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.

Community Mental Health Center Inc (NPI 1588732747)

Field	Value
Entity Type	Organization
Organization	Community Mental Health Center Inc
Address	285 Bielby Rd
City	Lawrenceburg
State	IN
ZIP	47025
Taxonomy	Psychiatric Hospital
NPI Enumerated	December 4, 2006

Payer Source	Total Paid
Medicaid	$77.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file while Medicaid revenue totals $77.7M, indicating the organization’s operations and financial footprint are concentrated entirely in the Medicaid program. Analysts should treat Medicaid performance as the primary indicator of this entity’s market activity.

Revenue is highly concentrated in a small set of codes: the top three Medicaid codes account for 74.8% of the provider’s Medicaid revenue, driven by H2014 ($39.2M, 50.5% of Medicaid revenue), 90837 ($13.5M, 17.4%), and 99214 ($5.3M, 6.9%). This level of concentration suggests the provider’s financial health is closely tied to a few high‑volume service lines.

The code mix aligns with a psychiatric hospital that emphasizes intensive psychotherapy and skills training: large volumes of time‑based psychotherapy codes (90837, 90834, 90832) and the dominant H2014 (skills training and development, per 15 minutes) indicate outpatient behavioral health programs and structured therapeutic groups or activities are core service lines. Presence of case management (T1016), medication support (H0034), and mental health assessment (90791) further points to an integrated behavioral health model spanning assessment, treatment, and care coordination.

Competitive standing varies by code. For 90837 the provider ranks #2 of 687 in-state (100th percentile) and is described as an extreme outlier, indicating it delivers psychotherapy sessions at a scale far above typical state providers; for 99214 it ranks #43 of 2122 (98th percentile) and is notably above typical volume, while for H2014 it ranks #13 of 48 (74th percentile) which is characterized as typical or unremarkable for that code. These distinctions suggest dominance in long psychotherapy encounters but only a modest position among peers for skills training relative to the small cohort of H2014 billers.

The raw claim volumes underscore operational scale: H2014 shows 346.8K claims and 90837 shows 143.6K claims, reflecting very large throughput in time‑based behavioral services. Such high claim counts imply significant program capacity and staff time devoted to therapeutic encounters and structured skill sessions rather than sporadic episodic care.

The provider’s billing portfolio also includes inpatient/observation E/M codes (99231, 99232, 99221) and crisis psychotherapy (90839), indicating service breadth that spans routine outpatient psychotherapy through higher‑acuity and inpatient care. Combined with medication training/support (H0034) and non‑physician assessments (H0031), the mix suggests the organization operates a continuum of behavioral health services rather than a narrow specialty clinic.

This NPI was enumerated on 2006-12-04 (~20 years ago), indicating an established presence in the market; when paired with $77.7M in Medicaid revenue and extreme high‑volume coding for 90837, the provider appears to be an entrenched Medicaid behavioral health provider in-state. Longevity and scale together increase the likelihood that this organization is a stable service hub for Medicaid behavioral health patients.

From a payer oversight and contracting perspective, the combination of no Medicare billing, heavy dependence on Medicaid ($77.7M), and a revenue profile concentrated in a few time‑based therapy and skills codes warrants attention to utilization patterns, program capacity, and reimbursement dependency. The extreme outlier status on 90837 and high percentiles on several E/M and psychotherapy codes suggest monitoring and tailored contract terms may be appropriate to manage financial and clinical risk associated with concentrated service lines.

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	346,800	$110	$39.2M
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…	143,560	$90	$13.5M
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…	65,670	$80	$5.3M
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…	57,010	$80	$4.4M
T1016	Case management, each 15 minutes	109,560	$30	$3.7M
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…	44,960	$80	$3.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	17,960	$100	$1.7M
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…	46,770	$30	$1.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	12,130	$110	$1.3M
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…	4,760	$120	$561.1K

Showing 1–10 of 40

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

Community Mental Health Center Inc — 6 of 25 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	13	50	75,600	$130	$34.8M
T1016	Case management, each 15 minutes	17	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	19	70	3,960	$130	$1.9M
T2022	Case management, per month	75	100	710	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	35	100	2,210	$70	$926K
H0031	Mental health assessment, by non-physician	17	40	6,070	$70	$724.3K
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…	23	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	11	30	7,890	$20	$529.8K
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…	43	2,120	870	$60	$450.6K
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	690	1,070	$80	$422.3K

Showing 1–10 of 40

Nearby Providers

Other providers in the same ZIP code as Community Mental Health Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recover Together, LLC	IN	Adult Mental Health Clinic/Center	$0	$122.3M
East Indiana Treatment Center, LLC	IN	Methadone Clinic	$275K	$6.2M
St Elizabeth Medical Center, Inc	IN	General Acute Care Hospital	$0	$4.6M
Health Services Corporation Of Southeastern Indiana	IN	Family Medicine Physician	$0	$4.2M
Hospital Medicine Services Of Tennessee PC	IN	Hospitalist Physician	$0	$3.7M
Indiana Emergency Professionals PC	IN	Emergency Medicine Physician	$0	$2.8M
Stephen Eliason	IN	Anatomic Pathology & Clinical Pathology Physician	$272.1K	$0
Ronald Auer	IN	Orthopaedic Surgery Physician	$207.9K	$0
Elisha Clouse	IN	Family Nurse Practitioner	$203.6K	$0
Ashok Penmetsa	IN	Cardiovascular Disease Physician	$170.8K	$0

Community Mental Health Center Inc — Billing Profile & Reimbursement Data

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Community Mental Health Center 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

Nearby Providers

Frequently Asked Questions

References