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

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

Ouachita Regional Counseling & Mental Health Center, Inc. (NPI 1821087123)

Field	Value
Entity Type	Organization
Organization	Ouachita Regional Counseling & Mental Health Center, Inc.
Address	125 Wellness Way
City	Hot Springs
State	AR
ZIP	71913
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 19, 2005

Payer Source	Total Paid
Medicaid	$22.4M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file ("none") while total Medicaid lifetime revenue is $22.4M, indicating dependence on Medicaid as the primary revenue source. The absence of Medicare activity suggests its service model and patient mix are concentrated in populations covered by Medicaid rather than traditional Medicare beneficiaries.

Revenue is highly concentrated in a small set of codes: the top three Medicaid codes account for 71.9% of the provider's Medicaid revenue, led by 90837 (38.6%), H2019 (27.2%), and H2017 (6.2%). That concentration implies that a few intensive service lines drive the majority of financial activity and operational capacity at this center.

The code mix (90837, H2019, H2017) signals an operation focused on high-volume psychotherapy and community-based behavioral services: 90837 corresponds to long individual psychotherapy sessions, H2019 to therapeutic behavioral services billed per 15 minutes, and H2017 to psychosocial rehabilitation per 15 minutes. Complementary codes such as 90853 (group psychotherapy), H0004 (behavioral health counseling), and H2015 (comprehensive community support) further indicate an integrated mix of individual, group, and community-support modalities rather than a primarily medication-management or inpatient model.

90837 shows extreme statewide scale: 108.1K claims and $8.6M revenue (38.6% of Medicaid revenue), ranking #3 of 434 providers in the state (100th percentile; extreme outlier). Similarly, initial psychiatric evaluation 90791 appears at scale (5.6K claims, $572.3K, rank #4 of 250, 99th percentile; extreme outlier), confirming very high throughput for psychotherapy and intake evaluations relative to peers.

H2019 performance underscores a strong behavioral-services footprint: 77K claims and $6.1M revenue (27.2% of Medicaid revenue), ranking #5 of 170 providers in-state (98th percentile; notably above typical state volume for this code). H2017 (32K claims, $1.4M, rank #17 of 128, 87th percentile; typical, unremarkable) shows the provider also offers psychosocial rehabilitation at meaningful scale, though H2019 is the more dominant behavioral line.

Beyond the top three, the provider maintains above-average statewide positions on many ancillary codes, indicating breadth in outpatient mental health offerings: examples include 90853 (rank #11 of 181, 94th percentile; typical), H0004 (rank #11 of 142, 93rd percentile; typical), and E/M codes 99214/99213 which rank in high percentiles for volume (95th–96th; typical, unremarkable). These placements suggest the center is a major regional player for selected services while maintaining broad service capability across common outpatient mental health codes.

Telehealth and crisis/ancillary services are also notable: Q3014 (telehealth originating site) shows 6.9K claims and $20.7K revenue, ranking #4 of 102 in-state (97th percentile; notably above typical state volume), which implies substantial use of telehealth as an access channel. Smaller-volume codes such as H2011 (crisis intervention) and 96101 (testing) appear at modest levels, indicating some crisis and assessment capacity but not primary revenue drivers.

The provider's NPI tenure (enumerated 2005-10-19, approximately ~21 years ago) combined with $22.4M in Medicaid lifetime revenue and the concentrated, high-volume code mix paints the picture of an established community mental health center with long-standing Medicaid dependence and operational scale concentrated in psychotherapy and intensive behavioral services. This profile suggests significant staffing and programmatic investments aligned to high-volume outpatient and community-based mental health care.

Medicaid: Complete Services Breakdown

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

32 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…	108,060	$80	$8.6M
H2019	Therapeutic behavioral services, per 15 minutes	76,990	$80	$6.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	32,050	$40	$1.4M
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…	29,030	$40	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	8,820	$90	$767.1K
H2015	Comprehensive community support services, per 15 minutes	9,870	$70	$661.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,610	$100	$572.3K
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…	12,180	$40	$511.7K
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…	17,200	$30	$447.1K
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…	4,820	$70	$352K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Ouachita Regional Counseling & Mental Health Center, Inc. — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	5	170	2,430	$80	$1.1M
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…	3	430	760	$80	$675.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	17	130	2,210	$40	$529K
H2015	Comprehensive community support services, per 15 minutes	20	150	1,770	$70	$390.2K
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…	11	180	1,430	$40	$263.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	11	140	1,180	$90	$238.7K
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…	74	1,520	550	$40	$128.7K
H0038	Self‑help/peer services, per 15 minutes	9	20	840	$40	$107.5K
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.	10	120	390	$70	$97.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	41	60	460	$30	$95.9K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ouachita Regional Counseling & Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keeanndase Pace	AR	Psychiatric/Mental Health Nurse Practitioner	$44.6K	$0
Christina Planje	AR	Clinical Social Worker	$40.1K	$0
Jessie Green	AR	Psychiatric/Mental Health Nurse Practitioner	$15.2K	$0
Michael West	AR	Psychiatric/Mental Health Nurse Practitioner	$11.3K	$0

Nearby Providers

Other providers in the same ZIP code as Ouachita Regional Counseling & Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rock Dental Arkansas PLLC	AR	Dentist	$0	$128.8M
Superior Senior Care	AR	In Home Supportive Care Agency	$0	$22.5M
Chi St Vincent Hospital Hot Springs	AR	General Acute Care Hospital	$0	$16.4M
Chi St. Vincent Medical Group Hot Springs	AR	Specialist	$0	$13.8M
Tlc Home Care Of Arkansas	AR	In Home Supportive Care Agency	$0	$7M
Little Bitty City Therapeutic Services LLC	AR	Developmental Disabilities Clinic/Center	$0	$6.9M
Healthy Connections Incorporated	AR	Federally Qualified Health Center (FQHC)	$0	$5.5M
Abilities Unlimited Of Hot Springs Ar Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$4.9M
A-o-m-s, PLLC	AR	Oral and Maxillofacial Surgery (Dentist)	$0	$4.2M
Stephen Divers	AR	Hematology & Oncology Physician	$3.9M	$1.5K

Ouachita Regional Counseling & Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Ouachita Regional Counseling & Mental Health 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

Related Providers

Nearby Providers

Frequently Asked Questions

References