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    OpenPayerNPI Medicare & MedicaidNortheastern Center Inc
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    Northeastern Center Inc — Billing Profile & Reimbursement Data

    NPI 1720140908 · Kendallville, IN · Community/Behavioral Health Agency

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    Northeastern Center Inc is a community/behavioral health agency provider located in Kendallville, Indiana. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNortheastern Center Inc
    Address220 S Main St
    CityKendallville
    StateIN
    ZIP46755
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedDecember 14, 2006

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

    Payer SourceTotal Paid
    Medicaid$38.9M
    Medicare$0

    Key Findings

    Medicaid revenue is the sole payer exposure on file: NORTHEASTERN CENTER INC reports Total Medicaid revenue of $38.9M and has no Medicare billing on file, making it effectively a Medicaid-focused provider with limited diversification of public-payer revenue. Its NPI was enumerated 2006-12-14 (~20 years ago), indicating long-standing participation in Medicaid programs.

    Revenue is highly concentrated in three time-based community behavioral health codes: the precomputed top-3 Medicaid codes (H2014, H2017, T1016) account for 79.9% of the provider’s Medicaid revenue, with H2014 at $20.2M (51.9%), H2017 at $7M (17.9%), and T1016 at $3.9M (10.0%). This concentration signals that a small set of rehabilitation and case-management services drive the bulk of the organization’s billing.

    The code mix points to an operational model centered on long-duration, community-based rehabilitation and support: H2014 (Skills training and development, per 15 minutes), H2017 (Psychosocial rehabilitation services, per 15 minutes), and T1016 (Case management, each 15 minutes) together dominate revenue, while time-based, per-15-minute billing is a consistent payment mechanism for the organization’s primary service lines. Complementary clinical services such as individual psychotherapy (90834, 61K claims, $2.6M) and office E/M visits (99214, 28.1K claims, $1.4M) suggest integrated care that combines rehabilitative supports with traditional clinical encounters.

    Dependence on a single flagship code presents operational sensitivity: H2014 alone contributes $20.2M (51.9%) of Medicaid revenue, so program changes, prior authorization shifts, or rate adjustments affecting H2014 would materially affect the provider’s topline. By contrast, H2017 and T1016, while significant, are smaller shares at $7M (17.9%) and $3.9M (10.0%), respectively, indicating some revenue breadth within the community behavioral health space.

    Competitive standing varies by service line across the state. NORTHEASTERN CENTER ranks #1 of 16 providers for H2017 (100th percentile) and is described as notably above typical state volume for that code, indicating a statewide leadership position in psychosocial rehabilitation; by comparison it ranks #18 of 48 for H2014 (64th percentile; typical, unremarkable volume) and #18 of 52 for T1016 (67th percentile; typical, unremarkable volume), so it is not a dominant provider for those other top codes.

    Operational scale is evident in claim volumes and unit rates for leading codes: H2014 shows 151.7K claims at $133 avg paid/claim, H2017 shows 54.1K claims at $129 avg paid/claim, and T1016 shows 92.6K claims at $42 avg paid/claim. Those volumes indicate sustained, high-frequency delivery of services billed in short time increments, consistent with a large community/behavioral health agency model focused on repeated contacts rather than single high-dollar episodes.

    The provider’s clinical footprint includes a mix of rehabilitative and traditional mental-health modalities beyond the three revenue drivers, suggesting service-line diversification within behavioral health. Examples include individual psychotherapy (90834, 61K claims, $2.6M; ranks #21 of 584, 97th percentile; labeled typical, unremarkable volume), group psychotherapy (90853, 30.4K claims, $394.7K), and psychiatric evaluation codes (90791, 5.7K claims, $401K), indicating capacity to deliver both community-based rehabilitation and standard outpatient mental-health services to Medicaid populations.

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2014Skills training and development, per 15 minutes151,700$130$20.2M
    H2017Psychosocial rehabilitation services, per 15 minutes54,060$130$7M
    T1016Case management, each 15 minutes92,610$40$3.9M
    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…60,960$40$2.6M
    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…28,140$50$1.4M
    H0034Medication training and support, per 15 minutes45,750$20$915K
    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…7,780$70$567.6K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.5,730$70$401K
    90853Group 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…30,360$10$394.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…6,100$40$250.3K

    Showing 1–10 of 31

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    31 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2014Skills training and development, per 15 minutes185075,600$130$34.8M
    T1016Case management, each 15 minutes18508,980$30$3.8M
    H0004Behavioral health counseling and therapy, per 15 minutes61703,960$130$1.9M
    H2017Psychosocial rehabilitation services, per 15 minutes1204,500$120$1.4M
    T2022Case management, per month71100710$180$1.1M
    H0031Mental health assessment, by non-physician24406,070$70$724.3K
    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…21580710$60$582.9K
    H0034Medication training and support, per 15 minutes6307,890$20$529.8K
    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…1002,120870$60$450.6K
    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…1316901,070$80$422.3K

    Showing 1–10 of 31

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Northeastern Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeastern Center, IncINPsychiatric Hospital$0$10.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Hospital Of Noble County, Inc.INGeneral Acute Care Hospital$0$8.5M
    Luis VelascoINObstetrics & Gynecology Physician$138.1K$0
    Jeffery CioccaINPhysical Therapist$104.1K$0
    Frank AdamsINAnesthesiology Physician$13.1K$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. Indiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Northeastern Center Inc — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana