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.

Southlake Community Mental Health Center Inc. (NPI 1821081290)

Southlake Community Mental Health Center Inc. is a clinic/center provider located in Merrillville, Indiana. This profile covers 0 Medicare and 41 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Southlake Community Mental Health Center Inc.
Address	8555 Taft St
City	Merrillville
State	IN
ZIP	46410
Taxonomy	Clinic/Center
NPI Enumerated	August 31, 2005

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

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

41 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…	83,950	$70	$5.7M
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…	47,490	$40	$1.8M
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…	28,820	$50	$1.4M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	17,130	$80	$1.3M
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…	31,020	$40	$1.3M
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…	19,680	$60	$1.1M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	3,470	$110	$367.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	20,610	$10	$247.4K
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,…	7,680	$30	$199.8K
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…	4,430	$30	$141.6K

Showing 1–10 of 41

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

Southlake Community Mental Health Center Inc. — 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

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	46	50	75,600	$130	$34.8M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	49	60	23,940	$380	$12.8M
T1016	Case management, each 15 minutes	46	50	8,980	$30	$3.8M
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…	27	580	710	$60	$582.9K
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…	95	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…	69	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…	4	690	1,070	$80	$422.3K
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…	122	2,380	920	$50	$376.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	34	220	1,380	$20	$360.2K
T1015	Clinic visit/encounter, all-inclusive	403	400	5,220	$20	$360.2K

Showing 1–10 of 41

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southlake Community Mental Health Center Inc.	IN	Psychiatric Hospital	$0	$22.6M
Southlake Community Mental Health Center, Inc	IN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.5M
Paul Hannah	IN	Psychiatry Physician	$18.6K	$898.6K
Truptiben Patel	DC	Hospitalist Physician	$107.2K	$0
Liliana Martinez	IL	Mental Health Counselor	$42.8K	$35.3K
Lori Morrow	IN	Family Nurse Practitioner	$33.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Help At Home, LLC	IN	Home Health Agency	$0	$207.5M
Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville	IN	Substance Abuse Rehabilitation Facility	$0	$43.1M
Southlake Community Mental Health Center Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.2M
Innovations In Learning, PC	IN	Behavior Analyst	$0	$15.1M
Robert W Moses O.d. Professional Corporation	IN	Optometrist	$0	$13.4M
All Family Dental & Braces, LLC.	IN	General Practice Dentistry	$0	$12.1M
Northshore Health Centers, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$10.9M
Belvedere Slf LLC	IN	Assisted Living Facility	$0	$10.1M
Tradewinds Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$7.6M
All Pieces Fit, Inc	IN	Clinic/Center	$0	$6.3M

Southlake Community Mental Health Center Inc. — Billing Profile & Reimbursement Data

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Southlake Community Mental Health Center Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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