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.

Pressley Ridge (NPI 1063530913)

Field	Value
Entity Type	Organization
Organization	Pressley Ridge
Address	1001 Georges Station Rd
City	Greensburg
State	PA
ZIP	15601
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 27, 2007

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	14,970	$280	$4.3M
H0046	Mental health services, not otherwise specified	8,890	$250	$2.2M
T1016	Case management, each 15 minutes	960	$150	$140K
H2021	Community-based wrap-around services, per 15 minutes	220	$70	$15.6K

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

Pressley Ridge — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	205	220	3,810	$100	$1.5M
T1016	Case management, each 15 minutes	95	160	2,180	$80	$965.8K
H0046	Mental health services, not otherwise specified	31	170	1,200	$130	$909.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	35	1,410	820	$160	$353.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathways Human Services Of Pennsylvania, LLC	PA	Public Health or Welfare Agency	$0	$48M
Westmoreland Casemanagement And Supports, Inc	PA	Case Management Agency	$0	$34.4M
Westmoreland Casemanagement And Supports, Inc.	PA	Case Management Agency	$0	$25M
Clear Day Treatment Of Westmoreland, LLC	PA	Substance Abuse Rehabilitation Facility	$0	$17.7M
Mutual Aid Ambulance Service Inc.	PA	Land Ambulance	$1.9M	$8.1M
Community Psychiatric Centers Outpatient Clinic	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.3M
Accessabilities, Inc.	PA	Physical Therapist	$0	$8.3M
Medmark Treatment Centers Of Pennsylvania, Inc.	PA	Methadone Clinic	$102.1K	$7.6M
Westmoreland Regional Hospital	PA	General Acute Care Hospital	$0	$6.8M
Express Mobile Diagnostic Services, LLC	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.4M	$1.7M

Pressley Ridge — Billing Profile & Reimbursement Data

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Pressley Ridge — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References