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

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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.

Merakey Pennsylvania (NPI 1255606224)

Field	Value
Entity Type	Organization
Organization	Merakey Pennsylvania
Address	8932 Jewella Ave
City	Shreveport
State	LA
ZIP	71118
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 9, 2012

Payer Source	Total Paid
Medicaid	$35.3M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: no Medicare billing on file and Total Medicaid revenue: $35.3M, indicating its operating footprint is concentrated almost entirely in Medicaid-funded services rather than split across Medicare/Medicaid. The absence of Medicare claims suggests MERAKEY PENNSYLVANIA’s workflows, staffing, and revenue dependencies are built around Medicaid payment rules and community behavioral health program models.

Revenue is extremely concentrated in a narrow set of outpatient behavioral-health service codes: the precomputed top 3 Medicaid codes by revenue account for 99.9% of this provider's total Medicaid revenue, signaling high dependence on a few service lines for the vast majority of receipts. That concentration creates exposure to rate or policy changes affecting those specific codes, particularly the single dominant code H0039.

H0039 (Assertive community treatment, face-to-face, per 15 minutes) is the primary revenue driver: 34.5K claims, $936 avg paid/claim, $32.2M revenue (91.4% of this provider's total Medicaid revenue). This billing profile indicates the organization operates an intensive community-based/ACT-style program that delivers frequent, short-interval face-to-face contacts; the scale of H0039 billing is the defining operational characteristic of the agency.

H0031 (Mental health assessment, by non-physician) is the second major line: 21.3K claims, $134 avg paid/claim, $2.9M revenue (8.1% of this provider's total Medicaid revenue). The high volume and its rank of #1 of 6 providers in-state (100th percentile; notably above typical state volume for this code) point to a strong intake/assessment capacity and likely a steady referral pipeline feeding the agency’s treatment programs.

Although smaller in dollar impact, 90791 (psychiatric evaluation) appears as a routine clinical service for this provider: 2.8K claims, $43 avg paid/claim, $119.7K revenue (0.3% of this provider's total Medicaid revenue). It ranks #49 of 764 providers in-state (94th percentile; typical, unremarkable volume), suggesting MERAKEY performs a consistent but not outsized share of formal psychiatric diagnostic evaluations compared with statewide peers.

The provider shows leadership on several specialty/coordination codes relative to peers: 99487 (complex care management; first 60 minutes) records 1.5K claims, $25 avg paid/claim, $38.1K revenue (0.1% of total) and ranks #1 of 16 providers in-state (100th percentile; notably above typical state volume). This indicates a capability or focus on provider-directed care coordination for high-risk patients that exceeds most in-state peers, even though the absolute revenue from this code is small relative to H0039.

Operational and payer-risk considerations: with H0039 contributing 91.4% of Medicaid revenue and the top three codes totaling 99.9%, any policy, utilization management, or documentation changes that affect Assertive Community Treatment billing could materially impact overall revenue stability. Diversification of billable services or strengthening non-H0039 revenue streams would reduce financial concentration risk for MERAKEY PENNSYLVANIA.

Organizational tenure and market position: the NPI was enumerated on 2012-03-09 (~14 years ago), indicating an established presence in the Shreveport, LA market. State-level rank/percentile data (H0039 at #2 of 25, 96th percentile; H0031 and 99487 at top ranks and 100th percentile) characterize MERAKEY as a major, high-volume provider of ACT and assessment services in Louisiana’s Medicaid behavioral-health ecosystem rather than a marginal participant.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	34,450	$940	$32.2M
H0031	Mental health assessment, by non-physician	21,350	$130	$2.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,780	$40	$119.7K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,520	$30	$38.1K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	960	$1	$960

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Merakey Pennsylvania — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	2	30	6,840	$900	$11.5M
H0031	Mental health assessment, by non-physician	1	10	130	$130	$491.4K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	23	80	440	$20	$29K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	49	760	170	$40	$25.6K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1	20	40	$20	$6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Merakey Pennsylvania	PA	Community/Behavioral Health Agency	$0	$26.3M
Merakey Pennsylvania	PA	Community/Behavioral Health Agency	$0	$13.1M
Dwone Marshall-brown	LA	Family Nurse Practitioner	$17K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Council For Advancement Of Social Service And Education	LA	Federally Qualified Health Center (FQHC)	$0	$15.3M
Red River Therapeutic Solutions LLC	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.9M
Pelican Bayou Counseling Agency Inc.	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.9M
Wk Regional Perinatal Group	LA	Maternal & Fetal Medicine Physician	$0	$5.3M
David M. Vieth Dds, A Professional Corporation	LA	General Practice Dentistry	$0	$4.9M
Wyche Coleman	LA	Ophthalmology Physician	$350.3K	$0
Claire Hammond	LA	Medical Physician Assistant	$208.8K	$2.4K
Victoria Everton	LA	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	$126.9K	$0
Stephen Ertz	LA	Podiatrist	$56.9K	$0
Kirk Grantham	LA	Family Medicine Physician	$49.2K	$5.1K

Merakey Pennsylvania — Billing Profile & Reimbursement Data

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Merakey Pennsylvania — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References