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

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

East Central Missouri Behavioral Health Services, Inc. (NPI 1265853063)

East Central Missouri Behavioral Health Services, Inc. is a federally qualified health center (fqhc) provider located in Mexico, Missouri. This profile covers 0 Medicare and 41 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	East Central Missouri Behavioral Health Services, Inc.
Address	340 Kelley Pkwy
City	Mexico
State	MO
ZIP	65265
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 20, 2013

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	24,720	$100	$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…	14,220	$70	$966.9K
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…	8,890	$80	$711.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,560	$130	$196.7K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	6,300	$30	$170K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,770	$100	$168K
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…	900	$130	$115.5K
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…	700	$160	$109.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,600	$50	$72K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	850	$80	$64.3K

Showing 1–10 of 41

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

East Central Missouri Behavioral Health Services, Inc. — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	13	30	120	$100	$165.4K
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…	40	3,170	230	$70	$128.1K
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…	110	4,310	300	$60	$110.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	242	680	280	$90	$65.3K
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…	61	420	90	$100	$60.2K
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…	38	190	90	$90	$59.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	152	640	210	$90	$59.5K
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…	20	1,060	250	$40	$57.7K
D2392	Post 2 surface resin‑based composite	227	360	230	$90	$45.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	22	340	140	$80	$42.5K

Showing 1–10 of 41

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Finck & Associates, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$47.5M
East Central Missouri Behavioral Health Services, Inc	MO	Community/Behavioral Health Agency	$0	$15.8M
Audrain Handicapped Services	MO	Durable Medical Equipment & Medical Supplies	$0	$4.9M
Audrain Handicapped Services	MO	Non-emergency Medical Transport (VAN)	$0	$3.4M
Audrain Ambulance District	MO	Land Ambulance	$311.7K	$1.1M
Michael Quinlan	MO	Internal Medicine Physician	$241.9K	$0
Brandon Glasgow	MO	Physical Therapist	$216.5K	$0
Charles Tillman	MO	Cardiovascular Disease Physician	$213.2K	$310
Peggy Wanner-barjenbruch	MO	Internal Medicine Physician	$170.1K	$0
Kristi Kessler-williams	MO	Optometrist	$52.5K	$29.2K

East Central Missouri Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for East Central Missouri Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data policy alerts

East Central Missouri Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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