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

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

Northwest Iowa Mental Health Center (NPI 1689669459)

Field	Value
Entity Type	Organization
Organization	Northwest Iowa Mental Health Center
Address	201 E 11th St
City	Spencer
State	IA
ZIP	51301
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 16, 2005

Payer Source	Total Paid
Medicaid	$16.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	65,500	$100	$6.5M
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…	40,390	$90	$3.6M
H0040	Assertive community treatment program, per diem	27,170	$50	$1.4M
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…	12,040	$90	$1.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,230	$130	$946.5K
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…	2,640	$220	$577.3K
H2019	Therapeutic behavioral services, per 15 minutes	8,880	$60	$497K
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…	6,950	$50	$361.3K
T1016	Case management, each 15 minutes	11,250	$30	$281.3K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	2,290	$120	$273K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Northwest Iowa Mental Health Center — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	9	10	48,800	$60	$4.6M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	40	60	16,120	$150	$3.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	36	40	2,200	$240	$1.6M
H2019	Therapeutic behavioral services, per 15 minutes	39	90	5,380	$100	$1.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	15	20	3,280	$160	$960.3K
H0037	Community psychiatric supportive treatment program, per diem	14	30	1,050	$210	$800.8K
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…	8	680	670	$70	$343.5K
T1016	Case management, each 15 minutes	2	20	480	$150	$340.3K
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…	33	120	980	$50	$230.3K
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…	17	1,060	480	$40	$154.5K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dorcas Kamau	WA	Psychiatric/Mental Health Nurse Practitioner	$24.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spencer Municipal Hospital	IA	Rural Acute Care Hospital	$0	$3.2M
Spencer Municipal Hospital	IA	Family Medicine Physician	$0	$3.1M
Regional Transit Authority	IA	Bus	$0	$2.2M
Spencer C.s.d.	IA	Local Education Agency (LEA)	$0	$1.3M
Drs. Jones & Geyer, PC	IA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.1M
Bridgette Schmidt	IA	Pediatric Dentistry	$0	$1.1M
Stephen Fox	IA	Ophthalmology Physician	$765.6K	$0
Bobbi Honkomp	IA	Nurse Practitioner	$339.2K	$0
Jason Hough	IA	Orthopaedic Surgery Physician	$297.8K	$0
Hy-vee Inc	IA	Community/Retail Pharmacy	$142.8K	$22.9K

Northwest Iowa Mental Health Center — Billing Profile & Reimbursement Data

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Northwest Iowa 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

Related Providers

Nearby Providers

Frequently Asked Questions

References