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

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

North Mississippi Commission On Mental Illness/mental Retardation (NPI 1558468694)

Field	Value
Entity Type	Organization
Organization	North Mississippi Commission On Mental Illness/mental Retardation
Address	152 Highway 7 S
City	Oxford
State	MS
ZIP	38655
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$18.3M
Medicare	$0

Key Findings

The provider is effectively a Medicaid-focused organization: there is no Medicare billing on file and all reported lifetime government revenue is from Medicaid ($18.3M). Its NPI has been enumerated since 2006-09-20 (≈20 years), indicating long tenure as a licensed mental health clinic/center in the state. This combination of long tenure and single-payer dependence suggests operational focus and financial exposure concentrated in state Medicaid policy and reimbursement changes.

Revenue is highly concentrated in a small set of outpatient behavioral-health services: the precomputed top three Medicaid codes account for 41.0% of total Medicaid revenue. The top three drivers are 90837 ($4.8M, 26.5%), H0036 ($1.4M, 7.9%), and H2015 ($1.2M, 6.6%), which together form the bulk of the facility’s Medicaid receipts and point to psychotherapy and community support as primary revenue streams.

The code mix indicates a full-spectrum community mental health operation rather than a narrow specialty clinic: high-volume psychotherapy (90837, 90834, 90832), community psychiatric supportive treatment (H0036), comprehensive community support services (H2015), psychosocial rehabilitation (H2017), and targeted case management (T1017) are all prominent. This pattern is consistent with a community mental health center model that delivers outpatient therapy, case management, rehabilitation, and some residential or clubhouse supports.

Psychotherapy throughput is a clear strength: 90837 alone has 46.3K claims and $4.8M in revenue (26.5% of Medicaid revenue) and ranks #10 of 283 providers in-state (97th percentile). Similar psychotherapy codes (90834, 90832) also rank highly (96th and 92nd percentiles respectively), indicating above-typical state volume for time-intensive individual therapy services and substantial clinician capacity devoted to psychotherapy.

The provider reports unusually high volumes of high-acuity evaluation-and-management visits. 99215 has $945.3K revenue (5.2%) and ranks #3 of 271 providers in-state (99th percentile), and 99205 has $230.9K revenue (1.3%) and ranks #3 of 88 providers in-state (98th percentile); both are labeled "notably above typical". This pattern suggests the clinic handles a disproportionate share of complex or time-intensive outpatient encounters compared with most in-state peers.

Case management and nursing services are major operational components: T1017 shows 50.8K claims and $1M revenue (5.6%) and ranks #5 of 42 providers in-state (90th percentile), while T1002 reports 36.3K claims and $689.5K revenue (3.8%) and ranks #5 of 27 providers in-state (85th percentile). Those high claim volumes and percentiles indicate substantial ongoing investment in targeted case management and RN-delivered services relative to the state market.

Medication administration and long-acting injectable treatment are present but secondary to therapy and case management: J2426 (paliperidone palmitate) accounts for $171.8K (0.9%) with 146 claims and ranks #9 of 12 providers in-state (27th percentile), while 96372 has 7.6K claims and $83.4K (0.5%) and ranks in the 91st percentile. These figures point to a modest role for clinic-administered injectables and medication interventions within an otherwise therapy- and support-focused revenue mix.

Residential and clubhouse offerings exist but appear limited relative to peers: H0018 (short-term residential) contributes $579.3K (3.2%) from 1.4K claims but ranks #7 of 7 providers in-state (0th percentile), and H2030 (clubhouse services) generates $1M (5.7%) from 16.9K claims but ranks #16 of 19 providers in-state (17th percentile). Together these data suggest the provider offers some non-outpatient supports but is not a dominant statewide provider of residential or clubhouse services.

Medicaid: Complete Services Breakdown

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

35 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…	46,270	$100	$4.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	26,220	$60	$1.4M
H2015	Comprehensive community support services, per 15 minutes	22,020	$50	$1.2M
H2030	Mental health clubhouse services, per 15 minutes	16,930	$60	$1M
T1017	Targeted case management, each 15 minutes	50,840	$20	$1M
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…	12,990	$70	$948.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	8,920	$110	$945.3K
H2017	Psychosocial rehabilitation services, per 15 minutes	13,180	$70	$896K
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…	11,800	$70	$861.6K
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…	12,770	$60	$702.1K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

North Mississippi Commission On Mental Illness/mental Retardation — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	23	30	3,380	$90	$4.3M
H2030	Mental health clubhouse services, per 15 minutes	16	20	30,170	$60	$3.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	13	30	12,170	$70	$3.3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	7	10	4,420	$380	$2.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	14	30	19,670	$60	$2.3M
H2015	Comprehensive community support services, per 15 minutes	14	30	5,320	$60	$2.2M
T1017	Targeted case management, each 15 minutes	5	40	2,060	$60	$996.6K
H0039	Assertive community treatment, face-to-face, per 15 minutes	15	20	7,880	$90	$914.3K
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…	10	280	600	$100	$681.9K
H0031	Mental health assessment, by non-physician	10	30	1,670	$90	$526.3K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Mississippi Commission On Mental Illness/mental Retardation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Mississippi Commission On Mental Illness/mental Retardation	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.1M
North Mississippi Commission On Mental Illness/ Mental	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M

Nearby Providers

Other providers in the same ZIP code as North Mississippi Commission On Mental Illness/mental Retardation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital North Mississippi, Inc	MS	General Acute Care Hospital	$0	$38.9M
North Ms Regional Center	MS	Community/Behavioral Health Agency	$0	$9.4M
Oxford Dental Specialists	MS	Pediatric Dentistry	$0	$8.9M
Gathright-reed Medical Supply LLC	MS	Community/Retail Pharmacy	$0	$7.3M
Baptist And Physicians Outpatient Surgery Center Of North Ms, LP	MS	Ambulatory Surgical Clinic/Center	$2.4M	$2.4M
Go Orthodontics Partnership	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.1M
Oxford Eye Surgery Center,l.p	MS	Ophthalmologic Surgery Clinic/Center	$2.5M	$851.8K
North Ms Outpatient Therapy	MS	Physical Therapist	$0	$3.2M
Priority Medical Transportation, Inc.	MS	Land Ambulance	$0	$3.1M
Oxford Urocare PLLC	MS	Ambulatory Surgical Clinic/Center	$3M	$67.6K

North Mississippi Commission On Mental Illness/mental Retardation — Billing Profile & Reimbursement Data

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North Mississippi Commission On Mental Illness/mental Retardation — 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