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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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 Service (NPI 1932167277)

Field	Value
Entity Type	Organization
Organization	Community Counseling Service
Address	357 Kansas Ave Se
City	Huron
State	SD
ZIP	57350
Taxonomy	Mental Health Counselor
NPI Enumerated	May 3, 2006

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue totals $13.7M, so all reported professional revenue is concentrated in Medicaid programs rather than split across Medicare/Medicaid. That payer concentration means population- and policy-level changes in Medicaid reimbursement or eligibility are likely to have outsized impact on this entity’s revenue.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes (H0039, 90832, H2021) together account for 73.4% of this provider’s Medicaid revenue. Individually, H0039 generates $4.7M (34.3%), 90832 generates $3.4M (25.1%), and H2021 generates $1.9M (14.0%), indicating most dollars flow through assertive community treatment, brief psychotherapy visits, and community wrap‑around services.

The code mix signals a community‑based mental health model focused on high‑frequency, short encounters and intensive community supports: H0039 is assertive community treatment billed per 15 minutes (56.5K claims, $83 avg paid/claim), 90832 is short psychotherapy encounters (37.3K claims, $92 avg paid/claim), and H2021 is community‑based wrap‑around services per 15 minutes (21.7K claims, $88 avg paid/claim). Together these patterns are consistent with programs that emphasize face‑to‑face, time‑based community contacts and large caseload throughput rather than lower‑volume, high‑unit procedures.

Competitive standing varies by code: the provider is a statewide leader for 90832 (ranks #1 of 72 providers in‑state, 100th percentile; labeled an "extreme outlier, far above typical state volume") and also ranks #1 of 5 for H0039 (100th percentile), indicating dominant volume in short psychotherapy and assertive community treatment relative to peers. By contrast, H2021 ranks #7 of 11 (40th percentile), showing more modest standing for wrap‑around services compared with in‑state peers and suggesting the provider’s dominance is concentrated in a subset of service lines.

Beyond the top three codes, the provider shows above‑typical volume for several clinical supports that complement psychotherapy: 90863 (12K claims, $925K revenue) ranks #2 of 12 in‑state (91th percentile) and 90791 (2.2K claims, $326.5K revenue) ranks #5 of 68 (94th percentile; notably above typical). These data suggest the organization also delivers medication management and diagnostic evaluation services at rates higher than most peers, supporting a more comprehensive outpatient treatment capability.

Operational footprint and throughput appear large given claims volumes and unit rates: H0039 has 56.5K claims at $83 avg paid/claim and 90832 has 37.3K claims at $92 avg paid/claim, which implies staffing and program models built to manage many short, repeat encounters rather than infrequent, longer sessions. That volume profile creates operational dependencies on scheduling, community visits, and time‑based billing workflows.

There are a handful of codes with negligible or zero reported payments (for example 90887, 99214, 90837 show $0 avg paid/claim and $0 revenue) and some unusual high‑volume listings outside core psychotherapy (99442 ranks #1 of 23 providers in‑state, 100th percentile; labeled an "extreme outlier"). These entries represent either non‑revenue reporting rows or payment anomalies and should be interpreted cautiously when assessing financial health and service mix.

The provider has long tenure in the NPI file, enumerated 2006-05-03 (~20 years ago), indicating an established presence in the community. Combined with the concentrated Medicaid footprint and dominant statewide volumes in key outpatient psychotherapy and community treatment codes, this tenure suggests the organization is a stable, specialized Medicaid behavioral health provider whose strategic risk is centered on Medicaid policy and reimbursement trends.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	56,480	$80	$4.7M
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…	37,310	$90	$3.4M
H2021	Community-based wrap-around services, per 15 minutes	21,690	$90	$1.9M
H2016	Comprehensive community support services, per diem	16,280	$80	$1.2M
90863	The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.	12,010	$80	$925K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	5,320	$110	$574.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,220	$150	$326.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,070	$70	$148.8K
W0037	N/A	1,620	$80	$135.7K
99442	N/A	2,020	$70	$135.5K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Community Counseling Service — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	9	10	29,180	$80	$3.6M
H2021	Community-based wrap-around services, per 15 minutes	7	10	47,600	$90	$3.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	1	10	45,430	$80	$3.3M
90863	The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.	2	10	5,650	$90	$550.2K
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…	193	340	1,010	$100	$511K
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…	79	260	860	$80	$222.6K
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…	1	70	200	$80	$176.7K
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…	127	190	430	$90	$154.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	8	20	520	$80	$128.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	5	30	330	$40	$104.9K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Counseling Service, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Brandt	SD	Psychiatric/Mental Health Nurse Practitioner	$2.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Huron Area Center For Independence	SD	Developmental Disabilities Clinic/Center	$0	$75.7M
Our Home Inc	SD	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$35.3M
Our Home, Inc.	SD	Substance Abuse Rehabilitation Facility	$0	$9.6M
Independent Health Solutions LLC	SD	Home Health Agency	$0	$4M
Huron Regional Medical Center Inc	SD	Critical Access Hospital	$0	$3.4M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$3.2M
Huron Vt LLC	SD	Assisted Living Facility	$0	$1.9M
Dakota Family Dentistry, Prof. LLC	SD	Dental Clinic/Center	$0	$1.3M
Huron Eye Clinic PC	SD	Optometrist	$0	$1.2M
Huron Clinic Foundation Ltd	SD	Family Medicine Physician	$0	$1M

Community Counseling Service — Billing Profile & Reimbursement Data

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Community Counseling Service — Billing Profile & Reimbursement Data

Sign up for Community Counseling Service — Billing Profile & Reimbursement Data policy alerts

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