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.

Bootheel Counseling Services (NPI 1548702053)

Field	Value
Entity Type	Organization
Organization	Bootheel Counseling Services
Address	760 Plantation Blvd
City	Sikeston
State	MO
ZIP	63801
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 15, 2016

Payer Source	Total Paid
Medicaid	$27M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	109,180	$250	$26.7M
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…	8,760	$10	$87.6K
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…	2,770	$20	$63.6K
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…	1,710	$30	$42.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	890	$50	$41.6K
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…	1,540	$20	$27.6K
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,…	850	$1	$2.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	2,320	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	2,000	$0	$0
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	74,960	$0	$0

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Bootheel Counseling Services — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	18	30	198,100	$260	$125.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	20	20	214,040	$20	$10.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	22	20	40,460	$20	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	27	40	3,680	$30	$978K
H2010	Comprehensive medication services, per 15 minutes	16	20	8,760	$10	$336.6K
H0038	Self‑help/peer services, per 15 minutes	12	40	2,510	$10	$272.7K
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…	502	3,170	230	$70	$128.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	23	20	8,600	$10	$125.5K
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…	187	4,310	300	$60	$110.8K
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…	98	1,060	250	$40	$57.7K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Bootheel Counseling Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossroads Isl, LLC	MO	Developmentally Disabled Services Day Training Agency	$0	$85.8M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$45.9M
Missouri Delta Medical Center	MO	General Acute Care Hospital	$0	$22.7M
Allen Home Care Services, Inc.	MO	Nursing Care Agency	$0	$10.1M
Mosaic Community Services, LLC	MO	In Home Supportive Care Agency	$0	$6.2M
Catholic Charities Of Southern Missouri	MO	Case Management Agency	$0	$6M
Wyatt's Dream Center	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.1M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$4.7M
Knights Of Columbus 3151 St. Francis Xavier	MO	Adult Day Care Clinic/Center	$0	$4.3M
Mba In-home Services LLC	MO	In Home Supportive Care Agency	$0	$4.2M

Bootheel Counseling Services — Billing Profile & Reimbursement Data

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Bootheel Counseling Services — 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