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.

Vocational Services (NPI 1225187933)

Field	Value
Entity Type	Organization
Organization	Vocational Services
Address	350 N Main St
City	Butler
State	PA
ZIP	16001
Taxonomy	Psychologist
NPI Enumerated	January 10, 2007

Payer Source	Total Paid
Medicaid	$22.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	92,180	$110	$10.3M
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…	31,970	$190	$6M
H0032	Mental health service plan development by non-physician	25,490	$110	$2.9M
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…	8,150	$130	$1.1M
H2019	Therapeutic behavioral services, per 15 minutes	9,380	$110	$1.1M
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…	3,850	$140	$527.7K
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…	3,650	$120	$437.8K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	110	$130	$14.4K
H0031	Mental health assessment, by non-physician	260	$30	$8.6K
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…	60	$140	$8.5K

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

Vocational Services — 2 of 10 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

10 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…	21	150	8,280	$220	$4.1M
H2021	Community-based wrap-around services, per 15 minutes	7	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…	64	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	27	210	3,020	$130	$1.3M
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	12	20	490	$270	$808.8K
H2019	Therapeutic behavioral services, per 15 minutes	48	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…	29	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…	504	560	1,400	$90	$485.7K
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…	5	100	530	$120	$196.1K
H0031	Mental health assessment, by non-physician	47	110	220	$70	$31.7K

Nearby Providers

Other providers in the same ZIP code as Vocational Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Community Resources, Inc.	PA	Case Management Agency	$0	$19M
Butler Healthcare Providers	PA	General Acute Care Hospital	$0	$10.4M
Family Pathways	PA	Community/Behavioral Health Agency	$0	$6.7M
Butler Ambulance Service Co	PA	Ambulance	$446.9K	$2.2M
Jeanine Wigton	PA	Family Nurse Practitioner	$40.1K	$1.1M
Butler Ambulatory Surgery Center L L C	PA	Ambulatory Surgical Clinic/Center	$680.6K	$24.7K
David Cowan	PA	Dermatology Physician	$175.8K	$31.6K
Keith Welker	PA	Specialist	$147.5K	$48.1K
Shripal Shrishrimal	PA	Pulmonary Disease Physician	$80.1K	$40.1K
Dennis Dobrzynski	PA	Hematology & Oncology Physician	$92.1K	$26.6K

Vocational Services — Billing Profile & Reimbursement Data

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Vocational Services — 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