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.

Pan American Mental Health Services Inc (NPI 1093867772)

Field	Value
Entity Type	Organization
Organization	Pan American Mental Health Services Inc
Address	4519 N 5th St
City	Philadelphia
State	PA
ZIP	19140
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	222,990	$60	$13.6M
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…	15,770	$80	$1.3M
H0034	Medication training and support, per 15 minutes	14,940	$70	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	1,980	$410	$813.4K
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…	3,940	$160	$638.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	13,980	$50	$629.1K
T1016	Case management, each 15 minutes	1,420	$410	$576.3K
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…	6,430	$90	$559.8K
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.	22,800	$20	$433.1K
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…	1,950	$90	$171.2K

Showing 1–10 of 12

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

Pan American Mental Health Services Inc — 3 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	133	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	87	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…	1	560	1,400	$90	$485.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	369	1,410	820	$160	$353.5K
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…	118	540	1,490	$50	$316.4K
H0034	Medication training and support, per 15 minutes	16	260	1,710	$80	$279.8K
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…	41	420	650	$180	$270.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	240	130	$300	$139.8K
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.	23	980	310	$50	$136.6K
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…	1,205	8,870	240	$40	$56.1K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Temple University Hospital, Inc	PA	General Acute Care Hospital	$0	$116.6M
All American Home Care LLC	PA	Home Health Agency	$0	$45M
Esperanza Health Center, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$40.8M
Cognitive Behavioral Services, Inc.	PA	Community/Behavioral Health Agency	$0	$20.8M
Temple Faculty Practice Plan, Inc	PA	Emergency Medicine Physician	$0	$18.4M
Temple Faculty Practice Plan, Inc	PA	Diagnostic Radiology Physician	$0	$18M
Paulino Home Healthcare LLC	PA	In Home Supportive Care Agency	$0	$12.5M
Gaudenzia Inc	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.5M
Greater Philadelphia Health Action, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$5.5M
Michael Jaworski	PA	Internal Medicine Physician	$2.1M	$0

Pan American Mental Health Services Inc — Billing Profile & Reimbursement Data

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Pan American Mental Health Services 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

Nearby Providers

Frequently Asked Questions

References