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.

Pawnee Mental Health Service, Inc. (NPI 1457040925)

Field	Value
Entity Type	Organization
Organization	Pawnee Mental Health Service, Inc.
Address	2001 Claflin Rd
City	Manhattan
State	KS
ZIP	66502
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 2, 2023

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	48,680	$290	$14M
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	460	$0	$0
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	810	$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…	410	$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…	2,170	$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…	3,760	$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…	4,910	$0	$0
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.	40	$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…	1,030	$0	$0
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	120	$0	$0

Showing 1–10 of 27

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

Pawnee Mental Health Service, Inc. — 0 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	14	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…	52	60	21,510	$90	$8.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	43	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	41	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	16	50	1,840	$270	$1.1M
T1017	Targeted case management, each 15 minutes	76	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…	378	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	21	60	2,130	$50	$223.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	38	40	1,060	$60	$189.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	27	70	470	$100	$143.1K

Showing 1–10 of 27

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Big Lakes Developmental Center Inc	KS	Developmentally Disabled Services Day Training Agency	$0	$49.8M
Pawnee Mental Health Service, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$25.6M
Pediatric Associates Of Manhattan, P. A.	KS	Pediatric Adolescent Medicine Physician	$0	$4.5M
Travis Koeneke	KS	Hematology & Oncology Physician	$4.4M	$0
Sound Physicians Emergency Medicine Of Kansas, LLC	KS	Emergency Medicine Physician	$0	$3.3M
No Stone Unturned Foundation	KS	Physical Therapy Clinic/Center	$0	$2.8M
Manhattan-ogden Usd 383	KS	Local Education Agency (LEA)	$0	$2.7M
Ascension Via Christi Hospital Manhattan, Inc.	KS	General Acute Care Hospital	$0	$1.3M
County Of Riley	KS	Ambulance	$564.6K	$693.9K
Martin Bell	KS	Radiation Oncology Physician	$1M	$0

Pawnee Mental Health Service, Inc. — Billing Profile & Reimbursement Data

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Pawnee Mental Health Service, 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