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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Access: Supports For Living Inc (NPI 1215122361)

Field	Value
Entity Type	Organization
Organization	Access: Supports For Living Inc
Address	15 Fortune Rd W
City	Middletown
State	NY
ZIP	10941
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 12, 2007

Payer Source	Total Paid
Medicaid	$35M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	25,360	$670	$17M
H2018	Psychosocial rehabilitation services, per diem	10,370	$1,440	$14.9M
T1015	Clinic visit/encounter, all-inclusive	8,690	$290	$2.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1,720	$80	$134.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,580	$50	$128.9K
99442	N/A	4,060	$20	$93.4K
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…	640	$90	$56K
H2017	Psychosocial rehabilitation services, per 15 minutes	490	$50	$23.3K
H0038	Self‑help/peer services, per 15 minutes	480	$40	$20.9K
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…	100	$130	$13K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

Claims Volume vs. New York Distribution

Access: Supports For Living Inc — 4 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2018	Psychosocial rehabilitation services, per diem	1	90	720	$1,900	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	1	170	1,390	$570	$1.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	69	100	5,790	$110	$1.3M
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…	854	1,510	1,010	$110	$1.1M
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…	1,841	2,200	1,010	$130	$892.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	99	120	2,410	$90	$872.1K
T1015	Clinic visit/encounter, all-inclusive	6	120	1,230	$140	$539.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	604	620	1,130	$60	$370.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	876	1,320	140	$260	$334K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	15,747	19,110	360	$70	$321K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Access: Supports For Living Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crystal Run Healthcare Physicians LLP	NY	General Practice Physician	$0	$34.1M
Access: Supports For Living Inc	NY	Case Management Agency	$0	$19.8M
Mdinr, LLC	NY	Physiological Laboratory	$2.7M	$464.1K
Matthew Pomykala	NY	Ophthalmology Physician	$1.7M	$1M
Robert Dinsmore	NY	Hematology & Oncology Physician	$2.4M	$45.7K
Crystal Run Ambulatory Surgery Center Of Middletown, LLC	NY	Ambulatory Surgical Clinic/Center	$1.3M	$661.1K
Gnanamba Kondagunta	NY	Hematology & Oncology Physician	$1.6M	$185.4K
Manuel Perry	NY	Hematology & Oncology Physician	$1.3M	$101.7K
Gurvinder Sethi	NY	Hematology & Oncology Physician	$1.1M	$168.6K
Yong Ke	NY	Anatomic Pathology & Clinical Pathology Physician	$351.6K	$802.7K

Access: Supports For Living Inc — Billing Profile & Reimbursement Data

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Access: Supports For Living 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