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

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

Southwest Arkansas Counseling And Mental Health Center, Inc (NPI 1598761553)

Field	Value
Entity Type	Organization
Organization	Southwest Arkansas Counseling And Mental Health Center, Inc
Address	2904 Arkansas Blvd
City	Texarkana
State	AR
ZIP	71854
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicaid	$15.5M
Medicare	$0

Key Findings

SOUTHWEST ARKANSAS COUNSELING AND MENTAL HEALTH CENTER, INC is a long-tenured community/behavioral health agency in TEXARKANA, AR; its NPI was enumerated on 2005-06-24 (~21 years ago). The provider reports Total Medicaid revenue of $15.5M and has no Medicare billing on file, making it effectively a Medicaid-focused operation in the available claims data.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 78.4% of this provider’s Medicaid revenue. Those top three are H2017 ($8.4M, 54.3%), 90853 ($2.7M, 17.3%), and H2015 ($1.1M, 6.9%), indicating that a very large share of dollars flow through a few programmatic services.

The code mix (dominant H2017 – Psychosocial rehabilitation services, and high-volume 90853 – Group psychotherapy, plus H2015 – Comprehensive community support services) indicates an operational model built around high-volume, programmatic and group-based behavioral health services rather than sporadic fee-for-service medical visits. Per-claim levels are relatively low for the largest-volume services (H2017 $29 avg paid/claim; 90853 $28 avg paid/claim; H2015 $53 avg paid/claim), which suggests reliance on scale and repeated unit-based billing.

The provider is a statewide outlier and dominant supplier for key program services: H2017 ranks #1 of 128 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and 90853 ranks #1 of 181 providers in-state (100th percentile; extreme outlier). Those ranks indicate the organization operates at a much larger scale for psychosocial rehabilitation and group psychotherapy than typical Arkansas peers.

Beyond the two extreme outliers, the provider shows notable strength in several individual psychotherapy and evaluation codes, supporting a broader clinical service mix. Examples include 90837 ($842.6K, 5.5%; ranks #68 of 434, 85th percentile), 90792 ($396.7K, 2.6%; ranks #9 of 167, 95th percentile), and 90832 ($337.6K, 2.2%; ranks #6 of 233, 98th percentile), which together reflect substantial individual therapy and psychiatric evaluation capacity.

Claim volumes corroborate operational scale: H2017 has 289.3K claims and 90853 has 95.5K claims, illustrating very high utilization volumes for those service lines compared with peers. High claim counts combined with the 100th-percentile ranks underscore a large program footprint that is capacity- and visit-driven.

The provider’s revenue profile is concentrated both by payer and by code, which creates potential revenue sensitivity to Medicaid policy or rate changes for those top codes. Because there is no Medicare revenue on file and top-three codes represent 78.4% of Medicaid revenue, any contraction in reimbursement or authorization for H2017, 90853, or H2015 could materially affect overall revenue.

Taken together, long tenure (~21 years), extreme in-state leadership on H2017 and 90853, and a high-volume, low-per-claim payment profile position this organization as an established, large-capacity Medicaid behavioral health operator in Arkansas focused on psychosocial rehabilitation, group therapy, and community support services.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	289,260	$30	$8.4M
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…	95,550	$30	$2.7M
H2015	Comprehensive community support services, per 15 minutes	20,020	$50	$1.1M
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…	12,390	$70	$842.6K
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…	10,810	$40	$400K
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…	4,900	$80	$396.7K
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…	10,230	$30	$337.6K
H0038	Self‑help/peer services, per 15 minutes	10,310	$30	$309.2K
H2019	Therapeutic behavioral services, per 15 minutes	4,740	$50	$241.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,270	$70	$225.9K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Southwest Arkansas Counseling And Mental Health Center, Inc — 6 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	74	170	2,430	$80	$1.1M
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…	68	430	760	$80	$675.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	1	130	2,210	$40	$529K
H2015	Comprehensive community support services, per 15 minutes	11	150	1,770	$70	$390.2K
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…	1	180	1,430	$40	$263.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	35	140	1,180	$90	$238.7K
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…	86	1,520	550	$40	$128.7K
H0038	Self‑help/peer services, per 15 minutes	2	20	840	$40	$107.5K
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…	83	230	480	$60	$94.8K
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…	9	170	300	$100	$94.6K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donna Brister	AR	Psychiatry Physician	$110K	$0
Tammerah Copeland	AR	Clinical Social Worker	$46.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Texas Border Health Clinic	AR	Federally Qualified Health Center (FQHC)	$0	$7.4M
Special Health Resources For Texas, Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$3.9M
Home Delivery Incontinent Supplies Co Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Dierksen Of Texarkana Arkansas LLC	AR	Community Based Hospice Care Agency	$0	$3.2M
Smiles Of Arkansas Dental Center, PLLC	AR	General Practice Dentistry	$0	$2.9M
Texarkana Resources For The Disabled, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$2.7M
East Texas Border Health Clinic	AR	Federally Qualified Health Center (FQHC)	$0	$2.4M
Southern Caregivers Of Texarkana, LLC	AR	In Home Supportive Care Agency	$0	$2.2M
University Of Arkansas For Medical Sciences	AR	Family Medicine Physician	$0	$1.5M
Kanayo Okeke-eweni	AR	Family Medicine Physician	$279K	$0

Southwest Arkansas Counseling And Mental Health Center, Inc — Billing Profile & Reimbursement Data

Sign up for Southwest Arkansas Counseling And Mental Health Center, Inc — Billing Profile & Reimbursement Data policy alerts

Southwest Arkansas Counseling And Mental Health Center, Inc — Billing Profile & Reimbursement Data

Sign up for Southwest Arkansas Counseling And Mental Health Center, Inc — Billing Profile & Reimbursement Data policy alerts

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