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.

Dr Gertrude A Barber Center Inc (NPI 1063571750)

Field	Value
Entity Type	Organization
Organization	Dr Gertrude A Barber Center Inc
Address	100 Barber Pl
City	Erie
State	PA
ZIP	16507
Taxonomy	Clinic/Center
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$18.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	37,980	$110	$4.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	16,680	$240	$4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	19,140	$160	$3M
H2019	Therapeutic behavioral services, per 15 minutes	14,300	$90	$1.3M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	7,130	$130	$905.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	6,250	$130	$806.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	5,960	$130	$756.9K
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…	6,090	$110	$681.9K
T1016	Case management, each 15 minutes	4,040	$160	$662.4K
H0032	Mental health service plan development by non-physician	3,510	$110	$392.9K

Showing 1–10 of 24

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

Dr Gertrude A Barber Center Inc — 2 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	100	150	8,280	$220	$4.1M
T1017	Targeted case management, each 15 minutes	51	210	18,200	$100	$2.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	26	110	8,460	$150	$2.1M
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…	76	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	95	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…	226	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	67	160	2,180	$80	$965.8K
H0046	Mental health services, not otherwise specified	71	170	1,200	$130	$909.6K
H2019	Therapeutic behavioral services, per 15 minutes	32	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…	81	120	1,330	$180	$557.5K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Dr Gertrude A Barber Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaudenzia Inc	PA	Community/Behavioral Health Agency	$0	$40M
Robert Baldwin	PA	Ophthalmology Physician	$2.3M	$145.9K
Laboratory Associates Of Erie LLC	PA	Clinical Medical Laboratory	$60.1K	$2.2M
Ryan Constantine	PA	Retina Specialist (Ophthalmology) Physician	$2M	$0
David Almeida	PA	Ophthalmology Physician	$1.3M	$520.5K
Upmc Hamot Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$871.5K	$719.9K
Douglas Babel	PA	Ophthalmology Physician	$742.6K	$63.8K
Edward Zimm	PA	Ophthalmology Physician	$422.7K	$380
Ellen Dailey	PA	Obstetrics & Gynecology Physician	$72.4K	$276.7K
Paul Demjanenko	PA	Cardiovascular Disease Physician	$165.6K	$116.6K

Dr Gertrude A Barber Center Inc — Billing Profile & Reimbursement Data

Sign up for Dr Gertrude A Barber Center Inc — Billing Profile & Reimbursement Data policy alerts

Dr Gertrude A Barber Center Inc — Billing Profile & Reimbursement Data

Sign up for Dr Gertrude A Barber Center Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References