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 1326617978)

East Central Missouri Behavioral Health Services, Inc is a community/behavioral health agency provider located in Mexico, Missouri. This profile covers 0 Medicare and 15 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	Community/Behavioral Health Agency
NPI Enumerated	June 18, 2021

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	58,540	$270	$15.5M
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…	5,730	$20	$108.9K
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…	4,310	$20	$77.5K
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…	4,020	$10	$48.2K
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…	1,260	$30	$31.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	750	$30	$22.4K
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…	200	$60	$12.3K
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…	360	$30	$9.6K
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,…	60	$0	$0
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	270	$0	$0

Showing 1–10 of 15

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 — 0 of 8 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	21	30	198,100	$260	$125.7M
H0037	Community psychiatric supportive treatment program, per diem	16	20	56,420	$120	$11.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	23	20	214,040	$20	$10.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	23	20	40,460	$20	$2M
H0038	Self‑help/peer services, per 15 minutes	28	40	2,510	$10	$272.7K
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…	170	3,170	230	$70	$128.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	24	20	8,600	$10	$125.5K
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…	369	4,310	300	$60	$110.8K
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…	96	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…	72	190	90	$90	$59.8K

Showing 1–10 of 15

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	Federally Qualified Health Center (FQHC)	$0	$5.4M
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

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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

Nearby Providers

Frequently Asked Questions

References