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

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

Singing River Services (NPI 1851407829)

Field	Value
Entity Type	Organization
Organization	Singing River Services
Address	3407 Shamrock Ct
City	Gautier
State	MS
ZIP	39553
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 22, 2006

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

Key Findings

SINGING RIVER SERVICES is effectively a single-payer Medicaid provider: there is no Medicare billing on file ("none below") while the provider reports $20.1M in lifetime Medicaid revenue. This concentration means analyses of utilization, revenue risk, and contracting leverage should be framed almost entirely around Medicaid activity rather than any Medicare footprint.

Revenue is concentrated in a small set of Medicaid service lines: the precomputed top three Medicaid codes (H2012, H2017, S5100) account for 45.0% of the provider's total Medicaid revenue. Specifically, H2012 generated $4.7M (23.2%), H2017 generated $2.2M (11.2%), and S5100 generated $2.1M (10.6%), indicating that nearly half of Medicaid dollars flow through day-treatment, psychosocial rehabilitation, and adult day-care services.

The code mix indicates a community-based behavioral health operation focused on intensive day and community services rather than medical-subspecialty care: high volumes of H2012 (behavioral health day treatment), H2017 (psychosocial rehabilitation), and S5100 (day care services, adult) point toward structured day programs and rehabilitative supports as core service lines. Complementary revenues from H0036 (community psychiatric supportive treatment), H2030 (mental health clubhouse services), and multiple psychotherapy codes (90837, 90834, 90832) further support a model built around outpatient, group, and community rehabilitation rather than inpatient or physician-driven specialty care.

Competitive standing by service shows mixed strength across Medicaid codes: H2012 ranks #5 of 27 in-state (85th percentile; typical, unremarkable volume) which signals a relatively strong regional position in day treatment but still within the expected range for peers. S5100 ranks #58 of 149 (61th percentile; typical, unremarkable volume) and H2017 ranks #10 of 26 (64th percentile; typical, unremarkable volume), indicating the provider is a meaningful but not dominant statewide player across these top-day-program codes.

There are notable high-volume exceptions in outpatient E/M and psychotherapy: 99212 appears as an outlier with 35.5K claims, $26 avg paid/claim, $923.4K revenue (4.6% of Medicaid revenue) and ranks #3 of 672 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), suggesting unusually large volumes of brief established-patient visits relative to peers. At the same time, 90837 produced $2M (9.8% of Medicaid revenue) across 20K claims and ranks #15 of 283 (95th percentile; typical, unremarkable volume), showing substantial long-session psychotherapy revenue alongside high E/M throughput.

Service breadth is broad across community and rehabilitative codes: the provider reports material revenues from H0036 ($2.1M), H2030 ($1.7M), H2015 ($1.6M), and a mix of assessment, case-management and ACT-related codes (H0031 $292.5K, T1017 $237.3K, H0039 $358.9K). These mid-sized revenue lines—each typically characterized as "typical, unremarkable volume" in-state—indicate a diversified community mental health portfolio that extends beyond its top day-program offerings.

Operational tenure is long enough to suggest established local presence: the NPI was enumerated on 2006-08-22 (~20 years ago), which supports interpreting current patterns as the product of sustained service strategy and local contracting rather than a very new entrant. Analysts should therefore consider historical relationships with state Medicaid and local referral networks when evaluating growth or consolidation opportunities.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	59,740	$80	$4.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	39,410	$60	$2.2M
S5100	Day care services, adult; per 15 minutes	11,000	$190	$2.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	34,740	$60	$2.1M
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…	20,010	$100	$2M
H2030	Mental health clubhouse services, per 15 minutes	30,170	$60	$1.7M
H2015	Comprehensive community support services, per 15 minutes	25,890	$60	$1.6M
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,…	35,520	$30	$923.4K
T2015	Habilitation, prevocational, waiver; per hour	780	$600	$467K
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…	5,540	$70	$360.2K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Singing River Services — 2 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	5	30	3,380	$90	$4.3M
H2030	Mental health clubhouse services, per 15 minutes	10	20	30,170	$60	$3.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	10	30	12,170	$70	$3.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	12	30	19,670	$60	$2.3M
S5100	Day care services, adult; per 15 minutes	58	150	6,390	$170	$2.3M
H2015	Comprehensive community support services, per 15 minutes	13	30	5,320	$60	$2.2M
T2015	Habilitation, prevocational, waiver; per hour	18	30	940	$610	$1.3M
T1017	Targeted case management, each 15 minutes	11	40	2,060	$60	$996.6K
H0039	Assertive community treatment, face-to-face, per 15 minutes	9	20	7,880	$90	$914.3K
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…	15	280	600	$100	$681.9K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Singing River Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Singing River Health System	MS	Multi-Specialty Clinic/Center	$0	$4.4M
Dreamtree Enterprises, L.L.C.	MS	Community/Behavioral Health Agency	$0	$1.7M
Joshua Ortego	MS	Dermatology Physician	$75.7K	$0
Travis Burdick	MS	Physical Therapist	$68.7K	$0
Rick Hoover	MS	Family Medicine Physician	$55.4K	$0
Rose Clifford	MS	Psychiatric/Mental Health Nurse Practitioner	$37.2K	$0

Singing River Services — Billing Profile & Reimbursement Data

Sign up for Singing River Services — Billing Profile & Reimbursement Data policy alerts

Singing River Services — Billing Profile & Reimbursement Data

Sign up for Singing River Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References