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

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

South Central Behavioral Services. Inc (NPI 1417127630)

Field	Value
Entity Type	Organization
Organization	South Central Behavioral Services. Inc
Address	835 S Burlington Ave
City	Hastings
State	NE
ZIP	68901
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	March 4, 2008

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Key Findings

SOUTH CENTRAL BEHAVIORAL SERVICES. INC bills almost exclusively through Medicaid, with $5.4M in total Medicaid revenue on file and no Medicare billing reported. This makes the organization effectively a single-payer (Medicaid) outpatient behavioral health provider in the data set and indicates limited Medicare exposure or engagement.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and H0040 (Assertive community treatment program, per diem) alone is shown as $5.4M (100.0% of Medicaid revenue). This concentration means the provider’s financial performance is tightly linked to reimbursement and utilization trends for ACT per-diem services.

The code mix and volumes indicate an operational focus on intensive community-based services: H0040 (Assertive community treatment program, per diem) accounts for 4.9K claims with an average paid per claim of $1113, consistent with a daily, multidisciplinary ACT service model rather than episodic outpatient visits. The high per-diem average suggests delivery of resource-intensive care that Medicaid reimburses at a higher daily rate.

In-state competitive standing on H0040 is modest: the provider ranks #2 of 4 in Nebraska and sits at the 67th percentile, a placement described in the data as “typical, unremarkable volume for this code.” This rank implies the organization is neither the dominant nor the smallest ACT provider statewide, but a middle-tier participant in terms of billed volume.

Claims volume supports sustained program activity: 4.9K H0040 claims tied to $5.4M in revenue indicate steady, repeatable per-diem billing rather than sporadic high-cost encounters. For analysts, this suggests predictable utilization patterns that could be modeled for budgeting or network planning around ACT capacity.

The provider has a long tenure in the registry, with NPI enumeration on 2008-03-04 (~18 years ago), signaling an established presence in the local behavioral health market and likely experience managing Medicaid ACT authorizations and daily service delivery. This longevity can be a stabilizing factor for payer contracting or service continuity assessments.

Concentration of revenue in a single code and payer creates both risk and clarity: reliance on H0040 under Medicaid means the provider is sensitive to per-diem rate changes, program authorization policies, and any shifts in state ACT funding. From a payer perspective, oversight of utilization and authorizations for H0040 will capture the vast majority of this provider’s financial activity.

The dataset labels the provider’s H0040 activity as “typical, unremarkable volume,” which aligns with its mid-rank status (67th percentile). For network managers and competitors, this suggests the provider operates at expected levels for ACT services in-state rather than representing an outlier that would warrant immediate audit or aggressive market repositioning.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	4,880	$1,110	$5.4M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

South Central Behavioral Services. Inc — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	2	10	4,640	$120	$4.2M

Nearby Providers

Other providers in the same ZIP code as South Central Behavioral Services. Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mary Lanning Memorial Hospital Association	NE	Rural Acute Care Hospital	$0	$12.9M
John Welch	NE	Retina Specialist (Ophthalmology) Physician	$10.2M	$0
William Terrell	NE	Retina Specialist (Ophthalmology) Physician	$8.6M	$0
The Bridge, Inc	NE	Substance Abuse Rehabilitation Facility	$0	$6.8M
The Mary Lanning Memorial Hospital Association	NE	Family Medicine Physician	$0	$4.3M
The Mary Lanning Memorial Hospital Association	NE	Counselor	$0	$3.1M
Hastings Surgical Center, LLC	NE	Ambulatory Surgical Clinic/Center	$238.6K	$2.2M
Retina Center Of Nebraska, P.C.	NE	Retina Specialist (Ophthalmology) Physician	$0	$2.3M
South Central Behavioral Services	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Larry L Baker, Md, Dds, PC	NE	Oral & Maxillofacial Surgery (D.M.D.)	$0	$1.2M

South Central Behavioral Services. Inc — Billing Profile & Reimbursement Data

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South Central Behavioral Services. 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

Nearby Providers

Frequently Asked Questions

References