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.

Community Services Group, Inc. (NPI 1265426084)

Field	Value
Entity Type	Organization
Organization	Community Services Group, Inc.
Address	320 Highland Dr
City	Mountville
State	PA
ZIP	17554
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 8, 2005

Payer Source	Total Paid
Medicaid	$48.9M
Medicare	$0

Key Findings

COMMUNITY SERVICES GROUP, INC. is effectively a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue is $48.9M. Its NPI was enumerated 2005-09-08 (~21 years ago), indicating long-standing enrollment and operational tenure in the state Medicaid market.

Revenue is highly concentrated in a small set of service codes: the precomputed top 3 Medicaid codes account for 53.4% of this provider’s Medicaid revenue. The top three contributors are H0036 ($9.2M, 18.9%), 90834 ($8.8M, 17.9%), and H2030 ($8.1M, 16.6%), showing reliance on a narrow set of community and psychotherapy services.

The code mix indicates an operation centered on community-based behavioral health and psychotherapy delivery rather than traditional medical/specialty care: H0036 (community psychiatric supportive treatment), H2030 (mental health clubhouse services), and high-volume psychotherapy codes such as 90834 and 90837 dominate billing. Additional codes like H0004 (behavioral health counseling) and H0035 (partial hospitalization) further point to an integrated behavioral health model offering counseling, clubhouse programming, and time-based rehabilitation services.

On competitive standing within Pennsylvania, the provider is a leading in-state operator for several high-value services: H2030 ranks #1 of 18 providers in-state (100th percentile) and is labeled an extreme outlier, H0036 ranks #2 of 96 providers (99th percentile; notably above typical state volume), and 90834 ranks #6 of 692 providers (99th percentile; extreme outlier). These ranks and percentiles indicate the organization is a dominant or major provider of specific community mental health and psychotherapy services statewide rather than a modest participant.

Service volume underscores the operational scale: 90834 shows 132.8K claims, H2030 shows 61K claims, and H0036 shows 48.3K claims, reflecting substantial time-based and psychotherapy encounters. High claim counts combined with the dollar shares cited above suggest the provider operates at scale in outpatient and clubhouse-style mental health programs.

Beyond the top three, the provider also reports material revenue from related community and case management services: H0004 ($4.6M, 9.4%), H0035 ($4.1M, 8.4%), and T1017 ($3.4M, 6.9%). This mix shows a portfolio that includes behavioral counseling, partial hospitalization, and targeted case management, which together broaden service offerings while remaining concentrated in Medicaid-funded behavioral health.

The single-payer concentration creates commercial and regulatory exposure: with $48.9M all from Medicaid and no Medicare billing, the organization’s financial performance is tied closely to Medicaid policy, reimbursement rates, and state-level program changes. The heavy concentration in a few time-based and psychotherapy codes amplifies that sensitivity because policy or rate changes affecting H0036, 90834, or H2030 would disproportionately impact overall revenue.

There are additional statistical outliers and high-volume E/M billings that shape the profile: 96127 is an extreme outlier in-state (rank #5 of 944 providers, 100th percentile) despite modest revenue ($86.9K), and evaluation/management codes such as 99214 ($1.2M, rank #88 of 8157, 99th percentile) and 99213 ($1M, rank #150 of 8867, 98th percentile) are billed at volumes notably above typical state peers. These patterns suggest the provider combines traditional psychotherapy and clubhouse services with significant standardized assessments and outpatient E/M activity within its Medicaid practice.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	48,330	$190	$9.2M
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…	132,800	$70	$8.8M
H2030	Mental health clubhouse services, per 15 minutes	60,960	$130	$8.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	26,480	$170	$4.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	37,470	$110	$4.1M
T1017	Targeted case management, each 15 minutes	42,970	$80	$3.4M
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…	23,540	$80	$1.9M
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…	6,090	$200	$1.2M
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…	14,510	$90	$1.2M
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.	26,700	$40	$1.1M

Showing 1–10 of 30

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

Community Services Group, Inc. — 9 of 25 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W9045	N/A	4	10	8,320	$720	$11.1M
W9047	N/A	3	10	10,140	$350	$8M
W7060	N/A	14	10	3,270	$200	$3.7M
T1017	Targeted case management, each 15 minutes	46	210	18,200	$100	$2.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	14	110	8,460	$150	$2.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	2	100	9,680	$110	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	168	220	3,810	$100	$1.5M
H2030	Mental health clubhouse services, per 15 minutes	1	20	7,340	$120	$1.2M
W1726	N/A	7	10	1,110	$180	$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…	6	690	2,240	$80	$1M

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$21.2M
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$11.6M
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$8.8M
Jason Lulejian	FL	Psychiatry Physician	$5.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
H.e.a.r., Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$5.8M
Andrea Sheaffer	PA	Physical Therapist	$259K	$0

Community Services Group, Inc. — Billing Profile & Reimbursement Data

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Community Services Group, Inc. — 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