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

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

Mainstream Mental Health Services (NPI 1700150166)

Field	Value
Entity Type	Organization
Organization	Mainstream Mental Health Services
Address	707 5th St Ne
City	Roanoke
State	VA
ZIP	24016
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 2, 2012

Payer Source	Total Paid
Medicaid	$32.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0046	Mental health services, not otherwise specified	164,520	$160	$26.7M
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…	16,310	$90	$1.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	22,840	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	780	$1,090	$850.5K
H2019	Therapeutic behavioral services, per 15 minutes	1,650	$450	$735.6K
S0201	Partial hospitalization services, less than 24 hours, per diem	1,230	$470	$569.6K
S9482	Family stabilization services, per 15 minutes	750	$640	$478.7K
H0032	Mental health service plan development by non-physician	2,930	$80	$240.6K
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…	2,200	$50	$105.7K
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…	1,620	$70	$105.6K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Mainstream Mental Health Services — 3 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0201	Partial hospitalization services, less than 24 hours, per diem	50	80	1,870	$470	$2.9M
H0046	Mental health services, not otherwise specified	2	510	6,100	$190	$2.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	34	100	15,920	$60	$1.9M
S9482	Family stabilization services, per 15 minutes	86	180	650	$1,070	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	49	120	1,100	$610	$1.7M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	81	110	1,830	$220	$1.1M
H2011	Crisis intervention service, per 15 minutes	73	230	360	$1,290	$1.1M
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…	38	1,340	710	$90	$245K
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…	73	330	270	$40	$112.2K
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…	156	660	310	$60	$110.9K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Behavioral Healthcare	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$75.7M
Ehs Support Services, LLC	VA	Community/Behavioral Health Agency	$0	$28.4M
Anderson & Associates, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$17.9M
Hall Community Services Inc	VA	Mental Health Counselor	$0	$16.6M
Vistar Eye Center, Inc	VA	Specialist	$0	$11.4M
Professional Therapies Of Roanoke, Inc.	VA	Rehabilitation Clinic/Center	$0	$10.5M
It's About Time, Inc	VA	Developmentally Disabled Services Day Training Agency	$0	$9.4M
Roanoke Resource LLC	VA	Community/Behavioral Health Agency	$0	$8.3M
Carilion Medical Center	VA	Home Health Agency	$0	$7.3M
City Of Roanoke	VA	Land Ambulance	$1.2M	$5.8M

Mainstream Mental Health Services — Billing Profile & Reimbursement Data

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Mainstream Mental Health Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References