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

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

Adult And Child Center, Inc (NPI 1710105002)

Field	Value
Entity Type	Organization
Organization	Adult And Child Center, Inc
Address	8320 Madison Ave
City	Indianapolis
State	IN
ZIP	46227
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 23, 2007

Payer Source	Total Paid
Medicaid	$114.1M
Medicare	$0

Key Findings

ADULT AND CHILD CENTER, INC is effectively a single-payer Medicaid provider: it reports Total Medicaid revenue of $114.1M and has no Medicare billing on file, so all billed volume in the dataset is Medicaid-linked. The provider’s NPI was enumerated on 2007-04-23 (~19 years ago), indicating long-tenure operations focused on state Medicaid programs rather than Medicare lines.

Revenue is highly concentrated in a small set of time-based community behavioral health services: the precomputed top three Medicaid codes (H2014, T1016, H0004) account for 96.1% of this provider’s total Medicaid revenue. Specifically, H2014 generated $93.1M (81.6% of Medicaid revenue), T1016 generated $10.1M (8.9%), and H0004 generated $6.4M (5.6%), showing overwhelming dependence on a narrow set of services.

The code mix indicates operational emphasis on skills training and case management rather than traditional office-based psychotherapy. H2014 (Skills training and development, per 15 minutes) is the dominant line at $93.1M and 816.8K claims, while T1016 (Case management, each 15 minutes) and H0004 (Behavioral health counseling and therapy, per 15 minutes) provide the bulk of supportive care and coordination, consistent with a community/behavioral health agency delivering frequent, short-session, time-based services.

State competitive standing is strong for its top codes but characterized as statistically typical within the dataset’s labels. For H2014 the provider ranks #5 of 48 in-state (91th percentile), for T1016 it ranks #10 of 52 (82th percentile), and for H0004 it ranks #6 of 72 (93th percentile); despite these high percentile placements the dataset describes these volumes as typical, unremarkable for the respective codes, indicating the provider is a high-volume but not otherwise exceptional outlier in Indiana.

Beyond the top three, remaining CPT/HCPCS codes contribute only marginally to revenue and reflect a supplemental service mix. Examples include H2017 ($2.4M, 2.1%), H0031 ($1.6M, 1.4%), and smaller contributions from crisis, group, and peer services; this underlines that business risk and growth strategy will be driven primarily by the performance and reimbursement stability of the top time-based codes.

Operationally, the heavy reliance on per-15-minute billed units (H2014, T1016, H0004) suggests the provider’s revenue is sensitive to changes in duration-based reimbursement policy and utilization management. Because these codes are billed at scale (e.g., 816.8K claims for H2014), modest edits or prior authorization requirements targeting time-based services could materially affect billed revenue streams.

Clinical footprint differs from traditional psychotherapy-dominant providers: standard psychotherapy CPTs are present but represent negligible revenue relative to the community-support services. For example, 90837 generated $11.3K and 90834 generated $3.8K, consistent with a model that prioritizes psychosocial rehabilitation and skills training over clinic-based individual psychotherapy revenue.

The provider’s profile—long-tenured Medicaid-only billing, concentrated revenue in H2014/T1016/H0004, and high in-state ranks for those codes—positions it as a significant community behavioral health operator in Indiana focused on time-based rehabilitative and case-management services rather than Medicare-facing clinical lines. This combination signals specialized market positioning but also concentration risk tied to a small set of Medicaid service codes.

Medicaid: Complete Services Breakdown

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
H2014	Skills training and development, per 15 minutes	816,810	$110	$93.1M
T1016	Case management, each 15 minutes	246,310	$40	$10.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	56,500	$110	$6.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	17,580	$140	$2.4M
H0031	Mental health assessment, by non-physician	24,810	$70	$1.6M
H0034	Medication training and support, per 15 minutes	8,120	$30	$202.9K
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…	1,980	$40	$85.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	1,900	$40	$70.3K
H0038	Self‑help/peer services, per 15 minutes	1,370	$30	$42.5K
H2035	Alcohol and/or other drug treatment program, per hour	230	$70	$16.3K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Adult And Child Center, Inc — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	5	50	75,600	$130	$34.8M
T1016	Case management, each 15 minutes	10	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	6	70	3,960	$130	$1.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	6	20	4,500	$120	$1.4M
H0031	Mental health assessment, by non-physician	5	40	6,070	$70	$724.3K
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…	251	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	15	30	7,890	$20	$529.8K
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…	28	70	1,520	$100	$429.2K
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…	395	690	1,070	$80	$422.3K
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…	286	430	630	$40	$243.8K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Adult And Child Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Hospital South, Inc.	IN	General Acute Care Hospital	$0	$27.3M
Adult And Child Mental Health Center Inc	IN	Community/Behavioral Health Agency	$0	$23.5M
Adult And Child Mental Health Center Inc	IN	Federally Qualified Health Center (FQHC)	$0	$10.7M
Emergency Dentist,llc	IN	General Practice Dentistry	$0	$9.3M
Spero Health Of Indiana, LLC	IN	Addiction Medicine (Family Medicine) Physician	$0	$8.6M
East 53rd Street Dental-1, PC	IN	General Practice Dentistry	$0	$7.4M
Freedom Home Care, LLC.	IN	Home Health Agency	$0	$7.4M
City Optical Co., Inc.	IN	Optometrist	$0	$6.5M
Windrose Health Network, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$6M
City Optical Co., Inc.	IN	Optometrist	$0	$6M

Adult And Child Center, Inc — Billing Profile & Reimbursement Data

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Adult And Child Center, Inc — 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

Nearby Providers

Frequently Asked Questions

References