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.

Uhs Of Fairmount Inc (NPI 1215902168)

Field	Value
Entity Type	Organization
Organization	Uhs Of Fairmount Inc
Address	561 Fairthorne Ave
City	Philadelphia
State	PA
ZIP	19128
Taxonomy	Psychiatric Hospital
NPI Enumerated	February 22, 2006

Payer Source	Total Paid
Medicaid	$30.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	48,250	$340	$16.6M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	26,930	$340	$9.1M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	6,900	$380	$2.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	7,480	$250	$1.8M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	560	$20	$8.4K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	200	$30	$5.3K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	340	$20	$5.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	40	$20	$580

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

Uhs Of Fairmount Inc — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	13	120	7,190	$420	$8.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	11	100	5,130	$370	$4.5M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	15	60	2,400	$450	$2.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	59	110	8,460	$150	$2.1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	283	1,300	110	$40	$41.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	188	340	40	$40	$16.9K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	59	240	90	$20	$16.8K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	8	60	20	$50	$7.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Uhs Of Fairmount Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brigid Bautista	PA	Psychiatry Physician	$178.1K	$0

Nearby Providers

Other providers in the same ZIP code as Uhs Of Fairmount Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
On Demand Urgent Care Group PC	PA	Urgent Care Clinic/Center	$0	$25.4M
Northern Home For Children And Family Service	PA	Community/Behavioral Health Agency	$0	$12.4M
David A. Bresler Dds PC	PA	Pediatric Dentistry	$0	$11.7M
Prime Healthcare Services Roxborough LLC	PA	General Acute Care Hospital	$0	$8.8M
Kutest Kids Early Intervention Co.	PA	Occupational Therapist	$0	$7.1M
Yapa Apartment Living Program, Inc.	PA	Community/Behavioral Health Agency	$0	$6.5M
Intercommunity Action, Inc.	PA	Case Management Agency	$0	$5.8M
Scott Hessen	PA	Clinical Cardiac Electrophysiology Physician	$393.3K	$160
Robert Lee	PA	Foot & Ankle Surgery Podiatrist	$311.7K	$18K
Julia Newbold	PA	Family Nurse Practitioner	$296.1K	$0

Uhs Of Fairmount Inc — Billing Profile & Reimbursement Data

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Uhs Of Fairmount 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

Related Providers

Nearby Providers

Frequently Asked Questions

References