to report psychiatric services or procedures that do not have a specific code.	18	20	930	$110	$206.5K

Showing 1–10 of 42

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Physicians Of Indiana Inc	IN	Family Medicine Physician	$0	$185M
Community Health Network, Inc	IN	General Acute Care Hospital	$0	$161.7M
Community Health Network, Inc	IN	General Acute Care Hospital	$0	$32.9M
Community Hospital Of Anderson & Madison County, Inc	IN	General Acute Care Hospital	$0	$32.3M
Community Hospital South, Inc.	IN	General Acute Care Hospital	$0	$27.3M
Community Howard Regional Health, Inc	IN	General Acute Care Hospital	$0	$25.5M
Community Home Health Services, Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$11M
Thedacare Medical Center - Waupaca, Inc.	WI	Critical Access Hospital	$0	$10.9M
Thedacare Medical Center - Berlin, Inc.	WI	Critical Access Hospital	$0	$9.4M
Community Howard Regional Health Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.7M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Hospital Of In, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$90.4M
Caregiver Homes Of South Dakota Inc	IN	Case Management Agency	$0	$18.5M
The Hope Source Inc.	IN	Multi-Specialty Clinic/Center	$0	$17.4M
Meds To You LLC	IN	Long Term Care Pharmacy	$16.8M	$80
Josephson-wallack-munshower Neurology PC	IN	Neurology Physician	$0	$9.7M
Indiana Neurology And Pain Center LLC	IN	Pain Medicine (Psychiatry & Neurology) Physician	$0	$6.1M
Choices Coordinated Care Solutions, Inc.	IN	Case Management Agency	$0	$5.9M
Nova Home Care, Inc.	IN	In Home Supportive Care Agency	$0	$4.2M
Emergency Dentist,llc	IN	General Practice Dentistry	$0	$3.3M
Rehabilitation Associates Of In PC	IN	Physical Medicine & Rehabilitation Physician	$0	$3M

Community Health Network, Inc — Billing Profile & Reimbursement Data

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Community Health Network, Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References