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

Why is the Medicaid comparison limited to New York 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. New York (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.

Sus Mental Health Programs, Inc. (NPI 1053696195)

Field	Value
Entity Type	Organization
Organization	Sus Mental Health Programs, Inc.
Address	1125 Fulton St
City	Brooklyn
State	NY
ZIP	11238
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 20, 2011

Payer Source	Total Paid
Medicaid	$36.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2034	Crisis intervention, waiver; per diem	13,960	$590	$8.2M
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…	55,020	$130	$7.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	46,990	$130	$6.2M
H0040	Assertive community treatment program, per diem	2,230	$1,840	$4.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	23,180	$120	$2.8M
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…	22,260	$130	$2.8M
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…	11,680	$150	$1.7M
H0038	Self‑help/peer services, per 15 minutes	6,170	$130	$813.9K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	5,850	$130	$771.9K
T1016	Case management, each 15 minutes	4,260	$140	$587.9K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Sus Mental Health Programs, Inc. — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	14	30	47,730	$120	$24.8M
H0040	Assertive community treatment program, per diem	39	90	1,990	$1,780	$5.3M
T1016	Case management, each 15 minutes	20	40	3,630	$220	$3.7M
T2034	Crisis intervention, waiver; per diem	1	10	1,530	$720	$2.3M
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…	41	1,510	1,010	$110	$1.1M
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…	273	2,200	1,010	$130	$892.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	14	120	2,410	$90	$872.1K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	67	250	1,290	$110	$761.7K
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…	438	620	1,130	$60	$370.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	194	1,320	140	$260	$334K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sus Mental Health Programs, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Services For The Underserved - Mental Health Programs Inc	NY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$34.6M

Nearby Providers

Other providers in the same ZIP code as Sus Mental Health Programs, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Best Choice Home Health Care, Inc.	NY	Home Health Agency	$0	$181.4M
Leonid Sorkin	NY	Obstetrics & Gynecology Physician	$172.1K	$3.2M
Chika Oguagha	NY	Specialist	$181.4K	$290.8K
Charles Russo	NY	Podiatrist	$41.9K	$394.3K
Wael Eldarawy	NY	Gastroenterology Physician	$148.2K	$5.4K
Anna Kogan	NY	Neuromuscular Medicine (Psychiatry & Neurology) Physician	$93.2K	$9.9K
Mario Ferraro	NY	Physical Therapist	$93.7K	$610

Sus Mental Health Programs, Inc. — Billing Profile & Reimbursement Data

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Sus Mental Health Programs, Inc. — 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