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

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

Region 12 Commission On Mental Health & Retardation Pine Belt Men (NPI 1982610572)

Field	Value
Entity Type	Organization
Organization	Region 12 Commission On Mental Health & Retardation Pine Belt Men
Address	103 S 19th Ave
City	Hattiesburg
State	MS
ZIP	39401
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicaid	$108.3M
Medicare	$0

Key Findings

Payer mix and scale: This entity has no Medicare billing on file and reports $108.3M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) operation for the claims captured in this dataset. The absence of Medicare activity indicates that Medicaid is the dominant revenue source and primary payer relationship for the organization.

Revenue concentration: The provider’s Medicaid revenue is concentrated in a small set of services; the precomputed top three Medicaid codes account for 39.8% of total Medicaid revenue. Chief contributors among those are S5100 ($20.8M, 19.8% of Medicaid revenue), S5136 ($12.5M, 11.9%), and 90837 ($8.6M, 8.2%).

Service-line profile — community and day supports: Large revenue for S5100 (Day care services, adult) and S5136 (Companion care, adult) together with material revenue from H2017 (Psychosocial rehabilitation services) and H2015 (Comprehensive community support services) indicates a substantial investment in day-programs, companion/per‑diem supports, and psychosocial rehabilitation. This mix suggests the provider operates a broad community behavioral health platform emphasizing non-residential day services and in‑community supports rather than an exclusively office‑based therapy model.

Clinical intensity — psychotherapy volume: High-volume psychotherapy codes are a major operational feature. 90837 shows 79.5K claims and $8.6M revenue (8.2% of Medicaid revenue) and ranks #8 of 283 providers in-state (98th percentile), described in the source data as notably above typical state volume; sibling psychotherapy codes 90834 (49.5K claims, $3.6M; 99th percentile, described as an extreme outlier) and 90832 (37.8K claims, $2.1M; 98th percentile, described as an extreme outlier) further confirm heavy outpatient psychotherapy throughput across session lengths.

Care coordination and non-physician services: The provider reports extreme-volume use of non‑physician care-planning and support codes—H0032 (36.6K claims, $659.1K) ranks #1 of 25 providers in-state (100th percentile) and is labeled an extreme outlier. High counts for H0036 (124.2K claims, $6.5M; rank #2 of 28, 96th percentile) and H0039 (24.2K claims, $1.9M; rank #2 of 15, 93rd percentile) indicate substantial deployment of face‑to‑face community psychiatric supportive treatment and assertive community treatment by non‑physician staff.

Competitive standing across codes: The provider is a major statewide participant for many behavioral health services but not uniformly dominant across every code. It ranks in the top percentiles for core therapy and support services (e.g., 90837 at the 98th percentile; 90834 at the 99th percentile; 99213 at the 99th percentile), while codes such as S5100 (rank #45 of 149, 70th percentile) and S5136 (rank #7 of 17, 63rd percentile) show more typical, unremarkable volumes relative to in‑state peers. This pattern reflects concentrated leadership in psychotherapy and community support services while remaining a typical competitor in some day‑care and companion-service lines.

Billing mix and unit economics: The provider’s portfolio mixes high‑frequency, low‑unit‑rate CPT/HCPCS (for example, T1002 at $21 avg paid/claim across 56.7K claims) with relatively high per‑claim per‑diem items (S5136 at $4434 avg paid/claim and J2426 at $2248 avg paid/claim). The presence of both per‑15‑minute/per‑hour codes (e.g., H2017, H2015, H2012) and per‑diem companion/day codes implies simultaneous delivery of time‑based psychosocial interventions and higher‑priced residential or waiver services.

Tenure and operational implication: The NPI was enumerated on 2006-08-01 (~20 years ago), indicating an established organizational presence in the market. Coupled with $108.3M in Medicaid revenue and very large claim counts on multiple community and psychotherapy codes (tens to hundreds of thousands of claims), the provider appears to operate at scale within Mississippi’s Medicaid behavioral health ecosystem.

Medicaid: Complete Services Breakdown

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5100	Day care services, adult; per 15 minutes	17,340	$1,200	$20.8M
S5136	Companion care, adult (e.g., iadl/adl); per diem	2,820	$4,430	$12.5M
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…	79,460	$110	$8.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	108,380	$70	$7.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	124,210	$50	$6.5M
H2030	Mental health clubhouse services, per 15 minutes	95,140	$70	$6.3M
H2015	Comprehensive community support services, per 15 minutes	114,190	$50	$6.2M
H2012	Behavioral health day treatment, per hour	55,450	$100	$5.3M
T2015	Habilitation, prevocational, waiver; per hour	4,940	$970	$4.8M
H2022	Community-based wrap-around services, per diem	13,640	$300	$4M

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Region 12 Commission On Mental Health & Retardation Pine Belt Men — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	7	20	2,200	$5,060	$21.5M
H2022	Community-based wrap-around services, per diem	3	10	6,640	$300	$8.7M
H2012	Behavioral health day treatment, per hour	7	30	3,380	$90	$4.3M
H2030	Mental health clubhouse services, per 15 minutes	5	20	30,170	$60	$3.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	5	30	12,170	$70	$3.3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	3	10	4,420	$380	$2.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	2	30	19,670	$60	$2.3M
S5100	Day care services, adult; per 15 minutes	45	150	6,390	$170	$2.3M
H2015	Comprehensive community support services, per 15 minutes	4	30	5,320	$60	$2.2M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	37	40	880	$1,200	$1.7M

Showing 1–10 of 45

Related Providers

Other providers that share a Tax Identification Number (TIN) with Region 12 Commission On Mental Health & Retardation Pine Belt Men, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Venkatasubramanian Baskararajan	MS	Psychiatry Physician	$20.5K	$0
James Lamousin	AL	Psychiatry Physician	$18.6K	$0

Nearby Providers

Other providers in the same ZIP code as Region 12 Commission On Mental Health & Retardation Pine Belt Men, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$81.6M
Hattiesburg Clinic PA	MS	Multi-Specialty Clinic/Center	$0	$59.5M
Doves Home Care	MS	Home Health Agency	$0	$12M
Neighborhood Healthcare Providers	MS	Internal Medicine Physician	$0	$10.9M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$7.9M
Hattiesburg Clinic PA	MS	Ambulatory Surgical Clinic/Center	$4.5M	$2.4M
Top Choice Healthcare	MS	In Home Supportive Care Agency	$0	$6M
Hattiesburg Clinic PA	MS	Clinical Medical Laboratory	$2.2M	$3.3M
Relias Emergency Medicine Specialists Of Hattiesburg LLC	MS	Emergency Medicine Physician	$0	$5M
Southern Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$4.7M	$103.6K

Region 12 Commission On Mental Health & Retardation Pine Belt Men — Billing Profile & Reimbursement Data

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Region 12 Commission On Mental Health & Retardation Pine Belt Men — Billing Profile & Reimbursement Data

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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