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

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

Eyerly Ball Community Mental Health Services (NPI 1982657490)

Field	Value
Entity Type	Organization
Organization	Eyerly Ball Community Mental Health Services
Address	1301 Center St
City	Des Moines
State	IA
ZIP	50309
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$57M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: lifetime Medicaid revenue is $57M and there is no Medicare billing on file. The absence of Medicare activity means the organization’s revenue base and clinical operations are concentrated entirely within Medicaid programs rather than split across Medicare/Medicaid populations.

Revenue at EYERLY BALL is highly concentrated in community-based, recurring services: the top three Medicaid codes — 99490 ($18.6M, 32.7%), H2016 ($17.8M, 31.2%), and H0040 ($11.9M, 20.9%) — together account for 84.8% of total Medicaid revenue. This concentration indicates the business is driven overwhelmingly by a small set of per-diem and care-coordination service lines.

The code mix points to a service model centered on ongoing care coordination and intensive community mental health programs: 99490 represents provider-directed clinical staff time for complex chronic conditions, H2016 is comprehensive community support services (per diem), and H0040 is assertive community treatment (per diem). These codes together suggest the organization operates high-volume, community-focused programs (case management, ACT teams, and per-diem support) rather than episodic specialty or hospital-based care.

Operational scale is visible in claims volume: 99490 has 104.6K claims, H2016 has 120.3K claims, and H0040 has 209.3K claims, demonstrating a large, ongoing throughput of Medicaid beneficiaries in per-diem and monthly care-coordination modalities. Such high claim counts align with a delivery model that emphasizes frequent, sustained contact rather than infrequent, high-intensity encounters.

Competitive standing within Iowa is strong on several core codes. For 99490 the provider ranks #3 of 57 in-state (96th percentile; notably above typical state volume), and for H0040 it ranks #2 of 12 (91th percentile; notably above typical state volume), indicating the organization is a major statewide provider of clinical staff–directed care coordination and ACT services.

Not all high-percentile findings reflect the same interpretation: H2016 generates $17.8M (31.2%) and ranks #12 of 176 in-state (94th percentile) but is labeled as typical, unremarkable volume for this code, suggesting that while H2016 is material to this provider’s revenue stack, comparable per-diem community support activity is common across many peers in Iowa. Analysts should treat H2016 as a core, but not uniquely differentiating, line.

Several other codes show meaningful specialty strengths and statistical outliers that profile the provider’s clinical breadth: 90791 ($972.3K, 1.7%) ranks #11 of 401 (98th percentile; extreme outlier), 90837 ($1.2M, 2.1%) ranks #18 of 610 (97th percentile; notably above typical state volume), and Q3014 ($288.3K, 0.5%) ranks #4 of 75 (96th percentile; notably above typical state volume). The provider also reports H2011 ($657.6K, 1.2%) as #1 of 7 in-state (100th percentile; notably above typical state volume), highlighting leadership in crisis intervention delivery.

The practice is long-established: the NPI was enumerated on 2006-05-18 (~20 years ago), indicating sustained operation and likely institutional relationships within Iowa Medicaid. Combined with the heavy Medicaid dependence and limited revenue diversification (no Medicare billing), this tenure suggests stability in the state Medicaid market but also exposure to Medicaid policy and reimbursement changes that could materially affect $57M of revenue.

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	104,630	$180	$18.6M
H2016	Comprehensive community support services, per diem	120,260	$150	$17.8M
H0040	Assertive community treatment program, per diem	209,250	$60	$11.9M
H0037	Community psychiatric supportive treatment program, per diem	7,470	$200	$1.5M
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…	12,700	$90	$1.2M
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…	13,250	$90	$1.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,600	$130	$972.3K
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…	15,610	$50	$827.3K
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…	10,410	$80	$801.9K
H2011	Crisis intervention service, per 15 minutes	2,960	$220	$657.6K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Eyerly Ball Community Mental Health Services — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	12	180	10,790	$390	$15.2M
H0040	Assertive community treatment program, per diem	2	10	48,800	$60	$4.6M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	3	60	16,120	$150	$3.8M
H2019	Therapeutic behavioral services, per 15 minutes	88	90	5,380	$100	$1.5M
H0037	Community psychiatric supportive treatment program, per diem	5	30	1,050	$210	$800.8K
T2021	Day habilitation, waiver; per 15 minutes	47	100	2,780	$60	$386.9K
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…	58	680	670	$70	$343.5K
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…	51	120	980	$50	$230.3K
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…	86	1,060	480	$40	$154.5K
H2011	Crisis intervention service, per 15 minutes	1	10	800	$130	$153.5K

Showing 1–10 of 37

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eyerly Ball Community Mental Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Westminster House, Inc.	IA	Community/Behavioral Health Agency	$0	$1.7M
Denise Hoevelkamp	IA	Psychiatric/Mental Health Nurse Practitioner	$16.4K	$0

Nearby Providers

Other providers in the same ZIP code as Eyerly Ball Community Mental Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$58M
City Of Des Moines Iowa	IA	Land Ambulance	$1.1M	$47.2M
Orchard Place	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.5M
Woodward Youth Corporation	IA	Community/Behavioral Health Agency	$0	$28.2M
Dhs-targeted Case Management	IA	Case Management Agency	$0	$26.2M
Central Iowa Hospital Corporation	IA	Pediatrics Physician	$0	$25.4M
Central Iowa Hospital Corporation	IA	Emergency Medicine Physician	$0	$13.1M
Orchard Place	IA	Adolescent and Children Mental Health Clinic/Center	$0	$6.6M
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
Youth Emergency Services & Shelter Of Iowa	IA	Voluntary or Charitable Agency	$0	$4.7M

Eyerly Ball Community Mental Health Services — Billing Profile & Reimbursement Data

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Eyerly Ball Community Mental Health Services — 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