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

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Community Wellness Outpatient Mental Health Center LLC (NPI 1114348463)

Key Findings

Field	Value
Entity Type	Organization
Organization	Community Wellness Outpatient Mental Health Center LLC
Address	3310 Eastern Ave Fl 1
City	Baltimore
State	MD
ZIP	21224
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 3, 2014

Payer Source	Total Paid
Medicaid	$27.6M
Medicare	$0

This provider is effectively single-payer at scale: there is no Medicare billing on file while total Medicaid revenue is $27.6M, so operations and financial performance are driven entirely by Medicaid activity. That payer concentration creates operational dependence on Medicaid program policy and reimbursement trends rather than Medicare dynamics.

Revenue is highly concentrated in a small set of outpatient psychotherapy and E/M codes: the precomputed top three Medicaid codes (90834, 90853, 99214) account for 79.3% of the provider's Medicaid revenue. In particular, 90834 alone represents $16.4M (59.4% of Medicaid revenue), indicating that individual psychotherapy is the single dominant revenue driver for the practice.

The code mix indicates a service model focused on high-volume psychotherapy and outpatient behavioral health management. Large volumes of 90834 (142.4K claims) and 90853 (70.1K claims) alongside significant 99214 activity (21.3K claims) point to an operation that pairs routine psychotherapy (individual and group) with scheduled evaluation and management visits for established patients.

Competitive standing in Maryland is dominant for the top therapy codes: 90834 ranks #9 of 2204 providers in-state and is labeled an extreme outlier, far above typical state volume for this code, while 90853 ranks #2 of 442 providers and is also an extreme outlier. By contrast, 99214 ranks #77 of 3673 providers (98th percentile) and is characterized as typical/unremarkable volume for that E/M code despite its substantial absolute contribution to revenue.

Beyond the top three, the provider reports substantial utilization of additional psychotherapy and psychiatric evaluation codes (90832, 90833, 90836, 90791), which together reflect blended services models (short and moderate-length individual therapy, add-on psychotherapy during E/M visits, and diagnostic evaluations). These secondary codes contribute meaningful revenue (for example, 90832 generates $1.3M and 90791 generates $841.4K) and suggest a full outpatient behavioral health program rather than a single-service specialty.

Operational footprint appears to emphasize group therapy scale: 90853 contributes $3.4M (12.2% of Medicaid revenue) and the provider’s #2 statewide rank for that code confirms a substantial group-therapy program. High group-session volumes likely support staffing models and scheduling workflows that differ from individual-only clinics.

The provider shows concentrated utilization of add-on and support codes that align with integrated session models: notable counts for 90833 (12.9K claims, $684.9K revenue) and 90836 (2.9K claims, $359.7K revenue) indicate frequent combined E/M-plus-psychotherapy encounters. This pattern reinforces a clinical delivery approach where psychotherapy is regularly paired with evaluation and management during the same encounter.

Tenure and enrollment stability are long enough to support scale: the NPI was enumerated on 2014-01-03 (~12 years ago), indicating multi-year participation in Medicaid that aligns with the large cumulative claims volumes reported. While telehealth-originating site fees (Q3014) are present ($38K, 1.7K claims, rank #9 of 60), they represent only a small share of revenue and do not materially alter the Medicaid-driven, psychotherapy-centric profile.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	142,370	$120	$16.4M
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…	70,060	$50	$3.4M
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…	21,310	$100	$2.1M
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…	20,940	$60	$1.3M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	7,930	$150	$1.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,190	$200	$841.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	12,920	$50	$684.9K
H0032	Mental health service plan development by non-physician	5,460	$100	$540.7K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	2,900	$120	$359.7K
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.	11,150	$20	$211.8K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Community Wellness Outpatient Mental Health Center LLC — 9 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

21 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…	9	2,200	890	$110	$596.1K
W1761	N/A	103	110	2,540	$110	$576.3K
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…	77	3,670	680	$90	$310K
S9480	Intensive outpatient psychiatric services, per diem	17	30	700	$180	$307.8K
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…	224	450	730	$110	$298.2K
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…	999	3,280	610	$80	$296.1K
H0032	Mental health service plan development by non-physician	35	330	520	$100	$183K
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…	19	610	520	$50	$178.2K
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…	2	440	510	$40	$128.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	27	1,090	90	$200	$101.4K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore Medical System Inc	MD	Federally Qualified Health Center (FQHC)	$0	$121.2M
Medi-rents & Sales, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$85.8M
Johns Hopkins Pharmaquip Inc	MD	Home Infusion Therapy Pharmacy	$0	$81.8M
Johns Hopkins Pediatrics At Home, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$45.6M
Johns Hopkins Home Care Group, Inc	MD	Case Management Agency	$0	$43M
Key Point Health Services, Inc	MD	Mental Illness Community Based Residential Treatment Facility	$0	$19.2M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$18.8M
Eastern Avenue Health Solutions Inc.	MD	Methadone Clinic	$340.5K	$16.6M
Community Wellness Psychiatric Rehabilitation Program LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
Dynamic Health Care LLC	MD	Mental Health Counselor	$0	$9.3M

Community Wellness Outpatient Mental Health Center LLC — Billing Profile & Reimbursement Data

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Community Wellness Outpatient Mental Health Center LLC — 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

Nearby Providers

Frequently Asked Questions

References