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.

Southeast Kansas Mental Health Center (NPI 1366184228)

Field	Value
Entity Type	Organization
Organization	Southeast Kansas Mental Health Center
Address	1106 S 9th St
City	Humboldt
State	KS
ZIP	66748
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 11, 2022

Payer Source	Total Paid
Medicaid	$66.1M
Medicare	$0

Key Findings

SOUTHEAST KANSAS MENTAL HEALTH CENTER is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $66.1M. The provider’s NPI was enumerated 2022-04-11 (~4 years ago), indicating relatively recent enrollment but substantial Medicaid activity since then.

Revenue is highly concentrated in one code: T1040 (Medicaid certified community behavioral health clinic services, per diem) accounts for $66.1M revenue (100.0% of this provider's total Medicaid revenue). Precomputed top‑3 shares also sum to 100.0%, confirming that per‑diem community behavioral health clinic services are the sole driver of reported Medicaid dollars.

Operational profile implied by the code mix centers on community behavioral health per‑diem services plus high volumes of psychotherapy and case management codes. T1040’s dominance together with large claim counts for H0036, H2017, T1017 and psychotherapy codes (90832, 90834, 90837) indicates the organization operates as a community behavioral health clinic delivering outpatient psychotherapy, targeted case management, and community psychiatric support.

T1040 is a statewide leader: it ranks #1 of 33 providers in‑state and sits at the 100th percentile, described as "notably above typical state volume for this code." This positioning signals a dominant local market share for Medicaid certified community behavioral health clinic per‑diem services in Kansas.

Several high‑volume service codes show large claim counts but report $0 avg paid/claim and $0 revenue (for example H0036: 105.4K claims, H2017: 31.4K claims, 90832: 18.4K claims). This pattern is consistent with bundled per‑diem payment structures or alternative claim/reporting arrangements where T1040 captures the paid Medicaid dollars while other service codes are submitted for encounter tracking rather than separate payment.

90832 stands out as an extreme utilization outlier: 18.4K claims and rank #1 of 137 providers in‑state (100th percentile; labeled an "extreme outlier"). That suggests unusually high reliance on brief psychotherapy encounters relative to peers and may reflect program design or coding practices concentrated on short face‑to‑face therapy units.

Beyond dominance in T1040 revenue, the provider shows notable volume in several service categories where its rank is well above typical state activity (e.g., H0036 rank #4 of 63, 95th percentile; 90834 rank #9 of 278, 97th percentile). These elevated rank positions across supportive treatment, psychotherapy, and telehealth originating site codes indicate broad operational scale across multiple behavioral health service lines even if those lines do not separately generate Medicaid payments.

From a payer and contracting perspective, the organization’s dependence on a single Medicaid revenue stream (T1040) creates concentrated financial exposure to changes in per‑diem policy or certification rules, while its high encounter volumes across many codes give it operational scale and a strong statewide competitive footing for community behavioral health services. Analysts should treat the center as a Medicaid‑centric, high‑volume behavioral health provider with leverage tied to the T1040 certification and related encounter reporting.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	216,070	$310	$66.1M
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	1,370	$0	$0
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	870	$0	$0
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…	220	$0	$0
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…	18,360	$0	$0
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…	9,720	$0	$0
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…	2,650	$0	$0
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…	30	$0	$0
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,…	20	$0	$0
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…	3,620	$0	$0

Showing 1–10 of 22

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

Southeast Kansas Mental Health Center — 1 of 1 code 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	1	30	34,540	$260	$13.9M
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…	54	60	21,510	$90	$8.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	4	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	17	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	6	50	1,840	$270	$1.1M
T1017	Targeted case management, each 15 minutes	33	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…	214	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	32	60	2,130	$50	$223.2K
S0311	Comprehensive management and care coordination for advanced illness, per calendar month	24	30	680	$130	$182K
H0004	Behavioral health counseling and therapy, per 15 minutes	67	70	470	$100	$143.1K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southeast Kansas Mental Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeast Kansas Mental Health Center	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.9M
Bruce Lee	KS	Family Medicine Physician	$219.1K	$2.4K
Robert Thomen	KS	Family Medicine Physician	$178.2K	$2.4K
Kathi Yokum	KS	Nurse Practitioner	$169.6K	$1.3K
Martin Dillow	KS	Family Medicine Physician	$158.4K	$2.8K
David Guernsey	KS	Family Medicine Physician	$154.9K	$1.7K
John Robinson	KS	Urology Physician	$151.2K	$0
Brieanna Mueller	KS	Medical Physician Assistant	$95.7K	$0
Erika Dick	KS	Primary Care Nurse Practitioner	$51.6K	$0
Elizabeth Garton	KS	Psychiatric/Mental Health Nurse Practitioner	$20.7K	$1.8K

Nearby Providers

Other providers in the same ZIP code as Southeast Kansas Mental Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Humboldt Assisted Living, LLC	KS	Home Health Agency	$0	$960K
Kelli Eccles	KS	Family Nurse Practitioner	$18K	$0

Southeast Kansas Mental Health Center — Billing Profile & Reimbursement Data

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Southeast Kansas Mental Health Center — 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