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.

Sumner Mental Health Center (NPI 1649045899)

Sumner Mental Health Center is a community/behavioral health agency provider located in Wellington, Kansas. 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	Sumner Mental Health Center
Address	1601 W 16th St
City	Wellington
State	KS
ZIP	67152
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 17, 2023

Payer Source	Total Paid
Medicaid	$2.6M
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
T1040	Medicaid certified community behavioral health clinic services, per diem	11,660	$220	$2.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$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…	1,510	$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…	1,440	$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…	220	$0	$0
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	20	$0	$0
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…	130	$0	$0
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…	590	$0	$0
99366	A medical team discusses a treatment plan in a meeting with a patient who requires attention from more than one medical specialty.	70	$0	$0
99368	A nonphysician qualified health care professional joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	260	$0	$0

Showing 1–10 of 14

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

Sumner Mental Health Center — 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	23	30	34,540	$260	$13.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	52	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	57	60	12,570	$60	$1.5M
T1017	Targeted case management, each 15 minutes	142	220	5,390	$40	$599.4K
H0038	Self‑help/peer services, per 15 minutes	45	60	2,130	$50	$223.2K
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…	391	880	400	$60	$136K
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…	474	730	440	$80	$128.1K
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…	60	280	320	$50	$87.5K
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…	42	140	450	$30	$56.1K
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…	58	80	300	$60	$51.6K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Futures Unlimited, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.5M
Sumner Mental Health Center	KS	Mental Health Counselor	$0	$8.5M
Sumner County Family Care Center PA	KS	Rural Health Clinic/Center	$0	$880.2K
City Of Wellington	KS	Basic Emergency Medical Technician	$229.7K	$131.2K
Tamara Mccue	KS	Family Medicine Physician	$230.6K	$0
Ashley Johnson	KS	Physical Therapist	$93.3K	$0
Bal Sharma	KS	Psychiatry Physician	$43.5K	$21.3K

Sumner Mental Health Center — Billing Profile & Reimbursement Data

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Sumner Mental Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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References