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.

Priceless Hearts Behavioral Health Center (NPI 1174137004)

Field	Value
Entity Type	Organization
Organization	Priceless Hearts Behavioral Health Center
Address	684 Poole Rd Ste B
City	Westminster
State	MD
ZIP	21157
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	September 8, 2020

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	22,730	$170	$3.9M
H2036	Alcohol and/or other drug treatment program, per diem	7,120	$280	$2M
H0005	Alcohol and/or drug services; group counseling by a clinician	1,610	$60	$88.4K
H0001	Alcohol and/or drug assessment	70	$190	$14.1K

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

Priceless Hearts Behavioral Health Center — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	35	120	2,300	$270	$2.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	37	400	4,360	$160	$1.5M
H0005	Alcohol and/or drug services; group counseling by a clinician	205	360	2,160	$50	$284.3K
H0001	Alcohol and/or drug assessment	298	440	190	$170	$115.9K

Nearby Providers

Other providers in the same ZIP code as Priceless Hearts Behavioral Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridginglife, Inc.	MD	Community Based Hospice Care Agency	$0	$22.1M
Carroll County Public Schools	MD	Local Education Agency (LEA)	$0	$14.5M
Life Renewal Services, Inc.	MD	Adolescent and Children Mental Health Clinic/Center	$0	$11.2M
Potomac Case Management Services	MD	Case Management Agency	$0	$10.1M
Mosaic Community Services	MD	Rehabilitation Clinic/Center	$0	$9.8M
Genesis Treatment Services, LLC	MD	Methadone Clinic	$0	$8.7M
Bh Health Services, Inc.	MD	Methadone Clinic	$177.3K	$7M
Carroll County Youth Service Bureau, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.6M
Carroll County Youth Service Bureau, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Mosaic Community Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M

Priceless Hearts Behavioral Health Center — Billing Profile & Reimbursement Data

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Priceless Hearts Behavioral Health Center — Billing Profile & Reimbursement Data

Sign up for Priceless Hearts Behavioral Health Center — 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