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

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

Clark Community Mental Health Center (NPI 1497297626)

Key Findings

Field	Value
Entity Type	Organization
Organization	Clark Community Mental Health Center
Address	104 W Main St
City	Pierce City
State	MO
ZIP	65723
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 4, 2016

Payer Source	Total Paid
Medicaid	$68.8M
Medicare	$0

This provider has no Medicare billing on file and reports $68.8M in lifetime Medicaid revenue, making its observable payment footprint effectively single-payer Medicaid. Its NPI was enumerated on 2016-11-04 (~10 years ago), indicating roughly a decade of credentialing in public programs.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 99.9% of total Medicaid revenue, and a single code, T1040, accounts for $68.6M (99.7% of this provider's Medicaid revenue). This dependence implies that most of the provider’s Medicaid receipts are driven by one per-diem service line.

The dominant code, T1040 (Medicaid certified community behavioral health clinic services, per diem), had 250.2K claims at $274 avg paid/claim and clearly defines the operation as a Medicaid-certified community/behavioral health clinic that is paid primarily on a per-diem basis. The code mix suggests the organization operates as a community behavioral health clinic model where per-diem facility payments, not high-volume individual E/M or psychotherapy fee-for-service payments, drive revenue.

Despite T1040 dominance, CLARK COMMUNITY MENTAL HEALTH CENTER is not a top statewide biller for that code: T1040 ranks #14 of 31 providers in-state (57th percentile) and is characterized as typical, unremarkable volume for this code. In other words, the provider relies heavily on the per-diem revenue stream but is a modest in-state participant on that specific Medicaid per-diem metric rather than a dominant statewide leader.

Several outpatient E/M and psychotherapy CPT codes appear frequently but contribute only token paid revenue: 99213 has 13.9K claims and $69.4K revenue (0.1% of total Medicaid revenue) and 90834 has 8.1K claims and $48.8K revenue (0.1% of total). These codes rank highly by percentile in-state (for example 99213 is 97th percentile and 90834 is 98th percentile) yet are described as typical, unremarkable volume for those codes, indicating relatively strong coding frequency but low paid amounts compared with the provider’s overall Medicaid revenue profile.

A substantial set of behavioral health H-codes show nonzero claim volumes but report $0 avg paid/claim and $0 revenue on file (examples include H0004: 11.7K claims, H0036: 154.1K claims, H0038: 21.7K claims, and H2017: 33.5K claims). The presence of large claim counts with $0 recorded paid amounts suggests these services may be submitted in ways that do not generate separate paid line-item revenue in this dataset (for example, bundling, managed-care capitations, or reporting conventions), which materially affects observable fee-for-service revenue patterns.

Smaller, longer psychotherapy or higher-complexity E/M codes appear but make minimal revenue contributions: 90837 shows 329 claims and $17.8K revenue (0.0% of total Medicaid revenue) and 99214 shows 2.7K claims and $35.4K revenue (0.1% of total). Both are characterized in the data as typical, unremarkable volume for those codes, reinforcing that while the provider delivers a range of behavioral-health services, those line items are not the primary Medicaid revenue drivers.

Taken together, the data portray CLARK COMMUNITY MENTAL HEALTH CENTER as a Medicaid-focused community behavioral health clinic with a decade-long NPI presence and extreme revenue concentration in a single per-diem code (T1040). For payer/provider analysts, the key operational insight is that contracting, utilization management, or network strategies targeting per-diem community behavioral health payments will capture the vast majority of this provider’s Medicaid revenue exposure, while fee-for-service psychotherapy and E/M lines show activity but contribute negligibly to paid revenue on file.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	250,190	$270	$68.6M
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…	13,880	$10	$69.4K
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…	8,130	$10	$48.8K
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…	2,720	$10	$35.4K
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…	4,800	$1	$19.2K
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…	330	$50	$17.8K
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,…	3,940	$1	$11.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,400	$1	$1.4K
99203	The provider sees a new 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 provider…	40	$0	$0
99204	The provider sees a new 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 provider…	20	$0	$0

Showing 1–10 of 21

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	198,100	$260	$125.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	15	20	214,040	$20	$10.8M
H0031	Mental health assessment, by non-physician	5	10	130	$620	$4.7M
H2015	Comprehensive community support services, per 15 minutes	16	20	4,550	$50	$2.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	14	20	40,460	$20	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	14	40	3,680	$30	$978K
H0005	Alcohol and/or drug services; group counseling by a clinician	16	20	16,420	$20	$858.5K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	19	30	6,100	$10	$339.7K
H2010	Comprehensive medication services, per 15 minutes	22	20	8,760	$10	$336.6K
H0038	Self‑help/peer services, per 15 minutes	8	40	2,510	$10	$272.7K

Clark Community Mental Health Center — Billing Profile & Reimbursement Data

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Clark Community 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

Frequently Asked Questions

References