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

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

Mid-plains Center For Behavioral Healthcare Services, Inc. (NPI 1558303743)

Field	Value
Entity Type	Organization
Organization	Mid-plains Center For Behavioral Healthcare Services, Inc.
Address	914 Baumann Dr
City	Grand Island
State	NE
ZIP	68803
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$10M
Medicare	$0

Key Findings

MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, INC. is effectively a Medicaid-centric provider: Total Medicare revenue is none while total Medicaid revenue is $10M, indicating it operates as a near single-payer (Medicaid) behavioral health provider rather than a mixed Medicare/Medicaid practice. The absence of Medicare billing on file means all utilization and revenue risk is concentrated in the Medicaid program.

Revenue concentration is highly focused: the precomputed top 3 Medicaid codes account for 88.2% of this provider's total Medicaid revenue. H2033 alone drives $6.6M (65.9% of Medicaid revenue) with an average paid/claim of $186, 90834 contributes $1.6M (15.8%) at $103 avg paid/claim, and 99214 contributes $649.6K (6.5%) at $55 avg paid/claim, together creating a narrow revenue base heavily dependent on a few high-volume services.

The code mix and volumes point to an operational emphasis on intensive juvenile and outpatient psychotherapy services. H2033 (Multisystemic therapy for juveniles, per 15 minutes) has 35.3K claims and dominates revenue, while psychotherapy code 90834 has 15.3K claims and 90833 has 13.1K claims, indicating the organization runs very high-volume therapy programs alongside outpatient evaluation-and-management visits represented by 99214 (11.8K claims).

Competitive standing for H2033 is dominant in-state: the provider ranks #1 of 5 providers in Nebraska (100th percentile) for H2033 and is described as notably above typical state volume for this code. Likewise, 90834 ranks #10 of 510 providers (98th percentile) and is labeled an extreme outlier far above typical state volume, underscoring that MID-PLAINS is a major statewide provider of psychotherapy and juvenile multisystemic therapy.

Other Medicaid activity supports a broad behavioral-health offering beyond the top three codes. Add-on psychotherapy code 90833 generates $549.2K (5.5% of Medicaid revenue) and ranks #3 of 64 providers in-state (97th percentile), while crisis-intervention codes S9485 and S9484 appear in the mix (together accounting for ~2.8% of Medicaid revenue), indicating capacity for per-diem and hourly crisis services in addition to routine therapy.

Several codes are flagged as typical or unremarkable relative to peers, suggesting some routine outpatient workload alongside specialty services. For example, 99214 is at the 95th percentile but is described as typical/unremarkable volume for this code, and multiple diagnostic and shorter psychotherapy codes (90792, 99213, 90791, 90832) are present at modest revenue levels, supporting a mixed caseload that includes evaluations and shorter therapy visits.

The provider’s claim volumes reflect operational scale: very large counts for the top therapy codes (35.3K H2033 claims, 15.3K 90834 claims, 11.8K 99214 claims) point to high-throughput programs rather than low-volume specialty clinics. That volume profile, combined with the heavy revenue concentration in a small set of behavioral-health codes, implies sensitivity to Medicaid policy, reimbursement changes, or utilization-management initiatives that affect those specific services.

MID-PLAINS is a long-tenured entity in federal enrollment, which supports continuity of operations: the NPI was enumerated on 2006-06-12 (~20 years ago). Combined with its statewide leadership on H2033 and very high percentile positions on core psychotherapy codes, this tenure and operational focus suggest an established behavioral-health program with strategic dependence on Medicaid-funded juvenile and outpatient therapy services.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	35,280	$190	$6.6M
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…	15,270	$100	$1.6M
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…	11,810	$60	$649.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	13,080	$40	$549.2K
S9485	Crisis intervention mental health services, per diem	530	$440	$232K
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…	1,040	$200	$212.2K
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…	1,870	$40	$69.3K
S9484	Crisis intervention mental health services, per hour	520	$100	$48.9K
H2015	Comprehensive community support services, per 15 minutes	250	$110	$28.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,530	$10	$13.8K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Mid-plains Center For Behavioral Healthcare Services, Inc. — 4 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9485	Crisis intervention mental health services, per diem	2	10	6,080	$380	$2.3M
H2033	Multisystemic therapy for juveniles, per 15 minutes	1	10	2,360	$180	$1.7M
H2015	Comprehensive community support services, per 15 minutes	24	30	3,690	$100	$1.1M
H0012	Behavioral health day treatment, per hour	4	10	390	$220	$387.3K
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…	245	700	660	$70	$305.1K
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…	32	600	610	$70	$251.4K
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…	10	510	450	$100	$168.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	3	60	390	$50	$121.8K
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…	10	90	70	$200	$120.4K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	12	20	330	$70	$53.6K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mid-plains Center For Behavioral Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Suzanne Gregg	NE	Psychiatric/Mental Health Nurse Practitioner	$30K	$0

Nearby Providers

Other providers in the same ZIP code as Mid-plains Center For Behavioral Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Go Physical Therapy, LLC	NE	Physical Therapist	$0	$12.4M
Saint Francis Medical Center	NE	General Acute Care Hospital	$0	$11M
Grand Island Clinic Inc	NE	Family Medicine Physician	$0	$9.2M
Heartland Health Center, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$8.8M
Midwest Emergency Grand Island Inc	NE	Emergency Medicine Physician	$0	$3.8M
Active Family Chiropractic And Acupuncture PC	NE	Chiropractor	$0	$3.8M
Twin Rivers Urgent Care LLC	NE	Family Medicine Physician	$0	$2.9M
Family Practice Of Grand Island P C	NE	Family Medicine Physician	$0	$2.2M
Ryan Ramaekers	NE	Hematology & Oncology Physician	$2.1M	$0
Wholeness Healing Center PC	NE	Mental Health Counselor	$0	$2.1M

Mid-plains Center For Behavioral Healthcare Services, Inc. — Billing Profile & Reimbursement Data

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Mid-plains Center For Behavioral Healthcare Services, Inc. — 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