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

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

Hamilton Center, Inc. (NPI 1578617627)

Hamilton Center, Inc. is a psychiatric hospital provider located in Terre Haute, Indiana. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Hamilton Center, Inc.
Address	620 8th Ave
City	Terre Haute
State	IN
ZIP	47804
Taxonomy	Psychiatric Hospital
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$28.6M
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	145,520	$120	$17.6M
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…	26,800	$110	$3M
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…	24,530	$120	$2.8M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	18,190	$120	$2.1M
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…	9,750	$120	$1.2M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	23,490	$50	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	11,360	$20	$261.2K
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…	3,050	$50	$164.4K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	1,120	$110	$124.3K
H0038	Self‑help/peer services, per 15 minutes	1,010	$120	$120.5K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Hamilton Center, Inc. — 3 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	23	100	2,210	$70	$926K
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…	8	580	710	$60	$582.9K
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…	284	2,120	870	$60	$450.6K
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…	166	2,380	920	$50	$376.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	31	220	1,380	$20	$360.2K
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…	19	430	630	$40	$243.8K
H0038	Self‑help/peer services, per 15 minutes	43	80	1,080	$60	$219.4K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	173	200	540	$60	$167.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	15	520	240	$80	$165K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	9	30	150	$70	$155K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Hospital Inc.	IN	General Acute Care Hospital	$0	$47.1M
Cep America LLC	IN	Emergency Medicine Physician	$0	$9M
Union Hospital, Inc.	IN	Family Medicine Physician	$0	$6.9M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$4.8M
Gaurav Verma	IN	Nephrology Physician	$551.8K	$0
Manish Gera	IN	Nephrology Physician	$543K	$0
Raj Jeevan	IN	Nephrology Physician	$377.3K	$0
Stephen Fern	IN	Orthopaedic Surgery Physician	$283.6K	$0
Carlos Belmar	IN	Orthopaedic Surgery Physician	$191.6K	$0
Robert Haerr	IN	Radiation Oncology Physician	$179.9K	$0

Hamilton Center, Inc. — Billing Profile & Reimbursement Data

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Hamilton Center, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamilton Center, Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.5M
Hamilton Center, Inc.	IN	Community/Behavioral Health Agency	$0	$22.1M
Hamilton Center Inc.	IN	Methadone Clinic	$0	$4.8M
John Wheat	IN	General Practice Physician	$129K	$0