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    OpenPayerNPI Medicare & MedicaidMental Health Center Of East Central Kansas A Corp…
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    Mental Health Center Of East Central Kansas A Corporation — Billing Profile & Reimbursement Data

    NPI 1740365758 · Emporia, KS · Community/Behavioral Health Agency

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    Mental Health Center Of East Central Kansas A Corporation is a community/behavioral health agency provider located in Emporia, Kansas. This profile covers 0 Medicare and 25 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
    OrganizationMental Health Center Of East Central Kansas A Corporation
    Address1000 Lincoln St
    CityEmporia
    StateKS
    ZIP66801
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedOctober 26, 2006

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

    Payer SourceTotal Paid
    Medicaid$23.7M
    Medicare$0

    Key Findings

    MENTAL HEALTH CENTER OF EAST CENTRAL KANSAS A CORPORATION is a Medicaid-focused community/behavioral health agency with $23.7M in reported Medicaid revenue and no Medicare billing on file, making it effectively a single‑payer (Medicaid) operation in the data. The absence of Medicare billing means all reported public-payer scale and competitive comparisons should be interpreted through a Medicaid lens.

    Revenue is highly concentrated: the precomputed top three Medicaid codes (H0036, H2017, and 90834) together account for 71.9% of this provider's Medicaid revenue. Individually those codes are reported as H0036 $8.9M (37.7%), H2017 $6.1M (25.7%), and 90834 $2M (8.5%), showing a small set of services drive the majority of receipts.

    The mix of high-volume codes points to a service model built around frequent, time-based outpatient behavioral supports: H0036 (Community psychiatric supportive treatment, per 15 minutes), H2017 (Psychosocial rehabilitation services, per 15 minutes), and 90834 (psychotherapy, 38–52 minutes) together indicate core programs in community psychiatric support, psychosocial rehabilitation, and individual psychotherapy. Claim counts are consistent with this operational focus (for example, 73.8K claims for H0036, 68.4K for H2017, and 33.1K for 90834), suggesting sustained high-volume delivery rather than episodic specialty care.

    On competitive standing within Kansas, the provider is a dominant outlier for mid-length psychotherapy: 90834 ranks #1 of 278 providers statewide (100th percentile; labeled an "extreme outlier"), indicating far higher than typical state volume for that code. H2017 ranks #6 of 63 (92th percentile; "notably above typical state volume"), which signals a strong regional position in psychosocial rehabilitation, while H0036 ranks #15 of 63 (77th percentile; "typical, unremarkable volume"), showing the provider is strong on some lines but mixed across others.

    Beyond the top three codes, the provider shows notable statewide strength in several complementary Medicaid services that support intensive outpatient programming: T1017 (54.5K claims, $1.3M; ranks #13 of 218, 94th percentile, "notably above typical state volume"), T1019 (65.5K claims, $1.8M; ranks #12 of 55, 80th percentile), and H0038 (17K claims, $885.5K; ranks #4 of 64, 95th percentile). These ranks and claim volumes indicate a diversified set of billed activities around case management, personal care, and peer/self-help supports that feed the core therapy and rehab services.

    The provider's financial and operational risk profile is concentrated: reliance on a single payer (Medicaid) and on a small group of high‑revenue codes (the top three account for 71.9% of Medicaid revenue) makes the organization sensitive to state Medicaid policy, rate changes, and utilization management for those specific services. Any shifts in reimbursement or authorization for H0036, H2017, or 90834 would disproportionately impact total revenue.

    Operational implications from the billing pattern include a need for substantial continuous staffing of therapists, case managers, and peer/support personnel because many of the high-volume codes are billed per 15 minutes or per-session (for example, H0036 and H2017 are per 15 minutes). The claim volumes and service unit structure imply an operating model optimized for frequent, shorter-interval contacts combined with a significant number of standard psychotherapy sessions.

    This entity has an established presence in the market with an NPI enumerated 2006-10-26 (~20 years ago), which, together with its extreme and notable statewide ranks on several Medicaid codes, suggests a long-standing regional role in delivering Medicaid-funded behavioral health and rehabilitation services. The tenure plus concentrated code dominance indicates entrenched capacity in Kansas's Medicaid behavioral health ecosystem.

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes73,770$120$8.9M
    H2017Psychosocial rehabilitation services, per 15 minutes68,370$90$6.1M
    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…33,110$60$2M
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…65,450$30$1.8M
    H2011Crisis intervention service, per 15 minutes4,880$270$1.3M
    T1017Targeted case management, each 15 minutes54,500$20$1.3M
    H0038Self‑help/peer services, per 15 minutes17,030$50$885.5K
    90847A 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…5,660$60$322.8K
    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…4,940$40$212.4K
    99213The 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…6,470$30$187.6K

    Showing 1–10 of 25

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1040Medicaid certified community behavioral health clinic services, per diem313034,540$260$13.9M
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…126021,510$90$8.5M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes156035,080$100$4.1M
    H2017Psychosocial rehabilitation services, per 15 minutes66012,570$60$1.5M
    H2011Crisis intervention service, per 15 minutes12501,840$270$1.1M
    T1017Targeted case management, each 15 minutes132205,390$40$599.4K
    H2021Community-based wrap-around services, per 15 minutes16303,140$60$441K
    99213The 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…1321,050560$80$266.8K
    H0038Self‑help/peer services, per 15 minutes4602,130$50$223.2K
    S0311Comprehensive management and care coordination for advanced illness, per calendar month2830680$130$182K

    Showing 1–10 of 25

    Nearby Providers

    Other providers in the same ZIP code as Mental Health Center Of East Central Kansas A Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Services, Inc.KSDevelopmentally Disabled Services Day Training Agency$0$20.4M
    JourneysKSDevelopmentally Disabled Services Day Training Agency$0$15.5M
    Mental Health Center Of East Central Kansas A CorporationKSCommunity/Behavioral Health Agency$0$12M
    Carearc, Inc.KSFederally Qualified Health Center (FQHC)$0$7.1M
    Newman Memorial County HospitalKSRural Health Clinic/Center$0$7M
    AuspisionKSCase Management Agency$0$6.1M
    Hetlinger Developmental Services, Inc.KSCase Management Agency$0$5.3M
    Stepping Stones Unlimited LLCKSCase Management Agency$0$4.5M
    Smith Agency LLCKSDevelopmentally Disabled Services Day Training Agency$0$3.7M
    Calm, LLCKSFoster Care Agency$0$3.2M

    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. Kansas Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Mental Health Center Of East Central Kansas A Corporation — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas