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.

Bowen Health Inc (NPI 1639172810)

Field	Value
Entity Type	Organization
Organization	Bowen Health Inc
Address	850 N Harrison St
City	Warsaw
State	IN
ZIP	46580
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	May 23, 2005

Payer Source	Total Paid
Medicaid	$508.6M
Medicare	$0

Key Findings

BOWEN HEALTH INC is effectively a Medicaid-focused provider: it reports no Medicare billing on file and $508.6M in lifetime Medicaid revenue, making Medicaid the sole measurable payer in this dataset and indicating an essentially single‑payer footprint in publicly available claims. The provider’s NPI was enumerated on 2005-05-23 (~21 years ago), supporting that this is an established operation rather than a recent entrant to the market.

Revenue concentration is extreme and heavily skewed toward a few service lines: the precomputed top-3 Medicaid codes account for 84.9% of the provider’s total Medicaid revenue, with H2014 alone contributing $354.7M (69.7% of total Medicaid revenue). This concentration signals that a single service type dominates the organization’s billing and financial profile, increasing operational reliance on that service.

The dominant code mix points to a programmatic focus on skills training and psychotherapy. H2014 (Skills training and development, per 15 minutes) appears as the primary revenue driver with 2.2M claims at $159 avg paid/claim and $354.7M revenue, while psychotherapy CPTs such as 90834 (753K claims, $76 avg paid/claim, $57.2M revenue) and 90832 (262.5K claims, $66 avg paid/claim, $17.3M revenue) further indicate intensive outpatient behavioral health services and large-volume therapy caseloads.

Competitive standing in-state is dominant for multiple behavioral-health codes: H2014 ranks #1 of 48 providers in-state (100th percentile; extreme outlier) and 90834 ranks #1 of 584 providers in-state (100th percentile; extreme outlier). Several other high-volume codes—90791 (119.1K claims, $90 avg, $10.7M; ranks #1 of 521, 100th percentile; extreme outlier) and 90847 (72.2K claims, $56 avg, $4M; ranks #1 of 195, 100th percentile; extreme outlier)—reinforce that BOWEN HEALTH is a major statewide player for psychiatric evaluation, family therapy, and skills training.

Case management is a significant secondary service line: T1016 (Case management, each 15 minutes) produced 659.2K claims at $30 avg paid/claim for $19.8M (3.9% of Medicaid revenue) and ranks #2 of 52 providers in-state (98th percentile; notably above typical state volume). The presence of both high-volume case management and skills training suggests integrated care coordination alongside therapy-focused programming.

Several additional high-volume evaluation and management codes show unusually large outpatient volumes for a behavioral health clinic: 99214 (218.7K claims, $77 avg, $16.8M; ranks #7 of 2122, 100th percentile; extreme outlier) and 99213 (150.4K claims, $59 avg, $8.9M; ranks #15 of 2377, 99th percentile; extreme outlier). These rankings indicate that BOWEN HEALTH’s outpatient medical management activity is far above typical in-state peer levels and may represent co‑located medical services or integrated E/M offerings tied to behavioral health.

Telehealth and other ancillary codes are present but represent a small share of revenue: Q3014 (Telehealth originating site facility fee) shows 18.1K claims at $37 avg and $670.8K revenue (0.1% of total Medicaid revenue) and ranks #4 of 55 providers in-state (94th percentile; notably above typical volume). The limited revenue contribution from telehealth suggests that while remote services are used, they are not a primary revenue driver compared with skills training and psychotherapy.

The overall pattern — massive volume in H2014 and high statewide ranks across multiple psychotherapy and assessment codes — characterizes BOWEN HEALTH as an extremely high-volume, specialized behavioral health clinic in Indiana. Multiple codes are labeled as “extreme outlier” or “notably above typical,” which in this context describes consistent, large-scale billing across therapy, evaluation, and case management lines rather than isolated spikes in a single code.

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	2,230,660	$160	$354.7M
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…	752,970	$80	$57.2M
T1016	Case management, each 15 minutes	659,210	$30	$19.8M
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…	262,550	$70	$17.3M
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…	218,690	$80	$16.8M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	119,050	$90	$10.7M
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…	150,450	$60	$8.9M
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…	151,840	$30	$4.9M
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…	52,210	$80	$4.2M
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…	72,230	$60	$4M

Showing 1–10 of 38

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

Bowen Health Inc — 14 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	1	50	75,600	$130	$34.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	28	30	240,980	$20	$6.4M
T1016	Case management, each 15 minutes	2	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	51	70	3,960	$130	$1.9M
T2022	Case management, per month	56	100	710	$180	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	12	100	2,210	$70	$926K
H0031	Mental health assessment, by non-physician	2	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…	1	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	24	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…	7	2,120	870	$60	$450.6K

Showing 1–10 of 38

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bowen Health Inc	IN	Federally Qualified Health Center (FQHC)	$0	$18.2M
Bowen Health Inc	IN	Methadone Clinic	$99.3K	$14.5M
Neighborhood Health Clinics, Inc	IN	Clinic/Center	$0	$12.1M
Douglas Mukorombindo	OK	Family Nurse Practitioner	$90.7K	$0
Matthew Wilcox	IN	Physician Assistant	$62K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forte Residential, Inc	IN	Developmentally Disabled Services Day Training Agency	$0	$44.8M
Warsaw Health System LLC	IN	General Acute Care Hospital	$0	$10M
Kosciusko Medical Group LLC	IN	Family Medicine Physician	$0	$8.8M
Joes Kids Inc	IN	Physical Therapist	$0	$2.9M
Grossnickle Eye Center, Inc.	IN	Ophthalmologic Surgery Clinic/Center	$1.8M	$0
Colin Ridenour	IN	Ophthalmology Physician	$1.2M	$0
Allison Pernic	IN	Ophthalmology Physician	$1.1M	$0
Matthew Ralstin	IN	Ophthalmology Physician	$889K	$0
Christopher Knight	IN	Ophthalmology Physician	$880.3K	$0
Ann Buikema Wiarda	IN	Ophthalmology Physician	$808.4K	$0

Bowen Health 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