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.

Cummins Behavioral Health Systems, Incorporated (NPI 1740232115)

Field	Value
Entity Type	Organization
Organization	Cummins Behavioral Health Systems, Incorporated
Address	5101 E Us Highway 36 Ste 100
City	Avon
State	IN
ZIP	46123
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$108.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer at scale: CUMMINS BEHAVIORAL HEALTH SYSTEMS, INCORPORATED reports $108.5M in lifetime Medicaid revenue and has no Medicare billing on file, indicating near‑exclusive reliance on Medicaid as its revenue source. That concentration in a single public payer should be a primary consideration for payer contracting and risk exposure reviews.

Revenue is highly concentrated in a narrow set of Medicaid codes: the top three codes (H2014, 90834, T1016) account for 82.0% of the provider's Medicaid revenue. Specifically, H2014 generates $65.5M (60.3%), 90834 $15.1M (13.9%), and T1016 $8.5M (7.8%), showing most billing and dollars flow through a small number of time‑based behavioral services.

The code mix points to a service model built around skills training, psychotherapy, and time‑based case management rather than primary medical visits. H2014 (Skills training and development, per 15 minutes) is the single largest revenue driver with 554.9K claims and $65.5M in revenue, while 90834 (psychotherapy, 38–52 minutes) has 320.5K claims and T1016 (case management, each 15 minutes) has 303.4K claims, together indicating high-volume, programmatic behavioral health care focused on repeated, brief or mid-length encounters.

Competitive standing is mixed by code: the provider is a regional leader for some psychotherapy and substance‑use treatment codes but not uniformly dominant across all top services. For example, 90834 ranks #3 of 584 providers in-state (100th percentile) and is labeled an extreme outlier—positioning the provider as a major psychotherapy supplier statewide—while H0015 (intensive outpatient SUD services) ranks #1 of 69 providers (100th percentile), signaling market leadership in intensive outpatient substance‑use treatment.

By contrast, H2014—though the largest revenue source—ranks more modestly at #8 of 48 providers in-state (85th percentile) and is described as typical/unremarkable volume for that code, which suggests the provider’s dominance is concentrated more in psychotherapy and SUD intensive outpatient services than across all skills‑training peers. T1016 ranks #5 of 52 (92nd percentile), indicating above‑average but not exceptional placement for case management relative to peers.

Several secondary codes show unusually high state standing for specific services, reinforcing a broad outpatient behavioral health capability. Codes such as 90847 (family psychotherapy) and 90846 (family psychotherapy without the patient) rank #5 of 195 (98th percentile) and #3 of 80 (97th percentile) respectively, and 90791 (psychiatric evaluation) ranks in the 98th percentile, indicating notable volume in family, assessment, and evaluation services alongside individual psychotherapy.

Operationally, billing patterns reflect high-frequency, time‑based service delivery: very large claim counts for per‑15‑minute codes (H2014 554.9K claims; T1016 303.4K claims) and a high count of 90834 psychotherapy encounters (320.5K claims). The presence of high‑volume ancillary items such as 80305 drug screening (30.4K claims, $303.6K revenue) supports a workflow that combines frequent brief contacts, monitoring, and programmatic therapies rather than a model centered on low‑frequency, high‑acuity medical visits.

The provider has long tenure in the Medicaid market, with its NPI enumerated on 2006-05-16 (~20 years ago), which aligns with sustained, large‑scale Medicaid activity. That longevity, combined with the concentration of revenue in a few high‑volume behavioral codes, suggests an established operational footprint and specialization in community behavioral health and substance‑use services within the state.

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	554,860	$120	$65.5M
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…	320,530	$50	$15.1M
T1016	Case management, each 15 minutes	303,420	$30	$8.5M
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…	40,650	$90	$3.6M
T2022	Case management, per month	3,690	$860	$3.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	23,560	$90	$2.1M
99214	The 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…	32,150	$60	$1.8M
H0031	Mental health assessment, by non-physician	24,540	$70	$1.8M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	21,900	$70	$1.6M
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…	21,400	$60	$1.2M

Showing 1–10 of 34

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

Cummins Behavioral Health Systems, Incorporated — 8 of 25 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	8	50	75,600	$130	$34.8M
T1016	Case management, each 15 minutes	5	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	12	70	3,960	$130	$1.9M
T2022	Case management, per month	18	100	710	$180	$1.1M
H0031	Mental health assessment, by non-physician	6	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…	3	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	17	30	7,890	$20	$529.8K
99214	The 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…	82	2,120	870	$60	$450.6K
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	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…	123	690	1,070	$80	$422.3K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cummins Behavioral Health Systems, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rodney Thomas	OH	Clinical Social Worker	$22K	$0

Nearby Providers

Other providers in the same ZIP code as Cummins Behavioral Health Systems, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana University Health West Hospital Inc	IN	General Acute Care Hospital	$0	$16M
Hendricks County Hospital	IN	Urgent Care Clinic/Center	$0	$3.5M
Kids Dentistree Of In, LLC	IN	Pediatric Dentistry	$0	$2.7M
Washington Township Trustee	IN	Land Ambulance	$477.9K	$1.3M
David Nathan	IN	Dermatology Physician	$416.1K	$0
Shelly Earlywine	IN	Family Nurse Practitioner	$405.2K	$0
Indiana Endoscopy Centers LLC	IN	Ambulatory Surgical Clinic/Center	$268K	$3.5K
Christopher Doran	IN	Pain Medicine (Anesthesiology) Physician	$237.8K	$0
Robert Mcpike	IN	Optometrist	$193.8K	$0
Sridhar Bolla	IN	Hematology & Oncology Physician	$174.2K	$0

Cummins Behavioral Health Systems, Incorporated — Billing Profile & Reimbursement Data

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Cummins Behavioral Health Systems, Incorporated — 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