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

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

County Of Sedgwick (NPI 1831180033)

Field	Value
Entity Type	Organization
Organization	County Of Sedgwick
Address	635 N Main St
City	Wichita
State	KS
ZIP	67203
Taxonomy	Mental Health Counselor
NPI Enumerated	November 4, 2005

Payer Source	Total Paid
Medicaid	$30M
Medicare	$0

Key Findings

COUNTY OF SEDGWICK is effectively a Medicaid-centric behavioral health provider: reported Medicaid revenue is $30M and there is no Medicare billing on file, so the organization operates as a single-payer (Medicaid) billing entity in the available data. Its NPI was enumerated 2005-11-04 (~21 years ago), indicating long-standing enrollment and operational tenure in the Medicaid program.

Revenue is highly concentrated in a small set of time-based behavioral health services: the precomputed top 3 Medicaid codes by revenue account for 76.2% of this provider's total Medicaid revenue, driven by H0036 ($13.5M, 45.0%), H2011 ($5.5M, 18.2%), and H2017 ($3.9M, 13.0%). This concentration implies that changes to reimbursement or utilization for these specific community and crisis codes would materially affect overall revenue.

The code mix indicates a community-focused behavioral health operating model: H0036 (community psychiatric supportive treatment), H2011 (crisis intervention), and H2017 (psychosocial rehabilitation) together dominate revenue, and high claim volumes on these time-based 15-minute codes (e.g., H0036: 100.8K claims; H2017: 41.9K claims; H2011: 16.5K claims) are consistent with a service model built around frequent, brief direct contacts, case management, and crisis response rather than low-volume, high-intensity specialty care. Additional codes such as H0038 (self-help/peer services) and T1019 (personal care services) further support a community-support and workforce-delivered services profile.

Competitive standing in-state is strong for several core services: H0036 ranks #6 of 63 providers in-state (92th percentile; notably above typical state volume for this code), and H2011 ranks #2 of 47 providers in-state (98th percentile; notably above typical state volume), indicating this provider is a major in-state supplier of community psychiatric supportive treatment and crisis intervention. H2017 sits at #14 of 63 (79th percentile; typical, unremarkable volume), so while still significant, psychosocial rehabilitation is a less dominant line for this provider relative to peers.

Several codes are statistical outliers relative to in-state peers, signaling atypical volume patterns beyond the top three revenue drivers: 90837 (psychotherapy, ≥53 minutes) is an extreme outlier at #6 of 731 providers in-state (99th percentile) with $1.8M revenue (5.9%), 90791 (psychiatric evaluation) ranks #1 of 153 (100th percentile) with $272.5K (0.9%), and 96372 (injections) ranks #1 of 168 (100th percentile) with $118.7K (0.4%). These outlier positions suggest unusually high throughput for extended psychotherapy, initial psychiatric evaluations, and certain procedure-based services compared with peers.

Operational implications of the billing patterns include reliance on large front-line staff and high-frequency service delivery: very high claim counts for short-interval codes (H0036 100.8K claims, T1019 33K claims, H2017 41.9K claims, H0038 15.7K claims) imply extensive workforce hours billed in 15-minute units, coordination of multiple service types (case management, peer support, personal care), and operational emphasis on volume-driven reimbursement. This profile would require staffing models, scheduling, and documentation workflows optimized for brief, recurrent encounters.

Payer concentration creates vulnerability and strategic focus points: with $30M entirely on the Medicaid side and no Medicare billing on file, COUNTY OF SEDGWICK lacks Medicare diversification and is exposed to Medicaid policy, reimbursement, and utilization shifts. Given the top-3 concentration (76.2% of Medicaid revenue), policy or rate changes affecting H0036, H2011, or H2017 would have outsized impact on the organization’s financial stability.

The provider’s service breadth includes medical evaluation and care coordination components in addition to time-based behavioral services: high-volume E/M and case-management-related codes such as 99213 (34.4K claims, $688.7K; ranks #10 of 1047 providers in-state, 99th percentile, extreme outlier) and T1017 (24.5K claims, $440.6K; 85th percentile) indicate routine integration of office-based evaluation/management and targeted case management into the treatment pathway, suggesting a hybrid clinical-administrative model that pairs psychotherapy/crisis services with ongoing medical and care coordination activities.

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
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	100,810	$130	$13.5M
H2011	Crisis intervention service, per 15 minutes	16,540	$330	$5.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	41,880	$90	$3.9M
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…	20,270	$90	$1.8M
H0038	Self‑help/peer services, per 15 minutes	15,710	$80	$1.2M
T1019	Personal 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…	33,040	$40	$1.2M
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…	34,440	$20	$688.7K
T1017	Targeted case management, each 15 minutes	24,480	$20	$440.6K
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…	5,720	$60	$365.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,570	$110	$272.5K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

County Of Sedgwick — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal 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…	22	60	21,510	$90	$8.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	6	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	14	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	2	50	1,840	$270	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	20	20	3,040	$150	$827.4K
T1017	Targeted case management, each 15 minutes	34	220	5,390	$40	$599.4K
H2021	Community-based wrap-around services, per 15 minutes	27	30	3,140	$60	$441K
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…	10	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	6	60	2,130	$50	$223.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	34	40	1,060	$60	$189.6K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with County Of Sedgwick, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Sedgwick	KS	Community/Behavioral Health Agency	$0	$51.3M
County Of Sedgwick	KS	Case Manager/Care Coordinator	$0	$15.5M
County Of Sedgwick	KS	Land Ambulance	$4.1M	$10.9M
Baycare Behavioral Health Inc.	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.3M
County Of Sedgwick	KS	Psychiatry Physician	$0	$5.9M
County Of Sedgwick	KS	Public Health or Welfare Agency	$0	$931.5K

Nearby Providers

Other providers in the same ZIP code as County Of Sedgwick, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Saints Home Care, Inc.	KS	Home Health Agency	$0	$129.8M
Independent Living Resource Center	KS	Personal Care Attendant	$0	$119.2M
Twin Lakes Dental PA	KS	General Practice Dentistry	$0	$16.8M
Home Buddy	KS	Emergency Response System Companies	$0	$10.6M
Saint Raphael Direct Care, Inc.	KS	Attendant Care Provider	$0	$10.6M
The Arc Of Sedgwick County, Inc.	KS	Case Management Agency	$0	$7M
Abbey Senior Care	KS	Assisted Living Facility	$0	$6.3M
Adventure Vision LLC	KS	Optometrist	$0	$6.1M
Wichita Treatment Center, Inc	KS	Methadone Clinic	$328.2K	$5.2M
Recovery Unlimited, Inc	KS	Addiction (Substance Use Disorder) Counselor	$0	$3.7M

County Of Sedgwick — 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