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.

Familylinks, Inc (NPI 1093832214)

Field	Value
Entity Type	Organization
Organization	Familylinks, Inc
Address	2644 Banksville Rd
City	Pittsburgh
State	PA
ZIP	15216
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 23, 2007

Payer Source	Total Paid
Medicaid	$48.6M
Medicare	$0

Key Findings

FAMILYLINKS, INC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $48.6M in total Medicaid revenue. Its NPI has been enumerated since 2007-03-23 (~19 years ago), indicating long-standing participation in public programs and an established presence in the Pennsylvania behavioral health market.

Revenue at this provider is extremely concentrated in three Medicaid codes: W7210 accounts for $32.6M (67.0% of Medicaid revenue), T1017 accounts for $6.1M (12.6%), and 90834 accounts for $4.2M (8.7%); these top three codes together represent 88.4% of the provider’s Medicaid revenue. That degree of concentration suggests the organization’s financial profile is highly dependent on a small set of service lines and billing categories.

W7210 (439.9K claims, $74 avg paid/claim, $32.6M revenue) dominates the revenue mix and is marked as notably above typical state volume, ranking #3 of 69 providers in-state (97th percentile). Because W7210 has no description available in the file but drives two-thirds of revenue, analysts should treat this code as a critical operational line item and prioritize clarifying what service or bundle it represents in local Medicaid policy and rate schedules.

The mix of the secondary top codes points to core behavioral health and care-coordination operations: T1017 (76.6K claims, $80 avg paid/claim, $6.1M revenue) is labeled as targeted case management and ranks #16 of 205 providers in-state (93rd percentile), while 90834 (44.5K claims, $95 avg paid/claim, $4.2M revenue) is psychotherapy and ranks #56 of 692 providers in-state (92nd percentile). Together these codes indicate substantial throughput in case management and individual psychotherapy consistent with a community/behavioral health agency service model.

Several additional Medicaid codes reinforce a behavioral-health service profile. H0004 (8.1K claims, $354 avg paid/claim, $2.9M revenue) for behavioral health counseling ranks #80 of 1405 providers in-state (94th percentile) and contributes meaningfully to revenue, suggesting the provider also bills higher-paid counseling units. Group psychotherapy (90853) and shorter psychotherapy sessions (90832) appear in the top-line list as well, supporting a mix of individual and group therapeutic programming.

Competitive standing is mixed: on W7210 the provider is a clear regional leader (97th percentile, #3 of 69) and is described as notably above typical state volume, while on other large codes (T1017 and 90834) the provider ranks in the 90–93rd percentile where activity is characterized as typical or unremarkable compared with many in-state peers. This pattern signals dominance in a single high-volume code alongside largely typical participation in conventional behavioral-health CPT/HCPCS lines.

There are smaller but notable service lines beyond the top three that may reflect program diversity or niche services: H2036 (per diem AOD treatment), T2048 (long-term residential), and 97155 (adaptive behavior treatment) are present in the larger list and together indicate the organization bills for a mix of counseling, residential, and behavior-treatment services. These supplemental codes each represent modest shares of total revenue but broaden the clinical footprint beyond psychotherapy and case management.

From a risk and partner perspective, the heavy reliance on one code (W7210 at 67.0% of revenue) creates sensitivity to any state policy, rate, or audit changes affecting that code. For contracting, utilization management, or network strategy, payers and partners should prioritize validating the scope and utilization drivers for W7210 and monitoring volumes for T1017 and 90834, since those three codes collectively account for 88.4% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W7210	N/A	439,930	$70	$32.6M
T1017	Targeted case management, each 15 minutes	76,630	$80	$6.1M
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…	44,490	$100	$4.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	8,120	$350	$2.9M
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…	10,620	$40	$456.5K
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…	9,680	$50	$435.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,730	$170	$289.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,250	$130	$280.6K
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…	2,400	$110	$261.5K
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…	1,550	$170	$260.9K

Showing 1–10 of 19

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

Familylinks, Inc — 1 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W7210	N/A	3	70	83,330	$80	$10M
H2036	Alcohol and/or other drug treatment program, per diem	104	120	7,190	$420	$8.7M
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…	136	150	8,280	$220	$4.1M
T1017	Targeted case management, each 15 minutes	16	210	18,200	$100	$2.9M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	36	60	1,280	$360	$1.8M
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…	117	150	2,770	$200	$1.4M
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…	56	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	137	160	2,180	$80	$965.8K
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…	208	560	1,400	$90	$485.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	80	1,410	820	$160	$353.5K

Showing 1–10 of 19

Familylinks, Inc — Billing Profile & Reimbursement Data

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Familylinks, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References