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.

Marion Counseling Services, PLLC (NPI 1720326473)

Field	Value
Entity Type	Organization
Organization	Marion Counseling Services, PLLC
Address	460 Briarwood Dr Ste 510
City	Jackson
State	MS
ZIP	39206
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 30, 2013

Payer Source	Total Paid
Medicaid	$28.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a Medicaid-focused operation: Total Medicaid revenue is $28.8M with no recorded Medicare revenue. Analysts should treat payer mix as single-payer Medicaid when assessing scale and contract risk.

Revenue is highly concentrated: the precomputed top 3 codes account for 68.1% of the provider’s Medicaid revenue. Those three are 90837 ($11.4M, 39.4% of Medicaid revenue), H2015 ($6.3M, 21.9%), and H0036 ($2M, 6.8%), indicating a reliance on a small set of high-volume behavioral health services.

The code mix points to an operation built around long psychotherapy and community-based support: 90837 (psychotherapy, 53+ minutes) and H2015 (comprehensive community support services, per 15 minutes) together generate the majority of revenue, and high claim volumes (90837: 104.2K claims; H2015: 126.2K claims) indicate time-based, high-throughput service delivery rather than brief medical office visits. This suggests staffing, scheduling, and capacity are likely optimized for sustained patient contact and community support workflows.

Competitive standing by code is uneven but strong for core services: 90837 ranks #5 of 283 providers in-state (99th percentile; extreme outlier), signaling the provider is a major statewide source of long psychotherapy. H2015 ranks #3 of 34 (94th percentile; notably above typical state volume), marking it as a leading provider of community support services, while H0036 ranks #9 of 28 (70th percentile; typical, unremarkable volume), indicating modest participation in face-to-face psychiatric supportive treatment.

Several non-primary codes also read as outliers and reinforce a specialty in behavioral health intake and intensity: 90791 ($1.3M, 4.7%) ranks #3 of 164 (99th percentile; extreme outlier) and 90785 ($116.5K, 0.4%) ranks #2 of 69 (99th percentile; extreme outlier). High standing on evaluation and add-on codes suggests substantial throughput of initial assessments and cases requiring increased psychotherapy intensity.

Service breadth includes both individual and group modalities and multiple session lengths: 90832 ($977.6K, 3.4%) ranks #5 of 116 (97th percentile; notably above typical) and 90853 ($483.7K, 1.7%) ranks #3 of 84 (98th percentile; notably above typical). The provider bills across short, mid, and long psychotherapy sessions as well as group therapy, indicating diversified clinical offerings within outpatient behavioral health.

Operational scale is significant in absolute claim volume, which supports the $28.8M Medicaid footprint: examples include 104.2K claims for 90837 and 126.2K claims for H2015. Those claim counts, combined with the provider’s ~13 years of NPI tenure (NPI enumerated 2013-01-30 (~13 years ago)), indicate an established, high-volume Medicaid behavioral health operation.

Concentration creates policy and rate sensitivity: because 90837 and H2015 together drive the bulk of revenue (they represent 39.4% and 21.9% respectively and together are part of the top-3 share of 68.1%), reimbursement changes or utilization shifts for long psychotherapy and community support services would have outsized impact on this provider’s $28.8M Medicaid revenue base. Analysts should prioritize contract and utilization reviews for those codes.

Medicaid: Complete Services Breakdown

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

23 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…	104,240	$110	$11.4M
H2015	Comprehensive community support services, per 15 minutes	126,150	$50	$6.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	51,710	$40	$2M
T1017	Targeted case management, each 15 minutes	53,350	$30	$1.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	12,250	$110	$1.3M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	17,260	$80	$1.3M
H0031	Mental health assessment, by non-physician	10,170	$110	$1.1M
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…	19,170	$50	$977.6K
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…	9,950	$70	$656.4K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	7,540	$80	$602.9K

Showing 1–10 of 23

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

Marion Counseling Services, PLLC — 5 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	17	30	3,380	$90	$4.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	9	30	19,670	$60	$2.3M
H2015	Comprehensive community support services, per 15 minutes	3	30	5,320	$60	$2.2M
T1017	Targeted case management, each 15 minutes	4	40	2,060	$60	$996.6K
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…	5	280	600	$100	$681.9K
H0031	Mental health assessment, by non-physician	8	30	1,670	$90	$526.3K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	8	50	400	$80	$506.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	10	80	300	$80	$337.4K
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…	709	1,910	930	$60	$278.7K
H2011	Crisis intervention service, per 15 minutes	5	20	1,140	$110	$251.7K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Marion Counseling Services, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Loving Health Care, Inc.	MS	In Home Supportive Care Agency	$0	$44.2M
Harmony Court Assisted Living Home Inc	MS	Assisted Living Facility	$0	$8.6M
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$8.5M
Emma Womack	MS	Homemaker	$0	$5M
Divinity Community Living, Inc.	MS	In Home Supportive Care Agency	$0	$5M
Carnell Kitchens	MS	Assisted Living Facility (Mental Illness)	$0	$3.8M
Inmotion Rehab, LLC	MS	Physical Therapy Clinic/Center	$0	$3.5M
Isd Renal Inc	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Michelle J. Gibson, Md PLLC	MS	Clinic/Center	$0	$1.7M
Executive Diagnostics LLC	MS	Clinical Medical Laboratory	$387.8K	$0

Marion Counseling Services, PLLC — Billing Profile & Reimbursement Data

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Marion Counseling Services, PLLC — 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