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.

Kidspeace Children's Hospital, Inc. (NPI 1124163910)

Field	Value
Entity Type	Organization
Organization	Kidspeace Children's Hospital, Inc.
Address	1620 Broadway
City	Bethlehem
State	PA
ZIP	18015
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	17,270	$170	$2.8M
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…	14,650	$180	$2.6M
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…	5,710	$280	$1.6M
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	8,100	$180	$1.4M
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…	2,510	$160	$393.8K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	180	$160	$28.7K
H0031	Mental health assessment, by non-physician	680	$20	$16.4K
H0032	Mental health service plan development by non-physician	20	$50	$1.3K

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

Kidspeace Children's Hospital, Inc. — 0 of 8 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

8 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…	46	150	8,280	$220	$4.1M
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	5	20	1,780	$210	$2.6M
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…	44	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	208	210	3,020	$130	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	21	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…	38	120	1,330	$180	$557.5K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	72	100	530	$120	$196.1K
H0031	Mental health assessment, by non-physician	25	110	220	$70	$31.7K

Nearby Providers

Other providers in the same ZIP code as Kidspeace Children's Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Star Community Health, Inc	PA	Federally Qualified Health Center (FQHC)	$0	$45.6M
St. Luke's Physician Group, Inc.	PA	Emergency Medicine Physician	$0	$28.8M
St Lukes Hospital	PA	General Acute Care Hospital	$0	$20.8M
White Deer Run, LLC	PA	Community/Behavioral Health Agency	$0	$9.4M
Life Guidance, LLC	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Roman Pravak	PA	Ophthalmology Physician	$680.5K	$0
Bassam Al-mamoori	PA	Diagnostic Radiology Physician	$566.6K	$0
Patrick Brogle	PA	Orthopaedic Surgery Physician	$469.1K	$0
Karen Dacey	PA	Ophthalmology Physician	$321.2K	$0
Manuel Jimenez-serrano	PA	Pulmonary Disease Physician	$258K	$0

Kidspeace Children's Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for Kidspeace Children's Hospital, Inc. — Billing Profile & Reimbursement Data policy alerts

Kidspeace Children's Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for Kidspeace Children's Hospital, 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