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.

Four County Mental Health Center, Inc. (NPI 1598412843)

Field	Value
Entity Type	Organization
Organization	Four County Mental Health Center, Inc.
Address	3354 Highway 160
City	Independence
State	KS
ZIP	67301
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 7, 2022

Payer Source	Total Paid
Medicaid	$28.9M
Medicare	$0

Key Findings

FOUR COUNTY MENTAL HEALTH CENTER, INC. shows an effectively single‑payer footprint: there is no Medicare billing on file and its entire recorded lifetime federal revenue is from Medicaid, totaling $28.9M. This makes the organization highly dependent on Medicaid reimbursement streams rather than a mixed Medicare/Medicaid payer mix.

Revenue is extremely concentrated in a single paid code: the precomputed top‑3 codes account for 100.0% of Medicaid revenue, with T1040 alone representing $28.9M in revenue (129K claims, $224 avg paid/claim). The other high‑volume codes listed among the top 25 show $0 revenue, so financial receipts are essentially captured under the T1040 per‑diem entry.

The dominant code, T1040 (Medicaid certified community behavioral health clinic services, per diem), and the taxonomy (Community/Behavioral Health Agency) indicate the provider operates in a CCBHC‑style per‑diem model delivering a broad array of behavioral health supports. The presence of high claim counts for codes like H0036, H2017, T1017 and multiple psychotherapy codes suggests a service mix that includes intensive outpatient supports, psychosocial rehabilitation, targeted case management, and individual psychotherapy.

Competitive standing on the paid per‑diem is relatively strong within Kansas: T1040 ranks #5 of 33 providers in‑state (88th percentile), indicating the provider is a leading but not sole dominant in‑state participant for this per‑diem behavioral‑health payment stream. For many ancillary codes the provider also ranks well by claim volume (e.g., 90832 ranks #9 of 137, 94th percentile), showing meaningful delivery scale for specific services even when those services are not separately paid.

There is a notable volume/revenue mismatch in the claims data: several codes have large claim counts but report $0 avg paid/claim and $0 revenue (for example H0036: 52.5K claims; H2017: 26.7K claims; T1017: 23.8K claims). This pattern is consistent with bundled or per‑diem payment accounting where service‑level activity is recorded on claims but fiscal payments are attributed to a single per‑diem code, rather than implying absence of those services.

Specific procedural volumes highlight clinical emphasis: psychotherapy and related behavioral health encounter codes are among the higher ranked volumes — 90832 (8.3K claims) is labeled notably above typical state volume (94th percentile), 90785 ranks in the 94th percentile, and 99214 is in the 93th percentile. These rankings suggest the provider delivers a high volume of psychotherapy and higher‑intensity behavioral health encounters relative to most in‑state peers.

The provider’s NPI was enumerated on 2022-03-07 (~4 years ago), indicating relatively recent formal registration; generating $28.9M in Medicaid lifetime revenue since that enumeration implies rapid uptake of the per‑diem program or concentrated historical billing under T1040. Analysts should consider tenure when benchmarking growth or utilization trends.

Operational and payer implications: because 100.0% of Medicaid revenue is tied to T1040, changes to per‑diem policy, rate-setting, or eligibility for that code would have outsized financial impact on this provider. Payers and contract analysts should therefore prioritize review of T1040 utilization, documentation mapping from ancillary service codes to the per‑diem, and how those bundled payments are reconciled with billed service‑level activity.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	129,040	$220	$28.9M
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	1,890	$0	$0
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	730	$0	$0
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…	60	$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…	8,340	$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…	1,480	$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…	4,420	$0	$0
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	1,790	$0	$0
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	320	$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…	270	$0	$0

Showing 1–10 of 21

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

Four County Mental Health Center, 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	5	30	34,540	$260	$13.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	21	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	21	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	23	50	1,840	$270	$1.1M
T1017	Targeted case management, each 15 minutes	36	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…	631	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	30	60	2,130	$50	$223.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	18	40	1,060	$60	$189.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	22	70	470	$100	$143.1K
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…	67	880	400	$60	$136K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Four County Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four County Mental Health Center Inc	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$32.2M
Trever Krehbiel	KS	Psychiatry Physician	$335.6K	$6.6K
Meegan Dodson	KS	Psychiatric/Mental Health Nurse Practitioner	$11.4K	$0
Karen Bone	KS	Psychiatric/Mental Health Nurse Practitioner	$6.8K	$0
Cheryl Gore	KY	Psychiatric/Mental Health Nurse Practitioner	$6.7K	$0
Mallory Harris	KS	Medical Physician Assistant	$6.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Labette County Medical Center	KS	Rural Health Clinic/Center	$0	$2.8M
Four County Mental Health Center	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.7M
Four County Mental Health Center, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.5M
Usd 446 Independence	KS	Local Education Agency (LEA)	$0	$809K
Tri County Special Education Cooperative #607	KS	Local Education Agency (LEA)	$0	$712K
City Of Independence	KS	Land Ambulance	$241.6K	$443.9K
Coffeyville Regional Medical Center, Inc.	KS	Rural Health Clinic/Center	$0	$642.1K
Gary Beaver	KS	Optometrist	$116.9K	$368.2K
Barry Wesselowski	KS	Podiatrist	$121.6K	$0
Jeffrey Hogge	KS	Podiatrist	$87.9K	$0

Four County Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Four County 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

Related Providers

Nearby Providers

Frequently Asked Questions

References