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

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

Four County Comprehensive Mental Health Center Inc (NPI 1972545945)

Field	Value
Entity Type	Organization
Organization	Four County Comprehensive Mental Health Center Inc
Address	1000 N Broadway
City	Peru
State	IN
ZIP	46970
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$131.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports Total Medicaid revenue of $131.4M, making it effectively a single-payer (Medicaid) operation in the available claims data. Analysts should treat Medicare-related comparisons as inapplicable for this entity because Medicare activity is absent in the dataset.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 91.8% of the provider’s total Medicaid revenue, with a single code, H2014, responsible for $109.8M or 83.6% of Medicaid revenue. That concentration means financial performance and utilization patterns will be dominated by delivery and reimbursement behavior tied to a very small set of service lines.

The code mix and volumes indicate a community mental health-style operation focused on programmatic skills training and high-volume casework: H2014 (732K claims, $150 avg paid/claim, $109.8M revenue) and T1016 (275.9K claims, $24 avg paid/claim, $6.6M revenue) together drive the bulk of dollars and encounter counts. Substantial billing for short psychotherapy sessions (90832: 116.3K claims, $36 avg paid/claim, $4.2M revenue) further supports an ambulatory behavioral health model that emphasizes frequent, brief contacts and care coordination.

Competitive standing is mixed by code: H2014 activity ranks #6 of 48 providers in-state (89th percentile) but is described in the data as “typical, unremarkable volume for this code,” indicating strong absolute Medicaid revenue concentration without an unusually dominant statewide market share for that specific service. By contrast, 90832 ranks #4 of 428 providers in-state (99th percentile) and is labeled an “extreme outlier,” signaling that this provider is a top statewide performer in short psychotherapy visit volume relative to peers.

Clinical E/M and psychiatric evaluation capacity appears significant alongside programmatic services: 99214 shows 56.5K claims and $2.5M revenue (1.9% of Medicaid revenue) with a statewide rank of #52 of 2122 providers (98th percentile; notably above typical state volume), and 90791 reports 15.6K claims and $1.1M revenue (0.8%). These high percentiles for E/M and initial psychiatric evaluations suggest integrated medical management and diagnostic throughput beyond only nonmedical support services.

The provider’s service breadth includes medication-related and crisis services at materially smaller dollar levels — for example H0034 (40.5K claims, $768.7K revenue) and H2011 (2.2K claims, $299.2K revenue) — which indicates support services and episodic crisis intervention are part of the care mix but are not primary revenue drivers. Several specialty codes (e.g., S9484: 319 claims, $46.9K revenue, rank #1 of 5, 100th percentile) appear at very small absolute revenue but high percentile rankings, a pattern that can reflect niche services with limited statewide competition.

The provider has a long tenure in the NPI file, enumerated on 2006-06-12 (~20 years ago), which combined with $131.4M in Medicaid revenue and heavy reliance on H2014 suggests a stable, longstanding community mental health center that has scaled Medicaid-funded skills training services over time. Longevity plus concentrated Medicaid billing makes the provider operationally important within Medicaid networks for the services it specializes in.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	732,010	$150	$109.8M
T1016	Case management, each 15 minutes	275,860	$20	$6.6M
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…	116,350	$40	$4.2M
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…	56,470	$50	$2.5M
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…	43,710	$40	$1.7M
H0031	Mental health assessment, by non-physician	22,150	$70	$1.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	15,570	$70	$1.1M
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…	14,410	$50	$778.2K
H0034	Medication training and support, per 15 minutes	40,460	$20	$768.7K
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…	4,930	$80	$404.5K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Four County Comprehensive Mental Health Center Inc — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	6	50	75,600	$130	$34.8M
T1016	Case management, each 15 minutes	7	50	8,980	$30	$3.8M
H0031	Mental health assessment, by non-physician	8	40	6,070	$70	$724.3K
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…	30	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	7	30	7,890	$20	$529.8K
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…	52	2,120	870	$60	$450.6K
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…	259	690	1,070	$80	$422.3K
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…	313	2,380	920	$50	$376.8K
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…	37	220	1,380	$20	$360.2K
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	430	630	$40	$243.8K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Four County Comprehensive Mental Health Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four County Comprehensive Mental Health Center, Inc	IN	Psychiatric Hospital	$0	$29.1M
Heather Fisher	IN	Clinical Social Worker	$1.4K	$0

Nearby Providers

Other providers in the same ZIP code as Four County Comprehensive Mental Health Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dukes Health System LLC	IN	Critical Access Hospital	$0	$8.9M
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path	IN	Physical Therapist	$0	$4.5M
Dukes Physician Services LLC	IN	General Practice Physician	$0	$3.7M
Ladd Dental Group Of Peru, P.C.	IN	General Practice Dentistry	$0	$3.4M
Bradley Hammersley	IN	Podiatrist	$143.5K	$0
Lloyd Lorenz	IN	Family Medicine Physician	$131K	$0
Michelle Reeve	IN	Clinical Social Worker	$117.7K	$0
Jennifer Drancik	IN	Internal Medicine Physician	$98.9K	$0
Roderick Sawyer	IN	Cardiovascular Disease Physician	$89.4K	$0
Meg Guthrie-pennington	IN	Optometrist	$87K	$0

Four County Comprehensive Mental Health Center Inc — Billing Profile & Reimbursement Data

Sign up for Four County Comprehensive Mental Health Center Inc — Billing Profile & Reimbursement Data policy alerts

Four County Comprehensive Mental Health Center Inc — Billing Profile & Reimbursement Data

Sign up for Four County Comprehensive Mental Health Center Inc — 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