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

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

Centerstone Of Indiana, Inc. (NPI 1992781470)

Field	Value
Entity Type	Organization
Organization	Centerstone Of Indiana, Inc.
Address	645 S Rogers St
City	Bloomington
State	IN
ZIP	47403
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	December 16, 2005

Payer Source	Total Paid
Medicaid	$318.8M
Medicare	$0

Key Findings

CENTERSTONE OF INDIANA, INC. has no Medicare billing on file and reports $318.8M in lifetime Medicaid revenue, making its Medicare presence effectively nonexistent and its financial footprint overwhelmingly Medicaid-driven. This profile should be treated as a single‑payer (Medicaid) operating picture rather than a mixed Medicare/Medicaid one.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 83.3% of the provider’s total Medicaid revenue. Those top drivers are H2014 ($203.6M, 63.9%), H0010 ($36.1M, 11.3%), and T1016 ($25.7M, 8.1%), indicating a small set of services account for the majority of payments.

The code mix points to a service model focused on community behavioral health and care coordination: H2014 (skills training and development) at $203.6M and T1016 (case management, each 15 minutes) at $25.7M together suggest a large psychosocial rehabilitation and case‑management operation. High-volume psychotherapy and evaluation codes such as 90837 ($16.9M, ranks #1 of 687, 100th percentile) and 90791 ($4.2M, ranks #2 of 521, 100th percentile) show substantial outpatient therapy and assessment capacity integrated with those community supports.

CENTERSTONE operates significant addiction/residential services volume: H0010 (sub-acute detoxification, residential addiction program inpatient) accounts for $36.1M and 95.3K claims and ranks #5 of 57 in-state (93th percentile), indicating a material inpatient/residential addiction service line in addition to outpatient care. Supporting addiction services such as H0015 (intensive outpatient) also appear in the top 25, reinforcing a multi‑level substance use treatment footprint.

State-level competitive standing is dominant in several service lines. CENTERSTONE ranks at extreme outlier or top-percentile levels for core codes—T1016 is #1 of 52 providers in-state (100th percentile, extreme outlier), H2014 is #2 of 48 (98th percentile, extreme outlier), and 90837 is #1 of 687 (100th percentile, extreme outlier)—which together position the provider as a major statewide player for case management, skills training, and long psychotherapy sessions.

There are additional operational signals of scale and modality breadth: Q3014 (telehealth originating site facility fee) generated $300.6K and ranks #3 of 55 (96th percentile), while 96372 (injections) shows 30.1K claims and $240.9K revenue ranked #4 of 494 (99th percentile). These items suggest adoption of telehealth and high-volume medication administration or onsite services alongside behavioral health care.

The provider’s NPI was enumerated 2005-12-16 (~21 years ago), indicating long tenure in the market. Combined with $318.8M in Medicaid revenue and extreme outlier volumes on multiple codes, this tenure supports a picture of an established, high-capacity behavioral health organization within Indiana.

From a payer and policy risk perspective, the combination of extreme concentration (83.3% of Medicaid revenue tied to the top three codes) and reliance solely on Medicaid revenues creates exposure to state Medicaid policy or reimbursement changes that affect H2014, H0010, and T1016. Analysts should treat changes to Medicaid coverage, rates, or program structure for those service categories as potentially material to the provider’s overall revenue.

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
H2014	Skills training and development, per 15 minutes	1,755,500	$120	$203.6M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	95,290	$380	$36.1M
T1016	Case management, each 15 minutes	755,210	$30	$25.7M
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…	232,030	$70	$16.9M
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…	162,850	$40	$7.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	62,960	$90	$5.7M
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…	83,650	$50	$4.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	55,020	$80	$4.2M
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…	98,170	$40	$3.5M
H0031	Mental health assessment, by non-physician	40,440	$80	$3.2M

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Centerstone Of Indiana, Inc. — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	2	50	75,600	$130	$34.8M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	5	60	23,940	$380	$12.8M
T1016	Case management, each 15 minutes	1	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	5	70	3,960	$130	$1.9M
T2022	Case management, per month	55	100	710	$180	$1.1M
H0031	Mental health assessment, by non-physician	3	40	6,070	$70	$724.3K
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…	7	580	710	$60	$582.9K
H0034	Medication training and support, per 15 minutes	8	30	7,890	$20	$529.8K
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…	29	2,120	870	$60	$450.6K
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…	11	70	1,520	$100	$429.2K

Showing 1–10 of 45

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Cooke	IN	Family Medicine Physician	$35.5K	$0
Sherida Newmister	IN	Clinical Social Worker	$5.6K	$0
Joan Davis	IN	Clinical Psychologist	$5.1K	$0
Sarah Donaldson-vargha	IN	Psychiatry Physician	$2.4K	$0
Vinita Watts	IN	Psychiatry Physician	$1.9K	$0
Gene Baker	IN	Clinical Psychologist	$1.6K	$0
Janet Gray	IN	Psychiatry Physician	$1.5K	$0
Mark Jones	IN	Psychiatry Physician	$1.2K	$0
Heather Blue	IN	Psychiatric/Mental Health Nurse Practitioner	$860	$0

Nearby Providers

Other providers in the same ZIP code as Centerstone Of Indiana, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Indiana Pediatrics, LLC	IN	Pediatrics Physician	$0	$10.7M
Limestone Health, LLC	IN	Methadone Clinic	$116.1K	$9M
Prime Healthcare Services - Monroe LLC	IN	General Acute Care Hospital	$0	$5.7M
Hands At Home, LLC	IN	Home Health Agency	$0	$4.1M
Bloomington Pediatric Dentistry L.L.C.	IN	Pediatric Dentistry	$0	$3.1M
Integ Health System, P.C.	IN	Ambulatory Surgical Clinic/Center	$1.8M	$403.1K
Joseph Mackey	IN	Ophthalmology Physician	$2M	$0
Southern Indiana Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$1.4M	$516.1K
Warren Chang	IN	Ophthalmology Physician	$1.5M	$0
Bloomington Advanced Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$1.1M	$0

Centerstone Of Indiana, Inc. — Billing Profile & Reimbursement Data

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Centerstone Of Indiana, Inc. — 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