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    OpenPayerNPI Medicare & MedicaidCounty Of Sedgwick
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    County Of Sedgwick — Billing Profile & Reimbursement Data

    NPI 1982351706 · Wichita, KS · Community/Behavioral Health Agency

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    County Of Sedgwick is a community/behavioral health agency provider located in Wichita, Kansas. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Sedgwick
    Address4035 E Harry St
    CityWichita
    StateKS
    ZIP67218
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedMarch 2, 2022

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$51.3M
    Medicare$0

    Key Findings

    COUNTY OF SEDGWICK is effectively a Medicaid-focused behavioral health operator: it reports $51.3M in lifetime Medicaid revenue and has no Medicare billing on file, so its commercial/Medicare exposure is minimal to non-existent. The provider’s NPI was enumerated on 2022-03-02 (~4 years ago), indicating it has been reporting under this enrollment for roughly four years.

    Revenue is extremely concentrated in a small set of codes: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, and T1040 is listed with $51.3M in revenue (100.0% of this provider’s total Medicaid revenue). This concentration implies most actual Medicaid payments are flowing through the certified community behavioral health clinic per-diem code rather than fee-for-service line items.

    T1040 (community behavioral health clinic services, per diem) is the dominant revenue driver and a statewide market strength: it ranks #2 of 33 in Kansas and sits in the 97th percentile, described as notably above typical state volume for this code. That placement signals COUNTY OF SEDGWICK is one of the leading in-state providers delivering CCBHC-per-diem services and likely a major payer counterparty for clinic-rate arrangements.

    Although most other listed Medicaid procedure codes show $0 average paid/claim and $0 revenue, the provider reports substantial claim volumes on many clinical codes (for example, 84.2K claims for H0036, 32.2K for T1017, 14.2K for H0038, and 11.4K for H2017). The high volumes with $0 reported revenue are consistent with a service delivery model where encounter-level billing is recorded but payments are captured under a bundled per-diem or clinic-rate mechanism like T1040 — an important consideration for payers reconciling encounters versus paid claims.

    Service-line mix from the billed codes indicates a comprehensive behavioral health footprint: the claim mix includes community psychiatric supportive treatment (H0036), crisis intervention (H2011), psychosocial rehabilitation (H2017), supported employment (H2024), peer services (H0038), and multiple psychotherapy codes (90832/90834/90837). This combination matches the expected scope of a Community/Behavioral Health Agency operating as a certified community behavioral health clinic, emphasizing crisis services, rehabilitation, employment supports, and a full spectrum of therapy modalities.

    Beyond revenue, several specific service lines are statistical outliers in statewide volume despite not showing separate paid revenue: H2024 (supported employment) ranks #1 of 13 and is labeled 100th percentile/notably above typical state volume, 90837 ranks in the 95th percentile and is described as notably above typical state volume, and H0038 (self-help/peer services) ranks in the 90th percentile and is notably above typical state volume. These rank/percentile signals show the provider is a high-volume deliverer of certain behavioral health services in Kansas even where payments appear to be aggregated under the T1040 per-diem.

    From a payer analytics perspective, COUNTY OF SEDGWICK’s profile suggests two operational takeaways: first, payment reconciliation should prioritize T1040 per-diem activity as the primary source of Medicaid spend; second, evaluation of service access and capacity should incorporate high-volume encounter codes (many with $0 paid) such as H0036, T1017, and H0038 to understand actual clinical throughput and network capacity. Both steps are necessary because encounter volumes and paid-revenue coding are decoupled in this dataset.

    The provider’s competitive standing is strong within state behavioral health networks for clinic-based and supportive services: multiple codes place COUNTY OF SEDGWICK at high percentiles versus in-state peers (e.g., T1040 at the 97th percentile, H2024 at the 100th percentile, and 90837 at the 95th percentile). For payers and provider network planners, that profile identifies COUNTY OF SEDGWICK as a major in-state delivery point for Medicaid behavioral health services, with implications for contracting, capacity planning, and community-level care coordination.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1040Medicaid certified community behavioral health clinic services, per diem190,890$270$51.3M
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.1,640$0$0
    90832In 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…3,450$0$0
    90834In 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…6,340$0$0
    90837In 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…6,450$0$0
    90846A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.20$0$0
    90847A 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…610$0$0
    90853Group 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…50$0$0
    99213The 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…4,680$0$0
    99214The 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…9,840$0$0

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1040Medicaid certified community behavioral health clinic services, per diem23034,540$260$13.9M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes116035,080$100$4.1M
    H2017Psychosocial rehabilitation services, per 15 minutes346012,570$60$1.5M
    H2011Crisis intervention service, per 15 minutes8501,840$270$1.1M
    T1017Targeted case management, each 15 minutes262205,390$40$599.4K
    99213The 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…1781,050560$80$266.8K
    H0038Self‑help/peer services, per 15 minutes7602,130$50$223.2K
    H0005Alcohol and/or drug services; group counseling by a clinician12401,060$60$189.6K
    H0004Behavioral health counseling and therapy, per 15 minutes3370470$100$143.1K
    99214The 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…53880400$60$136K

    Showing 1–10 of 24

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with County Of Sedgwick, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of SedgwickKSMental Health Counselor$0$30M
    County Of SedgwickKSCase Manager/Care Coordinator$0$15.5M
    County Of SedgwickKSLand Ambulance$4.1M$10.9M
    Baycare Behavioral Health Inc.FLMental Health Clinic/Center (Including Community Mental Health Center)$0$11.3M
    County Of SedgwickKSPsychiatry Physician$0$5.9M
    County Of SedgwickKSPublic Health or Welfare Agency$0$931.5K

    Nearby Providers

    Other providers in the same ZIP code as County Of Sedgwick, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wichita Attendant Care ServicesKSHome Health Agency$0$56.5M
    Miracle Home Care LLCKSHome Health Agency$0$9.4M
    S. Amirani Dds, PAKSGeneral Practice Dentistry$0$4.9M
    Midwest Home Health Care LLCKSHome Health Agency$0$3.7M
    Adventure Vision Parklane LLCKSOptometrist$0$3.4M
    Comfortcare Homes, Inc.KSNursing Facility/Intermediate Care Facility$0$1.9M
    Cep America - Kansas LLCKSEmergency Medicine Physician$0$1.8M
    Kansas Imaging Consultants, PAKSDiagnostic Radiology Physician$0$1.7M
    Gracemed Health Clinic, IncKSFederally Qualified Health Center (FQHC)$0$1.5M
    Harrison BlackKSPediatric Dentistry$0$1.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kansas Providers
    3 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    County Of Sedgwick — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas