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.

Northeast Mental Health/mental Retardation Commission (NPI 1801828496)

Field	Value
Entity Type	Organization
Organization	Northeast Mental Health/mental Retardation Commission
Address	2434 S Eason Blvd
City	Tupelo
State	MS
ZIP	38804
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicaid	$65.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: there is no Medicare billing on file while lifetime Medicaid revenue is $65.7M, indicating Medicaid is the dominant and near‑exclusive source of billed volume and revenue for this entity. The top three Medicaid codes account for 58.6% of total Medicaid revenue, signaling a concentrated revenue base.

Revenue is highly concentrated in a small set of outpatient psychotherapy and case‑management codes: 90837 accounts for $29.8M (45.5% of Medicaid revenue), T1017 contributes $4.5M (6.9%), and 90846 adds $4.1M (6.2%), together matching the precomputed top‑3 share of 58.6%. This concentration highlights reliance on long‑duration psychotherapy and targeted case management as primary revenue drivers.

The code mix—dominated by 90837, 90846, 90791, T1017 and multiple H‑series community‑based service codes—paints the picture of a comprehensive community mental health center that delivers high volumes of psychotherapy, family therapy, psychiatric evaluation, targeted case management, psychosocial rehabilitation, and community support services. Presence of codes such as H2017, H2015, H0036, H0039 and H2030 indicates substantial investment in intensive, team‑based and peer/community supports beyond simple office visits.

Competitive standing within Mississippi is strong and in many cases dominant: 90837 ranks #1 of 283 providers (100th percentile; extreme outlier), T1017 ranks #1 of 42 providers (100th percentile; extreme outlier), and 90846 ranks #1 of 54 providers (100th percentile; extreme outlier). Additional codes where the provider ranks at or near the top statewide include H0031 (#1 of 30, 100th percentile; extreme outlier), H0038 (#1 of 31, 100th percentile; extreme outlier), and 90791 (#1 of 164, 100th percentile; extreme outlier), underlining a multi‑code dominance rather than a narrow specialty.

Operational delivery appears to include high outpatient encounter volume and telehealth: 99213 generated $2.1M from 39.6K claims and ranks #39 of 1909 providers (98th percentile; notably above typical), while Q3014 (telehealth originating site facility fee) produced $163.9K from 6.1K claims and ranks #2 of 31 providers (97th percentile; notably above typical). These figures suggest substantial reliance on both face‑to‑face E/M visits and telehealth modalities to deliver services.

The provider also generates meaningful revenue from community‑based rehabilitation and support codes—H2017 $3.8M, H2015 $3.3M, H0036 $2.7M and H2030 $2.5M—indicating a broad service portfolio that includes psychosocial rehabilitation, comprehensive community support and clubhouse services. Most of these H‑series codes sit in typical to unremarkable state percentiles, which implies the organization pairs a few extremely high‑volume psychotherapy and management codes with a steady base of community service offerings.

Several additional codes are flagged as statistical outliers for the state and reinforce the provider’s regional centrality: H0031 $3.7M (ranks #1 of 30, 100th percentile; extreme outlier), H0038 $1M (ranks #1 of 31, 100th percentile; extreme outlier), and 96127 $128.6K (21.4K claims, ranks #3 of 123, 98th percentile; extreme outlier). These outlier designations indicate the provider is a focal point for both standardized behavioral assessments and non‑physician mental health services in Mississippi.

The NPI was enumerated on 2006-07-06 (~20 years ago), reflecting long tenure in the market; combined with $65.7M in Medicaid revenue and numerous top‑ranked codes, this tenure supports interpretation of the provider as an established, high‑volume community mental health system within the state. Given the concentration in a few large codes and dominance on multiple service lines, payers or competitors evaluating network capacity should view this entity as a major Medicaid‑era hub for psychotherapy, case management and community supports.

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 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…	283,810	$110	$29.8M
T1017	Targeted case management, each 15 minutes	173,830	$30	$4.5M
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.	52,370	$80	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	58,120	$70	$3.8M
H0031	Mental health assessment, by non-physician	41,620	$90	$3.7M
H2015	Comprehensive community support services, per 15 minutes	49,250	$70	$3.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	45,010	$60	$2.7M
H2030	Mental health clubhouse services, per 15 minutes	42,260	$60	$2.5M
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…	39,600	$50	$2.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	14,440	$110	$1.6M

Showing 1–10 of 31

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

Northeast Mental Health/mental Retardation Commission — 10 of 25 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	18	30	3,380	$90	$4.3M
H2030	Mental health clubhouse services, per 15 minutes	9	20	30,170	$60	$3.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	8	30	12,170	$70	$3.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	10	30	19,670	$60	$2.3M
H2015	Comprehensive community support services, per 15 minutes	9	30	5,320	$60	$2.2M
T1017	Targeted case management, each 15 minutes	1	40	2,060	$60	$996.6K
H0039	Assertive community treatment, face-to-face, per 15 minutes	6	20	7,880	$90	$914.3K
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…	1	280	600	$100	$681.9K
H0031	Mental health assessment, by non-physician	1	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.	1	50	400	$80	$506.1K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northeast Mental Health/mental Retardation Commission, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edith Faulkner	MS	Family Nurse Practitioner	$31.2K	$0
Katherine Ederer	MS	Psychiatric/Mental Health Nurse Practitioner	$11.6K	$0

Nearby Providers

Other providers in the same ZIP code as Northeast Mental Health/mental Retardation Commission, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Mississippi Ground Ambulance, LLC	MS	Land Ambulance	$4.7M	$12.9M
A&a Home Health Equipment, Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$10.5M
North Mississippi Medical Center Inc.	MS	Rural Health Clinic/Center	$0	$7.7M
Tri-vista Rehab, Inc	MS	Physical Therapist	$0	$2.8M
Kenneth Johnson	MS	Pediatric Dentistry	$0	$2.8M
Tupelo Surgery Center, L.L.C.	MS	Ophthalmologic Surgery Clinic/Center	$1.5M	$345.6K
Sonya Miles	MS	Ophthalmology Physician	$539.5K	$0
Ruben Jones	MS	Family Medicine Physician	$369.9K	$0
Edmund Miller	MS	Family Medicine Physician	$309.3K	$0
Dax Eckard	MS	Optometrist	$241.4K	$24.7K

Northeast Mental Health/mental Retardation Commission — Billing Profile & Reimbursement Data

Sign up for Northeast Mental Health/mental Retardation Commission — Billing Profile & Reimbursement Data policy alerts

Northeast Mental Health/mental Retardation Commission — Billing Profile & Reimbursement Data

Sign up for Northeast Mental Health/mental Retardation Commission — Billing Profile & Reimbursement Data policy alerts

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