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

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

Western Mental Health Center, Inc. (NPI 1982613311)

Field	Value
Entity Type	Organization
Organization	Western Mental Health Center, Inc.
Address	1212 E College Dr
City	Marshall
State	MN
ZIP	56258
Taxonomy	Mental Health Counselor
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicaid	$16.7M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
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…	23,740	$160	$3.7M
H0040	Assertive community treatment program, per diem	18,960	$170	$3.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	12,650	$170	$2.1M
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…	11,890	$160	$1.9M
H2035	Alcohol and/or other drug treatment program, per hour	8,200	$180	$1.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,560	$170	$752.6K
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…	4,490	$170	$746K
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…	7,980	$90	$717.8K
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…	4,050	$130	$543K
H2014	Skills training and development, per 15 minutes	3,710	$120	$459.8K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Western Mental Health Center, Inc. — 1 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	27	40	25,290	$200	$5.8M
H2035	Alcohol and/or other drug treatment program, per hour	117	280	5,980	$120	$3M
H2014	Skills training and development, per 15 minutes	118	190	6,230	$120	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	81	230	6,320	$120	$2M
T1016	Case management, each 15 minutes	219	240	1,870	$50	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	34	50	5,850	$110	$1.2M
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…	178	1,180	1,150	$80	$605.7K
H0038	Self‑help/peer services, per 15 minutes	82	130	1,640	$80	$599.5K
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…	263	1,200	1,030	$70	$549.7K
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…	49	1,140	1,010	$100	$543K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ediomi Oduwole	TX	Psychiatric/Mental Health Nurse Practitioner	$11K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rural Health Care, Inc	MN	Federally Qualified Health Center (FQHC)	$0	$10.1M
Avera Marshall	MN	Critical Access Hospital	$0	$10M
Southwest Health And Human Services	MN	Case Management Agency	$0	$7.8M
Advance Opportunities	MN	Developmentally Disabled Services Day Training Agency	$0	$5.9M
Ajay Shalwala	MN	Ophthalmology Physician	$222.3K	$44.2K
Hy-vee Inc	MN	Community/Retail Pharmacy	$199.7K	$8.1K
Curtis Louwagie	MN	Ophthalmology Physician	$190.7K	$0
Walmart Inc.	MN	Community/Retail Pharmacy	$84K	$0
Kirsten Verly	MN	Physical Therapist	$62.1K	$0
Dean Bruns	MN	Chiropractor	$46.8K	$0

Western Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Western Mental Health 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