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

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

Astra Mental Health And Recovery, Inc. (NPI 1306812060)

Field	Value
Entity Type	Organization
Organization	Astra Mental Health And Recovery, Inc.
Address	330 Sw Oakley
City	Topeka
State	KS
ZIP	66606
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 23, 2006

Payer Source	Total Paid
Medicaid	$35.9M
Medicare	$0

Key Findings

ASTRA MENTAL HEALTH AND RECOVERY, INC. is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $35.9M in Medicaid revenue, making Medicaid the sole material payer in its claims mix. The NPI was enumerated on 2006-02-23 (~20 years ago), indicating roughly two decades of operation under this enrollment.

Revenue is highly concentrated in a small set of programmatic, time-based services: the precomputed top three Medicaid codes (H2011, H0036, H2017) together account for 81.3% of the provider's total Medicaid revenue. The three largest contributors are H2011 ($14.8M, 41.2%), H0036 ($10.8M, 30.0%), and H2017 ($3.6M, 10.1%), which drive the bulk of cash flow.

The code mix points to an operational model centered on crisis and community-based psychiatric support rather than traditional office-based medical care. H2011 (crisis intervention, per 15 minutes) is the single largest revenue generator, complemented by H0036 (community psychiatric supportive treatment, per 15 minutes) and H2017 (psychosocial rehabilitation, per 15 minutes), indicating high-volume, short-interval therapeutic encounters and programmatic service delivery.

ASTRA is a statewide leader specifically in crisis-intervention services: H2011 ranks #1 of 47 providers in-state (100th percentile) and is labeled an "extreme outlier," signaling dominance in that code relative to peers. H2017 also ranks highly (#3 of 63, 97th percentile) and is described as "notably above typical state volume," which together indicate the provider is a major player in multiple community mental health program lines.

Beyond the top three, the provider shows strong volumes in care coordination and support services that align with a community behavioral-health footprint. T1017 (targeted case management) reports 68.4K claims and $1.4M revenue (4.0%) and ranks #7 of 218 providers in-state (97th percentile), while H0038 (self-help/peer services) records 17.6K claims and $1.1M revenue (3.2%) and ranks #3 of 64 providers (97th percentile), both described as "notably above typical" — together these suggest substantial case management and peer-support capacity.

The practice also bills significant medical-home and evaluation codes, implying integration of assessment and care-coordination functions into its programs. S0281 (medical home program maintenance) accounts for $331.5K (0.9%) and ranks #2 of 24 providers (96th percentile), and 90791 (psychiatric evaluation) accounts for $209.2K (0.6%) and ranks #3 of 153 providers (99th percentile, "extreme outlier"); these positions suggest formalized care-planning and intake evaluation throughput at scale.

Traditional E/M and psychotherapy codes are present but comprise modest shares relative to programmatic codes, indicating outpatient visits and individual psychotherapy are complementary revenue lines rather than primary drivers. Examples include 99214 ($426.2K, 1.2%), 90834 ($316.3K, 0.9%), and 90837 ($274.7K, 0.8%), each of which ranks high in percentile terms but represents small proportions of total Medicaid revenue.

From a contracting and utilization-review perspective, the provider's heavy dependence on a few per-15-minute behavioral-health program codes (top three = 81.3% of Medicaid revenue) creates concentration exposure: any policy, reimbursement, or programmatic change affecting crisis intervention or community psychiatric supportive treatment would materially impact revenue. Payers and network planners should note ASTRA's statewide dominance in H2011 and elevated rankings across several community-service codes when evaluating network adequacy, capacity, or targeted audits of service-line utilization.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2011	Crisis intervention service, per 15 minutes	46,390	$320	$14.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	84,150	$130	$10.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	80,750	$50	$3.6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	29,250	$60	$1.6M
T1017	Targeted case management, each 15 minutes	68,380	$20	$1.4M
H0038	Self‑help/peer services, per 15 minutes	17,550	$70	$1.1M
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…	16,390	$30	$426.2K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	3,070	$110	$331.5K
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…	7,910	$40	$316.3K
S0311	Comprehensive management and care coordination for advanced illness, per calendar month	3,600	$80	$276.9K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Astra Mental Health And Recovery, Inc. — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	24	60	21,510	$90	$8.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	12	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	3	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	1	50	1,840	$270	$1.1M
T1017	Targeted case management, each 15 minutes	7	220	5,390	$40	$599.4K
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…	57	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	3	60	2,130	$50	$223.2K
S0311	Comprehensive management and care coordination for advanced illness, per calendar month	4	30	680	$130	$182K
G9150	National committee for quality assurance - level 3 medical home	2	20	290	$150	$161K
T2003	Non-emergency transportation; encounter/trip	40	40	2,210	$30	$150.8K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Astra Mental Health And Recovery, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amanda Schulte	KS	Family Nurse Practitioner	$16.7K	$0
Elizabeth Freundorfer	KS	Clinical Social Worker	$1K	$0

Nearby Providers

Other providers in the same ZIP code as Astra Mental Health And Recovery, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Service And Guidance Center Of Topeka, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$44.9M
Cotton-o'neil Clinic Revocable Trust	KS	Internal Medicine Physician	$0	$21.7M
Family Service And Guidance Center Of Topeka, Inc.	KS	Community/Behavioral Health Agency	$0	$17.6M
Astra Mental Health And Recovery, Inc.	KS	Community/Behavioral Health Agency	$0	$11.2M
Cotton-o'neil Clinic Revocable Trust	KS	Clinical Medical Laboratory	$3.6M	$6.8M
Midland Care Connection, Inc.	KS	Community Based Hospice Care Agency	$0	$4.3M
Topeka Hospital, LLC	KS	General Acute Care Hospital	$0	$3.9M
Partners In Pediatrics PA	KS	Pediatric Adolescent Medicine Physician	$0	$3.7M
Pediatric Associates Of Topeka, P.A.	KS	Pediatrics Physician	$0	$3.5M
Southerncare, Inc.	KS	Community Based Hospice Care Agency	$0	$2.1M

Astra Mental Health And Recovery, Inc. — Billing Profile & Reimbursement Data

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Astra Mental Health And Recovery, 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