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

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

Clayton Community Mental Health Substance Abuse Deve Svcs Board (NPI 1518932078)

Field	Value
Entity Type	Organization
Organization	Clayton Community Mental Health Substance Abuse Deve Svcs Board
Address	157 Smith St
City	Jonesboro
State	GA
ZIP	30236
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 20, 2006

Payer Source	Total Paid
Medicaid	$554.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	1,900	$80	$157.5K
H0031	Mental health assessment, by non-physician	960	$110	$107.2K
H0032	Mental health service plan development by non-physician	1,090	$80	$85.7K
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…	1,120	$60	$64.7K
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…	350	$140	$49.8K
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…	300	$120	$35.2K
T1002	Rn services, up to 15 minutes	500	$50	$23K
T1003	Lpn/lvn services, up to 15 minutes	460	$40	$16.8K
T1001	Nursing assessment / evaluation	180	$70	$12.1K
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…	80	$30	$2.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Clayton Community Mental Health Substance Abuse Deve Svcs Board — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1003	Lpn/lvn services, up to 15 minutes	11	20	470	$150	$1.1M
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…	333	920	370	$60	$360.6K
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…	437	820	390	$70	$245K
H0031	Mental health assessment, by non-physician	19	80	80	$110	$233.6K
T1002	Rn services, up to 15 minutes	17	30	640	$50	$162.7K
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…	23	60	180	$110	$155.6K
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…	182	880	410	$90	$148.7K
T1001	Nursing assessment / evaluation	22	30	490	$50	$118.3K
H0032	Mental health service plan development by non-physician	13	70	70	$90	$96.9K
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…	88	140	130	$40	$59.9K

Nearby Providers

Other providers in the same ZIP code as Clayton Community Mental Health Substance Abuse Deve Svcs Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dewayne Grant	GA	Professional Counselor	$0	$1.1M
Willie Jones	GA	Professional Counselor	$0	$915.7K
Clayton County Board Of Commissioners	GA	Land Ambulance	$894.6K	$0
Pinnacle Ambulance LLC	GA	Ambulance	$618.2K	$0
Positive Outlook, LLP	GA	Speech-Language Pathologist	$0	$587.1K
Rachel Benefield	GA	Professional Counselor	$0	$447.5K
Annapurna Bhat	GA	Rheumatology Physician	$410.4K	$0
Finetra Chambers	GA	Mental Health Counselor	$0	$335K
Jay Patel	GA	Vascular & Interventional Radiology Physician	$303.2K	$0
Casey Wagner	GA	Sports Medicine (Family Medicine) Physician	$172.6K	$0

Clayton Community Mental Health Substance Abuse Deve Svcs Board — Billing Profile & Reimbursement Data

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Clayton Community Mental Health Substance Abuse Deve Svcs Board — 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