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

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

Prairie View Inc (NPI 1578252904)

Field	Value
Entity Type	Organization
Organization	Prairie View Inc
Address	1901 E 1st St
City	Newton
State	KS
ZIP	67114
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 2, 2023

Payer Source	Total Paid
Medicaid	$16.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	43,860	$370	$16.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	380	$0	$0
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…	2,190	$0	$0
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…	1,760	$0	$0
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…	2,880	$0	$0
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…	170	$0	$0
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…	1,250	$0	$0
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…	480	$0	$0
99366	A medical team discusses a treatment plan in a meeting with a patient who requires attention from more than one medical specialty.	190	$0	$0
H0006	Alcohol and/or drug services; case management	310	$0	$0

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Prairie View Inc — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	15	30	34,540	$260	$13.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	40	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	53	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	35	50	1,840	$270	$1.1M
T1017	Targeted case management, each 15 minutes	54	220	5,390	$40	$599.4K
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…	690	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	39	60	2,130	$50	$223.2K
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…	281	880	400	$60	$136K
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…	104	730	440	$80	$128.1K
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…	55	280	320	$50	$87.5K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Prairie View Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Res-care Kansas, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$30.1M
The Mirror, Inc.	KS	Substance Abuse Rehabilitation Facility	$0	$10.7M
Prairie View, Inc.	KS	Psychiatry Physician	$0	$10.6M
Heart Land Supports, LLC	KS	Developmentally Disabled Services Day Training Agency	$0	$10M
Health Ministries Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$9.1M
Prairie View, Inc.	KS	Psychiatric Residential Treatment Facility	$0	$4M
Dr. Rj Tippin Dds PA	KS	General Practice Dentistry	$0	$2.9M
Cottonwood Pediatrics, PA	KS	Pediatrics Physician	$0	$2.8M
Health Ministries Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.6M
Prairie View, Inc.	KS	Psychiatric Hospital	$0	$1.5M

Prairie View Inc — Billing Profile & Reimbursement Data

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Prairie View Inc — 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