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

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

Community Counseling Center (NPI 1861154130)

Field	Value
Entity Type	Organization
Organization	Community Counseling Center
Address	402 S Silver Springs Rd
City	Cape Girardeau
State	MO
ZIP	63703
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 13, 2021

Payer Source	Total Paid
Medicaid	$91.4M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: total Medicaid revenue is $91.4M and there is no Medicare billing on file. The NPI was enumerated 2021-10-13 (~5 years ago), so the organization has generated this Medicaid footprint in a relatively short active window since enumeration.

Revenue is extremely concentrated in a single per‑diem clinic code: the top three Medicaid codes account for 99.9% of the provider's Medicaid revenue, and T1040 alone represents $91.1M (324.2K claims, $281 avg paid/claim) or 99.6% of the Medicaid total. This concentration indicates that nearly all Medicaid dollars for the entity flow through the certified community behavioral health clinic per‑diem mechanism rather than many disparate fee‑for‑service lines.

The code mix and dominant T1040 usage indicate the provider operates primarily as a Medicaid certified community behavioral health clinic; T1040 (Medicaid certified community behavioral health clinic services, per diem) is the clear operational and payment model. Smaller volumes billed to psychotherapy and E/M codes such as 90837 and 99214 exist, but they contribute only a sliver of revenue compared with the per‑diem model, suggesting direct patient contact services are largely packaged into the clinic per‑diem.

Competitive standing on the core per‑diem service is modest within the state: T1040 ranks #12 of 31 providers in-state (63th percentile; typical, unremarkable volume). That rank indicates the clinic is a mid-level contributor among certified clinics in Missouri on this code rather than a statewide leader, despite the absolute dollar value being large.

The provider is a notable outlier on certain fee‑for‑service E/M activity: 99214 shows 20.8K claims, $12 avg paid/claim and $249.8K revenue (0.3%), and it ranks #44 of 3166 providers in-state (99th percentile; notably above typical state volume). In plain terms, the clinic bills substantially more 99214 visits than most peers even though those visits represent a very small share of its Medicaid revenue.

Psychotherapy and supportive services appear in the billing mix but generate minimal revenue: 90837 (2.5K claims, $14 avg paid/claim, $34.9K revenue) and multiple H‑series codes (for example H0036 140K claims, H0037 96.4K claims, H2017 35.8K claims) show material claim counts while the dataset records $0 avg paid/claim for many of those H‑codes. This pattern is consistent with bundled or per‑diem reimbursement and/or reporting conventions in which service units are captured for utilization analysis but payments are reflected primarily through the T1040 per‑diem.

Operationally, the combination of very high T1040 volume and the presence of many ancillary behavioral‑health codes suggests a large, clinic‑based program offering a broad slate of behavioral health services under a single certified clinic payment model. For payers and network planners, that means negotiations and reimbursement strategy should focus on the per‑diem clinic arrangement and capacity planning for high daily census rather than on shifting marginal fee‑for‑service rates.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	324,170	$280	$91.1M
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…	20,810	$10	$249.8K
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…	2,490	$10	$34.9K
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…	3,880	$10	$27.2K
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…	820	$20	$14.7K
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…	490	$20	$7.4K
99204	The provider sees a new 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 provider…	160	$40	$6.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	280	$10	$3.7K
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,…	770	$1	$3.1K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	50	$1	$210

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Community Counseling Center — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	12	30	198,100	$260	$125.7M
H0037	Community psychiatric supportive treatment program, per diem	5	20	56,420	$120	$11.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	16	20	214,040	$20	$10.8M
H0031	Mental health assessment, by non-physician	3	10	130	$620	$4.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	13	20	40,460	$20	$2M
H2012	Behavioral health day treatment, per hour	9	10	33,050	$30	$1.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	11	40	3,680	$30	$978K
H0005	Alcohol and/or drug services; group counseling by a clinician	15	20	16,420	$20	$858.5K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	16	30	6,100	$10	$339.7K
H2010	Comprehensive medication services, per 15 minutes	10	20	8,760	$10	$336.6K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Medical Center	MO	General Acute Care Hospital	$0	$56.4M
Semo Alliance For Disability Independence, Inc.	MO	Attendant Care Provider	$0	$27.3M
Regency Management, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18M
Blue Sky Cimmunity Services	MO	Developmentally Disabled Services Day Training Agency	$0	$14M
Saint Francis Medical Center	MO	Internal Medicine Physician	$0	$11.7M
Semo Alliance For Disability Independence	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.3M
Crown Hospice Inc	MO	Community Based Hospice Care Agency	$0	$8.3M
Cape Radiology Group, P.C.	MO	Diagnostic Radiology Physician	$0	$5.5M
David Westrich	MO	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Doctors Park Surgery Inc	MO	Ambulatory Surgical Clinic/Center	$1.2M	$0

Community Counseling Center — Billing Profile & Reimbursement Data

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Community Counseling Center — 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

Nearby Providers

Frequently Asked Questions

References