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.

Luzerne Intermediate Unit #18 (NPI 1164557716)

Field	Value
Entity Type	Organization
Organization	Luzerne Intermediate Unit #18
Address	368 Tioga Ave
City	Kingston
State	PA
ZIP	18704
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	5,420	$300	$1.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	16,090	$100	$1.5M
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…	9,440	$100	$915.6K
H2021	Community-based wrap-around services, per 15 minutes	39,500	$20	$631.9K
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…	6,450	$50	$341.6K
H2019	Therapeutic behavioral services, per 15 minutes	16,500	$10	$231K
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…	1,210	$110	$128.5K
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…	1,070	$110	$117.4K
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.	930	$90	$79.9K
H0032	Mental health service plan development by non-physician	360	$100	$34.5K

Showing 1–10 of 18

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

Luzerne Intermediate Unit #18 — 0 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	20	1,780	$210	$2.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	32	110	8,460	$150	$2.1M
H2021	Community-based wrap-around services, per 15 minutes	24	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…	147	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	176	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…	177	690	2,240	$80	$1M
H2019	Therapeutic behavioral services, per 15 minutes	23	180	3,510	$80	$685K
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…	295	560	1,400	$90	$485.7K
97158	The provider administers adaptive behavior treatment to multiple patients in a social skills group. Report this code for each 15 minutes that the provider spends face–to–face with multiple patients…	10	10	280	$230	$456.1K
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…	117	540	1,490	$50	$316.4K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Luzerne Intermediate Unit #18, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beyond Behavior Consulting	PA	Behavior Analyst	$0	$10.3M
Keystone Behavior Services, LLC	PA	Community/Behavioral Health Agency	$0	$6.1M
Bruce Saidman	PA	Hematology & Oncology Physician	$3.4M	$1
David Greenwald	PA	Hematology & Oncology Physician	$2.7M	$590
Erik Kruger	PA	Ophthalmology Physician	$2.4M	$11.8K
Surgical Specialty Center Of Northeastern Pennsylvania, LLC	PA	Ambulatory Surgical Clinic/Center	$1.5M	$124.1K
Anthony Andrews	PA	Ophthalmology Physician	$1.3M	$100
Radu Pacurariu	PA	Ophthalmology Physician	$1M	$0
Mark Grohol	PA	Optometrist	$221.5K	$697.4K
Gateway Surgery Center LLC	PA	Ambulatory Surgical Clinic/Center	$756.7K	$11.8K

Luzerne Intermediate Unit #18 — Billing Profile & Reimbursement Data

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Luzerne Intermediate Unit #18 — 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