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

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

Carey Counseling Center, Inc. (NPI 1760568877)

Field	Value
Entity Type	Organization
Organization	Carey Counseling Center, Inc.
Address	408 Virginia St
City	Paris
State	TN
ZIP	38242
Taxonomy	Mental Health Counselor
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$45.5M
Medicare	$0

Key Findings

This provider is effectively single-payer in Medicare/Medicaid mix: CAREY COUNSELING CENTER, INC. reports $45.5M in lifetime Medicaid revenue and has no Medicare billing on file, so its Medicaid relationships drive nearly all recorded public-payer activity. Analysts should treat Medicaid patterns as representative of the organization’s scale and service focus rather than splitting attention with Medicare performance.

Revenue is highly concentrated in a small set of Medicaid service lines: the top three Medicaid codes account for 88.3% of total Medicaid revenue, led by H0043 ($21.5M revenue, 47.3%), H0044 ($11.8M revenue, 25.8%), and S0280 ($6.9M revenue, 15.1%). This concentration indicates the bulk of dollars flow through supported-housing and medical-home/care-planning services rather than traditional office-based E/M or individual psychotherapy.

The code mix points to a supported-housing and care-coordination operating model: large revenues from H0043 (supported housing, per diem) and H0044 (supported housing, per month), together with S0280 (medical home program, comprehensive care coordination and planning), indicate the organization primarily delivers housing-based supports and ongoing care coordination rather than episodic specialty medical services. Expect operational emphasis on facilities, residential staffing, and program-level case planning.

Despite dominating revenue share, the provider is not a statewide outlier in its top housing and coordination codes: H0043 ranks #8 of 20 providers (63th percentile) and is described as a typical, unremarkable volume; H0044 ranks #2 of 3 providers (50th percentile) and likewise appears typical; S0280 ranks #15 of 40 (64th percentile) and is described as typical. Those ranks imply the provider is a solid participant in the supported-housing market but not an uncontested market leader statewide for those specific codes.

There are notable pockets of above-typical clinical volume in mental-health visit codes: 90837 shows 30.4K claims and $1.7M revenue (3.7% of Medicaid revenue) and ranks #7 of 436 providers (99th percentile), indicating unusually high psychotherapy session volume relative to most in-state peers. This suggests the organization pairs residential supports with substantial direct psychotherapy delivery capacity.

The provider also reports unusually high volume in brief office visits: 99212 has 16.7K claims and $300.4K revenue (0.7% of Medicaid revenue) and is flagged as an extreme outlier, ranking #12 of 1170 providers (99th percentile). That pattern—high counts of lower-level E/M visits—may reflect frequent brief encounters for enrolled clients within residential or case-management settings rather than typical outpatient clinic workflows.

Operational participation in coordinated-care programs is evident but not revenue-generating on file: several coordinated-care and care-management codes (for example G9004 with 46.7K claims, G9005 with 38.7K claims, G9010 with 36K claims, G9006 with 32.8K claims, and 3008F with 12.6K claims) show large claim counts but $0 average paid/claim and $0 revenue reported. These entries likely reflect program reporting, risk-adjusted care fees that don’t show as fee-for-service payments here, or bundled payments recorded off these line items.

The provider has a long-enumerated presence: the NPI was registered on 2006-10-31 (~20 years ago), indicating an established operating history in the state and ample time to build Medicaid contracting, housing program capacity, and referral networks that align with the heavy-supported-housing and care-coordination revenue profile.

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
H0043	Supported housing, per diem	104,510	$210	$21.5M
H0044	Supported housing, per month	36,620	$320	$11.8M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	78,020	$90	$6.9M
T2023	Targeted case management; per month	25,250	$80	$2.1M
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…	30,390	$60	$1.7M
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…	16,960	$30	$542.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	16,690	$20	$300.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,390	$50	$237.2K
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…	4,140	$40	$153.3K
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…	3,950	$30	$110.6K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Carey Counseling Center, Inc. — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	6	10	11,790	$410	$75.3M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	15	40	22,180	$140	$21.3M
H0043	Supported housing, per diem	8	20	69,350	$180	$18.6M
H0044	Supported housing, per month	2	10	36,620	$330	$14.6M
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…	43	360	350	$50	$414.4K
H0038	Self‑help/peer services, per 15 minutes	15	30	1,450	$40	$310.3K
S9485	Crisis intervention mental health services, per diem	4	20	1,410	$60	$291.9K
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…	7	440	530	$70	$282.3K
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…	94	300	480	$30	$221.2K
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…	192	3,760	610	$40	$202.3K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Tennessee Healthcare Henry County	TN	General Acute Care Hospital	$0	$4.5M
Vcphcs Xx, LLC	TN	Substance Use Disorder Rehabilitation Clinic/Center	$253.6K	$2.6M
Wt Medical Associates	TN	Rural Health Clinic/Center	$0	$2.5M
Cutting Edge Therapy Services, LLC	TN	Hearing and Speech Clinic/Center	$0	$2.4M
Air Evac Ems, Inc.	TN	Air Ambulance	$1.2M	$668.8K
Air Evac Ems, Inc.	TN	Air Ambulance	$867.4K	$553.6K
Paul Koerner	TN	Radiation Oncology Physician	$933.6K	$100.9K
Van Dyck Asc, LLC	TN	Ambulatory Surgical Clinic/Center	$832.8K	$17.7K
Joe Mobley	TN	Specialist	$281.8K	$0
Joshua Coleman	TN	Optometrist	$121.2K	$110.3K

Carey Counseling Center, Inc. — Billing Profile & Reimbursement Data

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Carey Counseling 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