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.

Hamilton Center, Inc. (NPI 1841344991)

Field	Value
Entity Type	Organization
Organization	Hamilton Center, Inc.
Address	620 8th Ave
City	Terre Haute
State	IN
ZIP	47804
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$84.5M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available claims data: there is no Medicare billing on file (none reported), while lifetime Medicaid revenue is $84.5M. Analysts should treat Medicaid as the operating universe for revenue and utilization insights rather than expecting Medicare data for cross-payer comparisons.

Revenue is highly concentrated in a very small set of services: the precomputed top-three Medicaid codes account for 96.5% of reported Medicaid revenue. In particular H2014 accounts for $67.7M (80.1% of Medicaid revenue), T1016 accounts for $12.1M (14.3%), and H0034 accounts for $1.7M (2.1%), indicating the business is heavily dependent on a narrow set of billable activities.

The code mix (H2014, T1016, H0034) signals an operational focus on community-based rehabilitation and support rather than physician-delivered psychotherapy. H2014 (Skills training and development, per 15 minutes) and H2017/H0034 presence point to psychosocial rehabilitation, skills training, and medication training/support models, while T1016 (Case management) shows a substantial investment in care coordination infrastructure. This combination is consistent with a mental health clinic model emphasizing programmatic, time-based services.

Despite H2014’s dominance in revenue, the provider’s statewide competitive position for that code is not an outlier: H2014 ranks #9 of 48 providers in-state (83th percentile) and is labeled in the source as "typical, unremarkable volume for this code." That suggests the provider has an above-average but not uniquely dominant share of H2014 activity within Indiana.

T1016 and H0034 also show relatively high statewide percentiles but are characterized as typical activity: T1016 ranks #8 of 52 (86th percentile) and H0034 ranks #4 of 30 (90th percentile), each labeled "typical, unremarkable volume for this code." These placements indicate the provider is a meaningful regional participant in case management and medication-support services without being a statistical outlier.

Smaller service lines contribute only marginally to revenue and are unlikely to alter business risk materially: H2017 accounts for $1.5M (1.7%), H0031 $1.3M (1.5%), and H0004 $189.8K (0.2%) of Medicaid revenue. Several psychotherapy codes appear in claims (e.g., 90832: 100 claims, $0 avg paid/claim, $0 revenue; 90834: 318 claims, $0 avg paid/claim, $0 revenue), indicating activity logged for those CPTs but no recorded Medicaid payments in the dataset. Analysts should treat these as immaterial to current revenue but watch for documentation or payer-specific coverage rules.

The provider has an established presence with a long tenure: NPI enumerated 2007-01-23 (~19 years ago). That duration supports the interpretation that HAMILTON CENTER, INC. operates a mature, programmatic community mental health model rather than a newly launched service line.

For contract and risk assessment, the main sensitivities are clear: given that H2014 alone equals $67.7M (80.1% of Medicaid revenue) and the top three codes total 96.5% of revenue, payer reimbursement changes, policy shifts affecting skills-training or case-management units, or changes in service definition for H2014/T1016 would disproportionately affect this provider’s financial profile. Review of rate-setting, utilization limits, and audit exposure for those specific codes should be prioritized by payers and provider analysts.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	477,050	$140	$67.7M
T1016	Case management, each 15 minutes	251,520	$50	$12.1M
H0034	Medication training and support, per 15 minutes	59,800	$30	$1.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	10,410	$140	$1.5M
H0031	Mental health assessment, by non-physician	17,100	$70	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	2,710	$70	$189.8K
H2011	Crisis intervention service, per 15 minutes	320	$130	$41.8K
H0038	Self‑help/peer services, per 15 minutes	140	$30	$3.9K
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…	100	$0	$0
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…	320	$0	$0

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

Hamilton Center, Inc. — 0 of 8 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	9	50	75,600	$130	$34.8M
T1016	Case management, each 15 minutes	8	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	43	70	3,960	$130	$1.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	7	20	4,500	$120	$1.4M
H0031	Mental health assessment, by non-physician	9	40	6,070	$70	$724.3K
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…	378	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	4	30	7,890	$20	$529.8K
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…	348	430	630	$40	$243.8K
H0038	Self‑help/peer services, per 15 minutes	69	80	1,080	$60	$219.4K
H2011	Crisis intervention service, per 15 minutes	14	20	620	$100	$139.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamilton Center, Inc.	IN	Psychiatric Hospital	$0	$28.6M
Hamilton Center, Inc.	IN	Community/Behavioral Health Agency	$0	$22.1M
Hamilton Center Inc.	IN	Methadone Clinic	$0	$4.8M
John Wheat	IN	General Practice Physician	$129K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Hospital Inc.	IN	General Acute Care Hospital	$0	$47.1M
Cep America LLC	IN	Emergency Medicine Physician	$0	$9M
Union Hospital, Inc.	IN	Family Medicine Physician	$0	$6.9M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$4.8M
Gaurav Verma	IN	Nephrology Physician	$551.8K	$0
Manish Gera	IN	Nephrology Physician	$543K	$0
Raj Jeevan	IN	Nephrology Physician	$377.3K	$0
Stephen Fern	IN	Orthopaedic Surgery Physician	$283.6K	$0
Carlos Belmar	IN	Orthopaedic Surgery Physician	$191.6K	$0
Robert Haerr	IN	Radiation Oncology Physician	$179.9K	$0

Hamilton Center, Inc. — Billing Profile & Reimbursement Data

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Hamilton 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