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.

Associates In Counseling And Child Guidance Inc (NPI 1174683395)

Field	Value
Entity Type	Organization
Organization	Associates In Counseling And Child Guidance Inc
Address	272 East Connelly Blvd.
City	Sharon
State	PA
ZIP	16146
Taxonomy	Mental Health Counselor
NPI Enumerated	December 11, 2006

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	78,300	$130	$10.3M
H0032	Mental health service plan development by non-physician	22,540	$150	$3.4M
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…	7,210	$210	$1.5M
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…	3,180	$220	$701.7K
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…	5,300	$110	$588.2K
H2019	Therapeutic behavioral services, per 15 minutes	4,750	$80	$361.2K
H0034	Medication training and support, per 15 minutes	1,840	$130	$232K
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…	540	$190	$103.8K
99201	Deleted code, effective Jan. 1, 2021	930	$110	$100.2K
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…	500	$180	$90.6K

Showing 1–10 of 15

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

Associates In Counseling And Child Guidance Inc — 1 of 15 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

15 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…	77	150	8,280	$220	$4.1M
H2021	Community-based wrap-around services, per 15 minutes	8	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…	123	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	33	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…	240	690	2,240	$80	$1M
H2014	Skills training and development, per 15 minutes	7	20	370	$140	$1M
H0046	Mental health services, not otherwise specified	110	170	1,200	$130	$909.6K
H2019	Therapeutic behavioral services, per 15 minutes	76	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…	33	120	1,330	$180	$557.5K
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…	536	560	1,400	$90	$485.7K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Associates In Counseling And Child Guidance Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Health Network	PA	Federally Qualified Health Center (FQHC)	$0	$57.9M
Comprehensive Children And Family Services	PA	Community/Behavioral Health Agency	$0	$20.1M
Steward Sharon Regional Health System, Inc.	PA	Psychiatric Hospital Unit	$0	$6.8M
Steward Sharon Regional Health System, Inc.	PA	General Acute Care Hospital	$0	$5.8M
Rainbow Recovery Center, Inc.	PA	Methadone Clinic	$179.6K	$2.9M
Arthur Aronson	PA	Podiatrist	$53.5K	$19.6K
Emil Maurer	PA	Anesthesiology Physician	$37K	$0

Associates In Counseling And Child Guidance Inc — Billing Profile & Reimbursement Data

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Associates In Counseling And Child Guidance Inc — 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