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 1912697186)

Field	Value
Entity Type	Organization
Organization	The Guidance Center, Inc
Address	500 Limit St
City	Leavenworth
State	KS
ZIP	66048
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 11, 2023

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	55,280	$220	$11.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	50	$0	$0
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…	40	$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…	340	$0	$0
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…	1,080	$0	$0
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	260	$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,…	100	$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…	1,020	$0	$0
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…	140	$0	$0
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…	40	$0	$0

Showing 1–10 of 17

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 — 0 of 1 code 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

17 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	34,540	$260	$13.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	38	60	35,080	$100	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	23	60	12,570	$60	$1.5M
H2011	Crisis intervention service, per 15 minutes	30	50	1,840	$270	$1.1M
T1017	Targeted case management, each 15 minutes	60	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…	423	1,050	560	$80	$266.8K
H0038	Self‑help/peer services, per 15 minutes	52	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…	586	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…	231	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…	136	280	320	$50	$87.5K

Showing 1–10 of 17

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	Mental Health Counselor	$0	$22.7M

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

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The Guidance Center, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References