Mark Twain Association for Mental Health, INC

Community/Behavioral Health·Hannibal, MO·NPI: 1104368703Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $153.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Sharp billing drop in final month

Total Paid

$153.4M

$153,439,934

Total Claims

1.3M

Beneficiaries

368K

3.6 claims/patient

Avg Cost/Claim

$115

#699 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Mark Twain Association for Mental Health, INC is a Community/Behavioral Health provider based in Hannibal, MO. From the 2018–2024 period, this provider received $153.4M in Medicaid payments across 1.3M claims.

Why This Matters

This provider received $153.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,179 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 125% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018

$13.4M

+16%

2019

$15.5M

+38%

2020

$21.4M

+2%

2021

$21.7M

+2%

2022

$22.1M

+33%

2023

$29.3M

+2%

2024

$30.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 99% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1040Medicaid certified CCBHC servicesSee all providers →

$152.6M

603K claims

$253.21

$130.29

1.9×

Top 10%

T1040Top 10%

Medicaid certified CCBHC services

$152.6M

603K claims · 99.4%

Your Cost: $253.21/claim|Median: $130.29

1.9× median

90832Psychotherapy, 30 minutesSee all providers →

$377K

36K claims

$10.55

$41.28

0.3×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$377K

36K claims · 0.2%

Your Cost: $10.55/claim|Median: $41.28

0.3× median

90837Psychotherapy, 60 minutesSee all providers →

$234K

14K claims

$16.61

$85.66

0.2×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$234K

14K claims · 0.2%

Your Cost: $16.61/claim|Median: $85.66

0.2× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$141K

12K claims

$11.89

$53.41

0.2×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$141K

12K claims · 0.1%

Your Cost: $11.89/claim|Median: $53.41

0.2× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$77K

12K claims

$6.31

$37.81

0.2×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$77K

12K claims · 0.1%

Your Cost: $6.31/claim|Median: $37.81

0.2× median

90834Psychotherapy, 45 minutesSee all providers →

$12K

686 claims

$17.79

$63.65

0.3×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$12K

686 claims · 0.0%

Your Cost: $17.79/claim|Median: $63.65

0.3× median

90853Group psychotherapySee all providers →

$7K

3K claims

$2.41

$25.02

0.1×

Normal range

90853Normal range

Group psychotherapy

$7K

3K claims · 0.0%

Your Cost: $2.41/claim|Median: $25.02

0.1× median

99212Office/outpatient visit, low complexitySee all providers →

$5K

1K claims

$3.69

$25.06

0.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$5K

1K claims · 0.0%

Your Cost: $3.69/claim|Median: $25.06

0.1× median

90847Family psychotherapy with patient, 50 minSee all providers →

$2K

237 claims

$6.73

$77.33

0.1×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$2K

237 claims · 0.0%

Your Cost: $6.73/claim|Median: $77.33

0.1× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$1K

138 claims

$9.80

$111.09

0.1×

Normal range

99205Normal range

Office/outpatient visit, new patient, high complexity

$1K

138 claims · 0.0%

Your Cost: $9.80/claim|Median: $111.09

0.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$1K

56 claims

$19.01

$99.21

0.2×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$1K

56 claims · 0.0%

Your Cost: $19.01/claim|Median: $99.21

0.2× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$831

39 claims

$21.32

$84.03

0.3×

Normal range

99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$831

39 claims · 0.0%

Your Cost: $21.32/claim|Median: $84.03

0.3× median

90846Family psychotherapy without patient, 50 minSee all providers →

$366

30 claims

$12.21

$76.61

0.2×

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

$366

30 claims · 0.0%

Your Cost: $12.21/claim|Median: $76.61

0.2× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

50K claims

$0.00

$91.63

—

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

50K claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63

T1003LPN/LVN services, per 15 minutesSee all providers →

6K claims

$0.00

$24.24

—

Normal range

T1003Normal range

LPN/LVN services, per 15 minutes

6K claims · 0.0%

Your Cost: $0.00/claim|Median: $24.24

H2012Behavioral health day treatment, per hourSee all providers →

77K claims

$0.00

$137.86

—

Normal range

H2012Normal range

Behavioral health day treatment, per hour

77K claims · 0.0%

Your Cost: $0.00/claim|Median: $137.86

99406 See all providers →

505 claims

$0.00

$6.53

—

Normal range

99406Normal range

505 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.53

H0038Self-help/peer services, per 15 minutesSee all providers →

2K claims

$0.00

$55.04

—

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

2K claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04

H2015Comprehensive community support services, per 15 minSee all providers →

5K claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

5K claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24

H0002Behavioral health screeningSee all providers →

11K claims

$0.00

$38.77

—

Normal range

H0002Normal range

Behavioral health screening

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $38.77

99215Office/outpatient visit, high complexitySee all providers →

59 claims

$0.00

$74.09

—

Normal range

99215Normal range

Office/outpatient visit, high complexity

59 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09

H0005Alcohol and/or drug services, group counselingSee all providers →

26K claims

$0.00

$47.35

—

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

26K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35

H2036Alcohol/drug treatment, per hourSee all providers →

3K claims

$0.00

$253.79

—

Normal range

H2036Normal range

Alcohol/drug treatment, per hour

3K claims · 0.0%

Your Cost: $0.00/claim|Median: $253.79

H0036Community psychiatric supportive treatment, per 15 minSee all providers →

418K claims

$0.00

$76.05

—

Normal range

H0036Normal range

Community psychiatric supportive treatment, per 15 min

418K claims · 0.0%

Your Cost: $0.00/claim|Median: $76.05

H2010Comprehensive medication services, per 15 minSee all providers →

40K claims

$0.00

$62.69

—

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

40K claims · 0.0%

Your Cost: $0.00/claim|Median: $62.69

T1002RN services, per 15 minutesSee all providers →

2K claims

$0.00

$37.42

—

Normal range

T1002Normal range

RN services, per 15 minutes

2K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.42

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

12K claims

$0.00

$74.63

—

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

12K claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63

H0025Behavioral health prevention education, per sessionSee all providers →

5K claims

$0.00

$36.25

—

Normal range

H0025Normal range

Behavioral health prevention education, per session

5K claims · 0.0%

Your Cost: $0.00/claim|Median: $36.25

H0010Alcohol and/or drug services, sub-acute detoxification, per diemSee all providers →

98 claims

$0.00

$369.55

—

Normal range

H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $369.55

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