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 1467414771)

Field	Value
Entity Type	Organization
Organization	Southeast Kansas Mental Health Center
Address	1106 S 9th St
City	Humboldt
State	KS
ZIP	66748
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 3, 2006

Payer Source	Total Paid
Medicaid	$20.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid revenue totals $20.9M, indicating the organization’s operations are overwhelmingly dependent on Medicaid reimbursement. The provider’s NPI was enumerated on 2006-04-03 (≈20 years ago), showing long-tenured participation in the public-payor market.

Revenue is highly concentrated: the top three Medicaid codes (H0036, H2017, 90834) together account for 80.6% of this provider’s total Medicaid revenue. Individually those codes report $11.5M (54.9%), $4.2M (20.1%), and $1.2M (5.6%) in Medicaid revenue respectively, making these three the primary drivers of the organization’s Medicaid income.

The code mix signals a community mental health operational model focused on community-based, time-based services and psychotherapy. High volume in H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes) and H2017 (Psychosocial rehabilitation services, per 15 minutes) combined with substantial claims for 90834 (psychotherapy, 38–52 minutes) indicate sustained delivery of both rehabilitative/community support and individual psychotherapy sessions. Additional codes such as T1019 (personal care services), T1017 (targeted case management), and T1040 (CBHC per diem) further point to integrated care, case management, and support services wrapped around clinical treatment.

Competitively, the provider is a significant Medicaid participant for several codes but not uniformly dominant across all service lines. H0036 ranks #7 of 63 providers in-state (90th percentile), which places the center among the higher-volume providers for community psychiatric supportive treatment, while H2017 ranks #15 of 63 (77th percentile), reflecting an elevated but not top-tier position for psychosocial rehabilitation. By contrast, 90834 is an outlier: it ranks #5 of 278 providers in-state (99th percentile) and is labeled an “extreme outlier,” indicating exceptional psychotherapy volume relative to peers.

Telehealth and originating-site services are a noticeable part of the mix: Q3014 shows 9K claims and $108.5K in revenue and ranks #2 of 41 providers in-state (98th percentile). While Q3014 contributes only 0.5% of total Medicaid revenue, the high rank suggests the provider is an active telehealth originating site relative to peers and may be leveraging remote access as part of its service delivery model.

The provider shows meaningful engagement in care coordination and intensified behavioral health programs but with mixed in-state positioning. S0311 (comprehensive management and care coordination) generates $381.6K and ranks #8 of 30 (76th percentile), and T1017 (targeted case management) produces $294.4K and ranks #53 of 218 (76th percentile), indicating routine use of care coordination services. However, T1040 (CBHC per diem) appears more modest at $347K and ranks #27 of 33 (19th percentile), suggesting limited participation in per‑diem certified community behavioral health clinic billing relative to the small set of peers that use that payment model.

Clinical intensity is skewed toward longer psychotherapy encounters and substantial use of both 38–52 minute and 53+ minute sessions. In addition to 90834 being an extreme outlier, 90837 (psychotherapy 53+ minutes) shows $621.7K in revenue and ranks #21 of 731 providers (97th percentile), described as “notably above typical state volume.” The presence of 90832, 90834, and 90837 at meaningful volumes indicates a broad offering of psychotherapy session lengths and a higher-than-typical throughput of longer psychotherapy services in the state.

Because 80.6% of Medicaid revenue is concentrated in three codes and there is no Medicare revenue reported, the provider’s financial performance is closely tied to Medicaid utilization and reimbursement for a narrow set of service lines. That concentration creates operational exposure to any policy or rate changes affecting H0036, H2017, or psychotherapy codes, and it also means strategic shifts in state Medicaid programming or telehealth policy could disproportionately affect this organization’s revenue base.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	93,880	$120	$11.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	40,640	$100	$4.2M
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…	21,650	$50	$1.2M
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…	22,750	$50	$1M
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…	9,710	$60	$621.7K
S0311	Comprehensive management and care coordination for advanced illness, per calendar month	2,160	$180	$381.6K
H2011	Crisis intervention service, per 15 minutes	2,200	$170	$374.3K
T1040	Medicaid certified community behavioral health clinic services, per diem	2,040	$170	$347K
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…	10,860	$30	$315.1K
T1017	Targeted case management, each 15 minutes	15,500	$20	$294.4K

Showing 1–10 of 29

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 — 4 of 25 codes 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	27	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…	27	60	21,510	$90	$8.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	15	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	21	50	1,840	$270	$1.1M
T1017	Targeted case management, each 15 minutes	53	220	5,390	$40	$599.4K
H2021	Community-based wrap-around services, per 15 minutes	25	30	3,140	$60	$441K
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…	209	1,050	560	$80	$266.8K
S0311	Comprehensive management and care coordination for advanced illness, per calendar month	8	30	680	$130	$182K
G9150	National committee for quality assurance - level 3 medical home	16	20	290	$150	$161K

Showing 1–10 of 29

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	Community/Behavioral Health Agency	$0	$66.1M
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