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

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

Region Iv Mental Health Services (NPI 1699869537)

Field	Value
Entity Type	Organization
Organization	Region Iv Mental Health Services
Address	2016 E Chambers Dr
City	Booneville
State	MS
ZIP	38829
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$50.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scale: Medicare billing is listed as none, while Medicaid is the sole recorded source with lifetime Medicaid revenue of $50.2M. The absence of any Medicare activity on file indicates Medicaid is the primary operational and reimbursement environment for the organization.

Revenue is notably concentrated: the precomputed top 3 Medicaid codes account for 37.5% of the provider's total Medicaid revenue, with 90837 ($11.1M, 22.4%) as the largest single code contributor and H2030 ($3.8M, 7.7%) and H2017 ($3.7M, 7.5%) filling the next two slots. That level of concentration signals that a relatively small set of behavioral‑health service lines drives a large share of cashflow.

The code mix points to a community‑behavioral health operating model with a heavy emphasis on psychotherapy and time‑based community services: 90837 (long psychotherapy sessions) is the top revenue driver, and high volumes for H2030 (clubhouse services), H2017 (psychosocial rehabilitation), H2012 (behavioral health day treatment), and H0036 (community psychiatric supportive treatment) show comprehensive outpatient and day‑program offerings. Presence of per‑diem residential codes such as T2048 and H0018 indicates the provider also operates residential treatment capacity alongside community services.

On competitive standing within the state, the provider is a major player for several high‑revenue psychotherapy and community treatment codes: 90837 ranks #4 of 283 providers in‑state (99th percentile; extreme outlier), 90834 ranks #4 of 160 (98th percentile; extreme outlier), and 90832 ranks #4 of 116 (97th percentile; extreme outlier). For assertive outreach, H0039 ranks #1 of 15 providers (100th percentile; notably above typical state volume), underlining leadership in intensive community treatment models.

Operational scale is reflected in claim volumes and common outpatient E/M activity: 90837 shows 111.3K claims and 90834 shows 44.3K claims, and 99213 accounts for 41.3K claims ($1.9M, ranking #36 of 1909 in‑state, 98th percentile; notably above typical state volume). These volumes imply sustained high throughput for psychotherapy and routine medical evaluation services within the Medicaid population.

Residential and longer‑term care are meaningful revenue components: T2048 (long‑term residential, per diem) generates $2.9M (5.9% of Medicaid revenue) and H0018 (short‑term residential, per diem) generates $1.3M (2.6%). The mix of per‑diem residential payments alongside time‑based community rehabilitation suggests a vertically integrated set of outpatient, day, and residential behavioral health services.

Several activity metrics are statistically notable and could affect competitive or contracting discussions: the provider’s extreme outlier status on 90837 and similarly high rankings on 90834/90832 indicate unusually large psychotherapy volume versus peers, while H0039’s #1 statewide rank (100th percentile) signals exceptional capacity in assertive community treatment. Other codes such as 99213 and 99205 are also ranked notably above typical state volume, reflecting above‑average medical evaluation capacity embedded in the behavioral health operation.

The provider’s NPI has been enumerated since 2006-10-03 (~20 years ago), indicating long tenure in the state Medicaid market. Combined with the Medicaid revenue scale ($50.2M) and concentrated but high‑volume service lines, the organization appears established and specialized in community‑based behavioral health services, which may make it a focal partner or competitor for Medicaid behavioral health contracting and program design.

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	111,320	$100	$11.1M
H2030	Mental health clubhouse services, per 15 minutes	76,230	$50	$3.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	66,590	$60	$3.7M
H2015	Comprehensive community support services, per 15 minutes	69,640	$50	$3.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	69,260	$40	$3M
H2012	Behavioral health day treatment, per hour	49,780	$60	$3M
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…	44,320	$70	$3M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	7,460	$400	$2.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	26,220	$90	$2.5M
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…	41,320	$50	$1.9M

Showing 1–10 of 40

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Region Iv Mental Health Services — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	9	10	6,640	$300	$8.7M
H2012	Behavioral health day treatment, per hour	9	30	3,380	$90	$4.3M
H2030	Mental health clubhouse services, per 15 minutes	6	20	30,170	$60	$3.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	6	30	12,170	$70	$3.3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	6	10	4,420	$380	$2.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7	30	19,670	$60	$2.3M
S5100	Day care services, adult; per 15 minutes	109	150	6,390	$170	$2.3M
H2015	Comprehensive community support services, per 15 minutes	7	30	5,320	$60	$2.2M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2	10	14,100	$130	$1.6M
T2023	Targeted case management; per month	14	20	2,380	$240	$1.4M

Showing 1–10 of 40

Related Providers

Other providers that share a Tax Identification Number (TIN) with Region Iv Mental Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tejinder Saini	TN	Psychiatry Physician	$402K	$65.7K
Teresa Kendrick	MS	Psychiatric/Mental Health Nurse Practitioner	$174.7K	$0
Maxie Gordon	MS	Psychiatry Physician	$76.8K	$0

Nearby Providers

Other providers in the same ZIP code as Region Iv Mental Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Mississippi Planning And Development District	MS	Case Management Agency	$0	$24.7M
Baptist Memorial Hospital-booneville, Inc.	MS	General Acute Care Hospital	$0	$7.2M
United Emergency Services, Inc.	MS	Emergency Medicine Physician	$0	$5.7M
Gilbert's Hospice Care, LLC	MS	Community Based Hospice Care Agency	$0	$2.9M
Northeast Mississippi Community Services, Inc..	MS	Driver	$0	$2.1M
David Chase	MS	Pulmonary Disease Physician	$623K	$0
Adam Hill	MS	Optometrist	$91.5K	$491.8K
Thomas Putnam	MS	Internal Medicine Physician	$306.6K	$43.5K
Erik Dukes	MS	Family Medicine Physician	$244.4K	$0
Christopher Reynolds	MS	Family Medicine Physician	$228.8K	$0

Region Iv Mental Health Services — Billing Profile & Reimbursement Data

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Region Iv Mental Health Services — 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