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.

High Plains Mental Health Center (NPI 1871226944)

Field	Value
Entity Type	Organization
Organization	High Plains Mental Health Center
Address	208 E 7th St
City	Hays
State	KS
ZIP	67601
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 6, 2022

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	72,700	$200	$14.8M
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…	9,110	$1	$9.1K
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…	3,020	$1	$6K
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…	4,440	$1	$4.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	750	$1	$3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	530	$1	$1.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	200	$1	$400
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…	2,500	$0	$0
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,…	50	$0	$0
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…	340	$0	$0

Showing 1–10 of 16

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

High Plains Mental Health Center — 0 of 7 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	9	30	34,540	$260	$13.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	37	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	37	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	18	50	1,840	$270	$1.1M
T1017	Targeted case management, each 15 minutes	83	220	5,390	$40	$599.4K
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…	605	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	40	60	2,130	$50	$223.2K
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…	58	880	400	$60	$136K
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…	95	730	440	$80	$128.1K
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…	45	280	320	$50	$87.5K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as High Plains Mental Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Services Of Northwest Kansas, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$71.6M
Link Inc	KS	Home Health Agency	$0	$31.4M
High Plains Mental Health Center	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
First Care Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$4.1M
Kvc Hospitals Inc	KS	Psychiatric Residential Treatment Facility	$0	$3.7M
Homestead Of Hays Operations LLC	KS	Assisted Living Facility	$0	$2.5M
Developmental Services Of Northwest Kansas, Inc.	KS	Case Management Agency	$0	$2.4M
Hays Medical Center, Inc.	KS	Rural Health Clinic/Center	$0	$2.3M
Med-trans Corporation	KS	Air Ambulance	$1.4M	$0
Hays Medical Center, Inc.	KS	Internal Medicine Physician	$0	$1.1M

High Plains Mental Health Center — Billing Profile & Reimbursement Data

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High Plains Mental Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References