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.

Gaudenzia Inc (NPI 1245362482)

Field	Value
Entity Type	Organization
Organization	Gaudenzia Inc
Address	1306 Spring Garden St
City	Philadelphia
State	PA
ZIP	19123
Taxonomy	Clinic/Center
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	32,530	$100	$3.2M
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…	45,160	$60	$2.6M
T1015	Clinic visit/encounter, all-inclusive	2,260	$680	$1.5M
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…	4,170	$200	$826.3K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	5,970	$70	$388.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	3,920	$70	$274.5K
H0034	Medication training and support, per 15 minutes	1,970	$110	$216.8K
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…	9,950	$10	$119.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	1,190	$80	$93.6K
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…	40	$90	$3.2K

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

Gaudenzia Inc — 1 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
T1015	Clinic visit/encounter, all-inclusive	534	1,690	760	$170	$1.2M
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…	75	690	2,240	$80	$1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	45	150	2,970	$100	$699.4K
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…	139	560	1,400	$90	$485.7K
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…	85	540	1,490	$50	$316.4K
H0034	Medication training and support, per 15 minutes	116	260	1,710	$80	$279.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	42	420	650	$180	$270.2K
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…	4	340	2,010	$50	$269.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	304	980	310	$50	$136.6K
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…	7,152	8,870	240	$40	$56.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaudenzia Inc	PA	Community/Behavioral Health Agency	$0	$40M
Gaudenzia Inc	MD	Substance Abuse Rehabilitation Facility	$0	$35.2M
Gaudenzia Inc	MD	Substance Abuse Rehabilitation Facility	$0	$23.6M
Gaudenzia Inc	MD	Substance Abuse Rehabilitation Facility	$0	$21.4M
Gaudenzia Inc	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18.4M
Gaudenzia Inc	PA	Community/Behavioral Health Agency	$0	$13.2M
Gaudenzia Inc	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.3M
Gaudenzia Inc	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9M
Gaudenzia Inc	PA	Clinic/Center	$0	$8.5M
Gaudenzia	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Philadelphia	PA	Land Ambulance	$8.3M	$108.1M
Visiting Nurse Group, Inc	PA	Home Health Agency	$0	$66.4M
Ameribest Home Care, LLC	PA	Home Health Agency	$0	$55.3M
Northeast Treatment Centers, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.8M
Pmhcc Ctt Inc	PA	Case Management Agency	$0	$27.5M
Greater Philadelphia Health Action Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$21M
St. John's Community Services	PA	Developmentally Disabled Services Day Training Agency	$0	$18.2M
Northeast Treatment Centers. Inc.	PA	Community/Behavioral Health Agency	$0	$15.3M
Family Practice & Counseling Services Network, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$13.3M
Public Health Management Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$11.8M

Gaudenzia Inc — Billing Profile & Reimbursement Data

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Gaudenzia 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