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

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

Merakey Pennsylvania (NPI 1003939364)

Field	Value
Entity Type	Organization
Organization	Merakey Pennsylvania
Address	One Norwegian Plaza
City	Pottsville
State	PA
ZIP	17901
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 9, 2007

Payer Source	Total Paid
Medicaid	$26.3M
Medicare	$0

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
H0046	Mental health services, not otherwise specified	71,890	$280	$20.2M
H0039	Assertive community treatment, face-to-face, per 15 minutes	9,540	$320	$3.1M
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…	8,940	$120	$1M
H2021	Community-based wrap-around services, per 15 minutes	11,260	$60	$709.2K
H0032	Mental health service plan development by non-physician	5,390	$100	$528.3K
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…	1,610	$160	$259K
H2019	Therapeutic behavioral services, per 15 minutes	3,970	$50	$186.7K
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…	1,700	$100	$161.6K
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…	1,130	$60	$62K
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…	150	$360	$53.4K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Merakey Pennsylvania — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	34	40	27,890	$150	$6.2M
H2021	Community-based wrap-around services, per 15 minutes	68	220	3,810	$100	$1.5M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	150	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	79	210	3,020	$130	$1.3M
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…	181	690	2,240	$80	$1M
H0046	Mental health services, not otherwise specified	2	170	1,200	$130	$909.6K
H2015	Comprehensive community support services, per 15 minutes	11	20	830	$140	$791.2K
H2019	Therapeutic behavioral services, per 15 minutes	88	180	3,510	$80	$685K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	113	120	1,330	$180	$557.5K
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…	262	560	1,400	$90	$485.7K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Merakey Pennsylvania, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$35.3M
Merakey Pennsylvania	PA	Community/Behavioral Health Agency	$0	$13.1M
Dwone Marshall-brown	LA	Family Nurse Practitioner	$17K	$0

Nearby Providers

Other providers in the same ZIP code as Merakey Pennsylvania, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Redco Group, LLC.	PA	Adolescent and Children Mental Health Clinic/Center	$0	$26.6M
The Redco Group, LLC.	PA	Community/Behavioral Health Agency	$0	$16.8M
Lehigh Valley Hospital - Schuylkill	PA	Rural Acute Care Hospital	$0	$6.8M
Integrated Medical Group P C	PA	Family Medicine Physician	$0	$5.5M
Pottsville Area Emergency Medical Services, Inc.	PA	Land Ambulance	$931.5K	$2.1M
The Pottsville PA Endoscopy Asc LP	PA	Ambulatory Surgical Clinic/Center	$509.5K	$146.9K
Solomon Luo	PA	Ophthalmology Physician	$390.9K	$31.1K
Schuylkill Open Mri Inc	PA	Radiology Clinic/Center	$365.7K	$9.6K
William Kellogg	PA	Ophthalmology Physician	$108.5K	$245.1K
Amrit Narula	PA	Gastroenterology Physician	$294.8K	$0

Merakey Pennsylvania — Billing Profile & Reimbursement Data

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Merakey Pennsylvania — 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