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.

Mid Erie Mental Health Services Inc (NPI 1225095201)

Field	Value
Entity Type	Organization
Organization	Mid Erie Mental Health Services Inc
Address	1526 Walden Ave
City	Cheektowaga
State	NY
ZIP	14225
Taxonomy	Counselor
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$59.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	390,140	$130	$49.2M
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…	21,140	$140	$2.9M
H2019	Therapeutic behavioral services, per 15 minutes	3,800	$580	$2.2M
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…	31,160	$60	$1.7M
T1015	Clinic visit/encounter, all-inclusive	3,360	$290	$987.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,960	$160	$783.2K
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…	6,630	$120	$782.5K
H2018	Psychosocial rehabilitation services, per diem	860	$450	$385.7K
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…	2,230	$110	$250K
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…	1,320	$130	$175.3K

Showing 1–10 of 20

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

Mid Erie Mental Health Services Inc — 1 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	5	30	47,730	$120	$24.8M
T2020	Day habilitation, waiver; per diem	5	10	9,160	$270	$3.1M
H2018	Psychosocial rehabilitation services, per diem	44	90	720	$1,900	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	43	170	1,390	$570	$1.6M
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…	325	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…	163	2,200	1,010	$130	$892.2K
T1015	Clinic visit/encounter, all-inclusive	23	120	1,230	$140	$539.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	287	350	350	$210	$393.4K
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…	29	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.	81	1,320	140	$260	$334K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Mid Erie Mental Health Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Visiting Nursing Association Of Western New York, Inc.	NY	Home Health Agency	$0	$36.1M
Mercy Flight Inc	NY	Air Ambulance	$1.8M	$14M
Medlab Inc	NY	Clinical Medical Laboratory	$124.8K	$5.6M
Ksl Diagnostics Inc	NY	Clinical Medical Laboratory	$65.8K	$3.8M
Harlem Road Ambulatory Surgery Center LLC	NY	Ambulatory Surgical Clinic/Center	$751.8K	$1.3M
Buffalo Ambulatory Services, Inc	NY	Ambulatory Surgical Clinic/Center	$1M	$853.3K
Michael Duff	NY	Radiation Oncology Physician	$1.2M	$3.2K
Dhiren Shah	NY	Radiation Oncology Physician	$804.8K	$1.3K
Sanjay Kamat	NY	Ophthalmology Physician	$377.7K	$970
Beutner Labs Inc	NY	Clinical Medical Laboratory	$155K	$0

Mid Erie Mental Health Services Inc — Billing Profile & Reimbursement Data

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Mid Erie Mental Health Services 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