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

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

Mississippi Behavioral Health Services, LLC (NPI 1396196879)

Field	Value
Entity Type	Organization
Organization	Mississippi Behavioral Health Services, LLC
Address	860 E River Pl
City	Jackson
State	MS
ZIP	39202
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 27, 2016

Payer Source	Total Paid
Medicaid	$72.8M
Medicare	$0

Key Findings

MISSISSIPPI BEHAVIORAL HEALTH SERVICES, LLC is effectively a Medicaid-focused community behavioral health operator: it reports $72.8M in lifetime Medicaid revenue and has no Medicare billing on file, indicating the organization’s commercial footprint is concentrated in state Medicaid programs rather than fee-for-service Medicare. The absence of Medicare activity suggests its patient panel and services are targeted toward Medicaid-covered populations and community-based behavioral health contracts rather than older adult/Medicare populations.

Revenue is highly concentrated in a small set of time-based behavioral health codes: the precomputed top 3 Medicaid codes account for 73.1% of this provider’s total Medicaid revenue. The three leading revenue drivers are 90837 ($26.3M, 268.6K claims), H2015 ($16.7M, 282.4K claims), and H0036 ($10.2M, 165.1K claims), which together form the financial core of the practice and imply dependence on high-volume psychotherapy and community support services.

The code mix and unit volumes point to intensive, time-based service delivery as the business model. Large claim counts for H2015 (282.4K claims) and H0036 (165.1K claims) — both billed per 15 minutes — together with 90837 psychotherapy sessions (268.6K claims) indicate the provider operates at scale delivering frequent, repeated community support and psychotherapy contacts rather than episodic medical/specialist visits.

MISSISSIPPI BEHAVIORAL HEALTH Services is a dominant statewide provider for multiple Medicaid codes. It ranks #1 of 34 providers in-state for H2015 (100th percentile; extreme outlier), #1 of 28 for H0036 (100th percentile; notably above typical state volume), and #2 of 283 for 90837 (100th percentile; extreme outlier), signaling market-leading volumes and outsized share of care delivery for these services in Mississippi.

Beyond the top three, the provider shows breadth across family and case-management services that reinforce a community behavioral health footprint. High-volume billing for 90847 (109.1K claims, $8.4M revenue) ranks #1 of 79 providers (100th percentile; extreme outlier) and significant volume in T1017 (130.9K claims, $2.7M revenue; #2 of 42, 98th percentile) and H0031 (27.7K claims, $2.4M revenue; #2 of 30, 97th percentile) indicate integrated offerings including family psychotherapy, targeted case management, and non-physician mental health assessment.

Several codes are labeled as statistical outliers statewide, underscoring the provider’s atypical scale for community services. The data explicitly marks 90837 and H2015 as "extreme outlier" volumes and H0036 as "notably above typical state volume," language that supports interpreting this entity as an unusually large delivery site for long psychotherapy sessions and intensive community support in Mississippi.

The provider has an NPI enumerated on 2016-06-27 (~10 years ago), which gives it nearly a decade of recorded Medicaid activity to build scale. Given the tenure and the concentrated, high-volume service mix, payers and competitors should treat this entity as an established, high-capacity Medicaid behavioral health operator in the Jackson, MS market.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	268,610	$100	$26.3M
H2015	Comprehensive community support services, per 15 minutes	282,390	$60	$16.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	165,060	$60	$10.2M
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…	109,150	$80	$8.4M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	44,010	$80	$3.3M
T1017	Targeted case management, each 15 minutes	130,890	$20	$2.7M
H0031	Mental health assessment, by non-physician	27,700	$90	$2.4M
H0038	Self‑help/peer services, per 15 minutes	35,360	$30	$884.1K
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…	10,140	$50	$527.4K
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…	3,650	$110	$401.3K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Mississippi Behavioral Health Services, LLC — 8 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	15	30	3,380	$90	$4.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1	30	19,670	$60	$2.3M
H2015	Comprehensive community support services, per 15 minutes	1	30	5,320	$60	$2.2M
T1017	Targeted case management, each 15 minutes	2	40	2,060	$60	$996.6K
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…	2	280	600	$100	$681.9K
H0031	Mental health assessment, by non-physician	2	30	1,670	$90	$526.3K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	3	50	400	$80	$506.1K
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…	1	80	300	$80	$337.4K
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…	235	1,910	930	$60	$278.7K
H2011	Crisis intervention service, per 15 minutes	14	20	1,140	$110	$251.7K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Mississippi Behavioral Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mississippi Baptist Medical Center, Inc.	MS	General Acute Care Hospital	$0	$42M
Mississippi Children's Home Society - Mypac	MS	Mental Illness Community Based Residential Treatment Facility	$0	$26.5M
Medical Foundation Of Central Mississippi, Inc.	MS	Internal Medicine Physician	$0	$7.5M
James Brown	MS	Retina Specialist (Ophthalmology) Physician	$5.4M	$8.9K
Tammy Young	MS	Medical Oncology Physician	$5.1M	$0
Michael Borne	MS	Retina Specialist (Ophthalmology) Physician	$4.5M	$1.8K
Mississippi Physicians, LLP	MS	Emergency Medicine Physician	$0	$4.2M
Justin Baker	MS	Hematology & Oncology Physician	$4.1M	$0
Mae Physicians Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$3.4M	$114.8K
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0

Mississippi Behavioral Health Services, LLC — Billing Profile & Reimbursement Data

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Mississippi Behavioral Health Services, LLC — 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

Nearby Providers

Frequently Asked Questions

References