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

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

Cognitive Development Center Behavioral Health Services (NPI 1992187322)

Field	Value
Entity Type	Organization
Organization	Cognitive Development Center Behavioral Health Services
Address	4951 Central Ave
City	Monroe
State	LA
ZIP	71203
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 22, 2015

Payer Source	Total Paid
Medicaid	$38.1M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: Total Medicare revenue is none and Total Medicaid revenue is $38.1M, with an NPI enumeration date of 2015-06-22 (~11 years ago), indicating roughly a decade of Medicaid activity but no Medicare billing on file. The absence of Medicare billing makes Medicaid the sole observable commercial channel for revenue analysis.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 95.7% of this provider's total Medicaid revenue, driven by H2017 ($17.1M, 44.7% of Medicaid revenue), H0036 ($16.9M, 44.3%), and H0015 ($2.6M, 6.7%). This concentration means most dollars flow through community-based psychosocial and intensive outpatient substance-use channels rather than a broad mix of outpatient E/M or procedural codes.

The code mix points to an operational model focused on high-volume, time-based community behavioral health services: H2017 (psychosocial rehabilitation services, per 15 minutes) and H0036 (community psychiatric supportive treatment, face-to-face, per 15 minutes) together represent the bulk of revenue and suggest the organization operates intensive day-programs, wraparound, or frequent short-interval therapy encounters. H0015 (intensive outpatient substance use programming) further signals a substantive addiction-treatment line integrated into the clinic’s services.

Because H2017 and H0036 are billed on a per-15-minute basis and dominate revenue, the provider appears to deliver many short, recurring service units rather than relying on higher-value single encounters; operational throughput, staffing ratios, and program schedules are likely structured to support continuous, repeated contact. This billing profile also correlates with large claim counts reported for those codes, consistent with a session-based service delivery model.

This provider is a statewide outlier for its two dominant codes: H2017 ranks #2 of 397 providers in-state (100th percentile; extreme outlier) and H0036 ranks #3 of 461 providers in-state (100th percentile; extreme outlier), indicating market-leading volume for these services within Louisiana. Additionally, 90791 (psychiatric evaluation) ranks #7 of 764 (99th percentile; extreme outlier), suggesting unusually high throughput in initial evaluations even though 90791 contributes a much smaller share of total Medicaid revenue ($363.9K, 1.0%).

Although the top two codes drive the lion’s share of revenue, the provider also reports above-typical volumes for several psychotherapy and assessment codes—90837 (97th percentile), 96156 (94th percentile), 90847 (96th percentile), and 90846 (97th percentile)—which indicates availability of longer individual and family therapy sessions and behavioral assessments in addition to the high-frequency per-15-minute services. These codes contribute meaningful breadth to the clinical offering despite being a small portion of total dollars.

The extreme concentration in a handful of Medicaid codes (95.7% of Medicaid revenue from the top three) presents both an operational advantage and an exposure: it suggests deep specialization and scale in community psychosocial rehabilitation and supportive treatment, but also creates sensitivity to changes in reimbursement policy, utilization review, or program eligibility that would affect per-15-minute billing. Strategic decisions about diversification into other billable services or payers would materially change the provider’s revenue profile.

Other traditional outpatient E/M and group-service codes generate very limited revenue for this provider—examples include 99213 ($29.2K) and 90853 ($792)—which reinforces that the organization is not operating as a general medical outpatient clinic but as a behavioral health center with distinct programmatic lines focused on intensive, community-based treatment and substance-use services. This profile should guide payer discussions toward program rates, per-minute reimbursement mechanics, and capacity planning rather than standard E/M contracting.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	310,120	$60	$17.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	225,310	$80	$16.9M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	23,720	$110	$2.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7,580	$50	$363.9K
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…	7,550	$50	$339.8K
H2033	Multisystemic therapy for juveniles, per 15 minutes	1,240	$250	$313.5K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	2,330	$110	$251.7K
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…	6,690	$30	$227.4K
90846	A 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.	3,370	$30	$91K
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…	710	$40	$29.2K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Cognitive Development Center Behavioral Health Services — 6 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	14	20	2,150	$200	$1.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3	460	5,030	$80	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	2	400	6,490	$60	$958.2K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	16	130	2,290	$90	$928.9K
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…	1,834	3,230	1,120	$30	$204.3K
99203	The provider sees a new 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 provider…	633	1,280	180	$50	$64.8K
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…	32	910	440	$40	$61.6K
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…	308	390	180	$50	$49.5K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	8	120	160	$80	$46.1K
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…	4	80	160	$40	$39.2K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Cognitive Development Center Behavioral Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pecan Haven Addiction Recovery Center, LLC	LA	Substance Abuse Rehabilitation Facility	$0	$42.3M
Absolute Care,inc.	LA	Assisted Living Facility	$0	$16.8M
Inspirational Care LLC	LA	In Home Supportive Care Agency	$0	$11.5M
Melanie Massey Physical Therapy Inc	LA	Physical Therapist	$0	$11.4M
Unique Guidance Provider Services, Inc	LA	In Home Supportive Care Agency	$0	$8.3M
Ann's Helping Hands	LA	Personal Care Attendant	$0	$5.3M
Inspirational Care LLC	LA	In Home Supportive Care Agency	$0	$5.3M
Laboratory Corporation Of America Holdings	LA	Clinical Medical Laboratory	$1.2M	$3.4M
Jyothi Mallepalli	LA	Rheumatology Physician	$3.2M	$0
Luke Hunter	LA	Foot & Ankle Surgery Podiatrist	$126.4K	$387.7K

Cognitive Development Center Behavioral Health Services — Billing Profile & Reimbursement Data

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Cognitive Development Center Behavioral 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

Nearby Providers

Frequently Asked Questions

References