Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohnson County Mental Health Center
    Ask Trek AI about this page

    Johnson County Mental Health Center — Billing Profile & Reimbursement Data

    NPI 1689324907 · Mission, KS · Community/Behavioral Health Agency

    Customize your policy alerts

    Sign up for Johnson County Mental Health Center — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Johnson County Mental Health Center is a community/behavioral health agency provider located in Mission, Kansas. This profile covers 0 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationJohnson County Mental Health Center
    Address6000 Lamar Ave Ste 130
    CityMission
    StateKS
    ZIP66202
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedMarch 28, 2022

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$26.3M
    Medicare$0

    Key Findings

    Medicaid revenue is effectively the provider's entire reported business: Total Medicaid revenue is $26.3M while there is none below for Medicare billing (no Medicare billing on file), so the organization's public payer footprint is single‑payer Medicaid in scale. The precomputed metric notes the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, reflecting that almost all paid dollars are captured in a single revenue stream.

    Revenue is extremely concentrated in the Medicaid per‑diem code T1040: T1040 shows 89K claims at $295 avg paid/claim and $26.3M revenue, representing 100.0% of this provider's Medicaid revenue. This concentration means the Medicaid certified community behavioral health clinic per‑diem is the primary—indeed dominant—payment mechanism funding operations, rather than fee‑for‑service payments on individual psychotherapy or case management codes.

    The provider’s operational profile aligns with a certified community behavioral health clinic model: the prominence of T1040 (Medicaid certified community behavioral health clinic services, per diem) together with large claim volumes on H0036, T1017 and multiple psychotherapy codes indicates delivery of bundled, multidisciplinary outpatient behavioral health services, including psychiatric supportive treatment, targeted case management, and psychotherapy. Even though many of those ancillary codes report $0 avg paid/claim, their presence in the claim mix suggests the organization documents a broad slate of behavioral health activities that are likely captured under the per‑diem payment.

    Many high‑volume service codes show large claim counts but $0 paid/claim and $0 revenue (for example, H0036: 37.4K claims $0 avg paid/claim; T1017: 17K claims $0 avg paid/claim; 99214: 7.7K claims $0 avg paid/claim). This billing/payment pattern is consistent with a bundled reimbursement structure where the per‑diem T1040 payment may subsume individual service payments, and it flags that operational throughput (claims activity) is not directly reflected in separate paid line‑item revenue.

    Competitive standing on the revenue-driving code is solid but not dominant statewide: T1040 ranks #7 of 33 providers in Kansas (81th percentile; typical, unremarkable volume for this code), indicating the center is a meaningful participant among Medicaid community behavioral health clinics but not the top earner in the state. At the service level the provider does show above‑typical activity for several clinical CPT/HCPCS codes by claim volume (for example, 90834 ranks in the 94th percentile by volume), even though those do not translate to separate paid revenue here.

    There are notable service‑volume outliers on non‑revenue lines: H0032 (mental health service plan development by non‑physician) is rank #1 of 11 providers in‑state (100th percentile; notably above typical state volume for this code) despite showing $0 avg paid/claim and $0 revenue. This suggests the center is a leading documented provider of non‑physician service plan development in the state, which may be operationally important even if it is not a discrete revenue source under current payment arrangements.

    The claim mix indicates high clinical throughput across core behavioral health activities: large claim counts for H0036 (37.4K claims), T1017 (17K claims), 90834 (6K claims) and 90837 (2.6K claims) point to extensive face‑to‑face supportive treatment, case management, and psychotherapy delivery. For payer/contracting analysts, this combination of high service volumes paired with a bundled per‑diem revenue model signals that capacity, staffing mix, and utilization controls are likely the primary drivers of cost and care delivery rather than per‑service reimbursement rates.

    The provider’s NPI was enumerated relatively recently (2022-03-28, ~4 years ago), indicating a comparatively short public billing history; combined with the strong reliance on a certified community behavioral health clinic per‑diem, this suggests the organization may have scaled its Medicaid billing quickly through a centralized CCBHC payment arrangement since enrollment. Analysts should treat trend interpretation cautiously given the short tenure and the revenue concentration in a single Medicaid code.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1040Medicaid certified community behavioral health clinic services, per diem89,040$300$26.3M
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.1,290$0$0
    90792In 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…400$0$0
    90832In 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…450$0$0
    90834In 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…5,950$0$0
    90837In 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…2,600$0$0
    90847A 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…310$0$0
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.1,780$0$0
    99213The 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…1,780$0$0
    99214The 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…7,740$0$0

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1040Medicaid certified community behavioral health clinic services, per diem73034,540$260$13.9M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes286035,080$100$4.1M
    H2017Psychosocial rehabilitation services, per 15 minutes486012,570$60$1.5M
    H2011Crisis intervention service, per 15 minutes29501,840$270$1.1M
    T1017Targeted case management, each 15 minutes482205,390$40$599.4K
    99213The 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…3361,050560$80$266.8K
    H0038Self‑help/peer services, per 15 minutes63602,130$50$223.2K
    H0004Behavioral health counseling and therapy, per 15 minutes3470470$100$143.1K
    99214The 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…70880400$60$136K
    90837In 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…114730440$80$128.1K

    Showing 1–10 of 20

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Minds Matter, LLCKSOccupational Therapist$0$41.7M
    Johnson County Mental Health CenterKSMental Health Clinic/Center (Including Community Mental Health Center)$0$17.1M
    Essential Home Health, LLCKSHome Health Agency$0$10.9M
    Shawnee Mission Usd 512KSLocal Education Agency (LEA)$0$3.7M
    Infant Toddler Services Of Johnson CountyKSPediatric Nutrition Registered Dietitian$0$3.1M
    Essential Home Health, LLCKSCommunity Based Hospice Care Agency$0$1.8M
    Hy-vee IncKSCommunity/Retail Pharmacy$222.8K$0
    Daniel HatfieldKSDiagnostic Radiology Physician$90K$100
    Sarah EngleKSPhysical Therapist$87.5K$0
    Abagail FieldsKSOccupational Therapist$87.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kansas Providers
    3 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Johnson County Mental Health Center — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas