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.

Achievement Center Of Lecom Health (NPI 1124181953)

Field	Value
Entity Type	Organization
Organization	Achievement Center Of Lecom Health
Address	4950 W 23rd St
City	Erie
State	PA
ZIP	16506
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$39M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	32,910	$270	$8.9M
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…	34,740	$180	$6.3M
T1017	Targeted case management, each 15 minutes	34,610	$110	$3.9M
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…	21,280	$170	$3.5M
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…	21,980	$120	$2.6M
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.	13,260	$140	$1.8M
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…	13,190	$130	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	15,190	$100	$1.6M
H0032	Mental health service plan development by non-physician	12,470	$120	$1.5M
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…	10,250	$140	$1.4M

Showing 1–10 of 28

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

Achievement Center Of Lecom Health — 4 of 25 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

28 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…	19	150	8,280	$220	$4.1M
T1017	Targeted case management, each 15 minutes	56	210	18,200	$100	$2.9M
H2021	Community-based wrap-around services, per 15 minutes	95	220	3,810	$100	$1.5M
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…	13	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	47	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…	106	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	43	160	2,180	$80	$965.8K
H0046	Mental health services, not otherwise specified	48	170	1,200	$130	$909.6K
H2019	Therapeutic behavioral services, per 15 minutes	26	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…	14	120	1,330	$180	$557.5K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Achievement Center Of Lecom Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarah A. Reed Children's Center	PA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$9.4M
Village Surgicenter, Limited Partnership	PA	Ambulatory Surgical Clinic/Center	$457.6K	$313.8K
Allen Samuels	PA	Rheumatology Physician	$594.5K	$820
Premier 2020, LLC	PA	Ambulatory Surgical Clinic/Center	$522.3K	$0
Brian Mussett	PA	Foot & Ankle Surgery Podiatrist	$68.7K	$0
Timothy Ko	PA	Interventional Pain Medicine Physician	$65.4K	$2.4K
Cory Davidson	PA	Medical Physician Assistant	$46K	$0
Sandy Clemente	PA	Family Medicine Physician	$28.9K	$0
Rachel Meade	PA	Certified Registered Nurse Anesthetist	$17.2K	$0
Ryan Marovich	PA	Physician Assistant	$16.8K	$0

Achievement Center Of Lecom Health — Billing Profile & Reimbursement Data

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Achievement Center Of Lecom Health — 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