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.

The Guidance Center, Inc (NPI 1841262839)

Field	Value
Entity Type	Organization
Organization	The Guidance Center, Inc
Address	500 Limit St
City	Leavenworth
State	KS
ZIP	66048
Taxonomy	Mental Health Counselor
NPI Enumerated	February 3, 2006

Payer Source	Total Paid
Medicaid	$22.7M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused behavioral health organization: Total Medicare revenue is none (no Medicare billing on file) while lifetime Medicaid revenue is $22.7M, indicating near-exclusive dependence on Medicaid as the payer of record. The absence of Medicare billing means analyses of Medicare-based market positioning or dual-eligible mixes are not applicable for this entity.

Revenue is highly concentrated in a small set of service codes: the precomputed top three Medicaid codes account for 81.9% of the provider's total Medicaid revenue, driven by H0036 ($9.6M, 42.5%), H2017 ($7.9M, 34.9%), and T1019 ($1M, 4.5%). This concentration implies the provider’s financial performance is closely tied to the reimbursement and utilization trends for those specific community- and home-based behavioral health services.

The code mix points to an operational model centered on community-based behavioral health and rehabilitation delivered in short units: H0036 (82.5K claims, community psychiatric supportive treatment, per 15 minutes) and H2017 (95.6K claims, psychosocial rehabilitation services, per 15 minutes) dominate claim volume, while T1019 (42.3K claims, personal care services, per 15 minutes) indicates integration of personal care into treatment plans. High counts of 15-minute units suggest a service delivery model built around frequent, billed-unit encounters rather than episodic inpatient care.

State competitive standing is mixed but includes clear strengths: the provider ranks #2 of 63 for H2017 (98th percentile; notably above typical state volume), marking it as a leading statewide provider of psychosocial rehabilitation, while H0036 ranks #13 of 63 (81th percentile; typical, unremarkable volume) indicating more typical statewide presence for community psychiatric supportive treatment. T1019 ranks #19 of 55 (67th percentile; typical, unremarkable volume), so the provider is not uniformly dominant across all its top codes.

The provider also shows above-typical statewide volume in several other Medicaid services that broaden its clinical footprint: 90837 (10.4K claims, $969.7K revenue) ranks #18 of 731 (98th percentile; notably above typical state volume), and T1017 (51K claims, $867.3K revenue) ranks #17 of 218 (93th percentile; notably above typical state volume), indicating significant delivery of long psychotherapy sessions and targeted case management in addition to rehabilitation units. These elevated ranks suggest the organization provides both intensive psychotherapy and coordinated case management at scale.

There are pockets of specialty dominance in narrow program areas: T2038 (2.8K claims, $116.2K revenue) ranks #1 of 8 (100th percentile; notably above typical state volume), which indicates the provider plays a leading role in community transition waiver services within the state. That #1 rank is a strong indicator of niche market leadership for that specific waiver-based service line.

Unit-level reimbursement is relatively low for the largest volume codes, requiring high throughput to generate revenue: H0036 averages $117 paid/claim, H2017 averages $83 paid/claim, and T1019 averages $24 paid/claim. Coupled with the extremely high claim counts (e.g., 95.6K for H2017 and 82.5K for H0036), this pattern reflects a high-volume, time-unit-based billing model where financial scale is driven by frequent short-duration encounters.

The provider is an established entity with long tenure: NPI enumerated 2006-02-03 (~20 years ago), and the combination of sustained high claim volumes and $22.7M in lifetime Medicaid revenue suggests an entrenched community behavioral health operation rather than a recent entrant. Long-standing enrollment plus concentrated service lines should be considered when assessing network negotiations, capacity, or policy impact on its primary Medicaid service mix.

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	82,470	$120	$9.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	95,590	$80	$7.9M
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…	42,320	$20	$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…	10,430	$90	$969.7K
T1017	Targeted case management, each 15 minutes	51,020	$20	$867.3K
S5150	Unskilled respite care, not hospice; per 15 minutes	3,040	$170	$516.5K
H2021	Community-based wrap-around services, per 15 minutes	8,730	$50	$418.8K
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…	7,100	$30	$198.7K
S5110	Home care training, family; per 15 minutes	6,810	$30	$190.7K
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…	4,660	$40	$181.7K

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

The Guidance Center, Inc — 3 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…	19	60	21,510	$90	$8.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	13	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	2	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	28	50	1,840	$270	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	11	20	3,040	$150	$827.4K
T1017	Targeted case management, each 15 minutes	17	220	5,390	$40	$599.4K
H2021	Community-based wrap-around services, per 15 minutes	11	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…	122	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	55	60	2,130	$50	$223.2K
A0100	Non-emergency transportation; taxi	13	30	1,100	$40	$198.2K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Guidance Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Guidance Center, Inc	KS	Community/Behavioral Health Agency	$0	$11.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Resources, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.8M
Va Eastern Kansas Health Care System	KS	Emergency Medicine Physician	$0	$7M
Robinson Kiser	KS	Pediatric Dentistry	$0	$1.9M
County Of Leavenworth	KS	Ambulance	$684.3K	$1.1M
Robinson T Kiser Dmd LLC	KS	Pediatric Dentistry	$0	$1.7M
Vernon Mills	KS	Pediatrics Physician	$0	$1.2M
Emergent Care Plus Of Overland Park, LLC	KS	Urgent Care Clinic/Center	$0	$1.1M
Prime Healthcare Services - Saint John Leavenworth, LLC	KS	General Acute Care Hospital	$0	$855.8K
Norris And Kelly, P.A.	KS	Optometrist	$0	$831.7K
Debra Heidgen	KS	Pediatrics Physician	$0	$818.9K

The Guidance Center, Inc — Billing Profile & Reimbursement Data

Sign up for The Guidance Center, Inc — Billing Profile & Reimbursement Data policy alerts

The Guidance Center, Inc — Billing Profile & Reimbursement Data

Sign up for The Guidance Center, Inc — 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