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.

Family Services Of Nw PA (NPI 1265482863)

Field	Value
Entity Type	Organization
Organization	Family Services Of Nw PA
Address	5100 Peach St
City	Erie
State	PA
ZIP	16509
Taxonomy	Child & Adolescent Psychiatry Physician
NPI Enumerated	May 12, 2006

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.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	21,490	$140	$2.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	16,380	$180	$2.9M
H2019	Therapeutic behavioral services, per 15 minutes	4,120	$230	$943K
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…	6,610	$120	$773K
H2033	Multisystemic therapy for juveniles, per 15 minutes	2,220	$340	$745.9K
T1016	Case management, each 15 minutes	3,720	$120	$450.4K
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…	1,350	$110	$145.6K
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…	730	$160	$114.5K
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.	610	$150	$90.6K
H0032	Mental health service plan development by non-physician	1,130	$50	$50.7K

Showing 1–10 of 14

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

Family Services Of Nw PA — 1 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	11	20	3,890	$290	$3.3M
H2021	Community-based wrap-around services, per 15 minutes	46	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	145	210	3,020	$130	$1.3M
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…	214	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	69	160	2,180	$80	$965.8K
H2019	Therapeutic behavioral services, per 15 minutes	85	180	3,510	$80	$685K
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…	350	560	1,400	$90	$485.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	31	1,410	820	$160	$353.5K
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…	369	540	1,490	$50	$316.4K
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…	75	180	860	$70	$195.9K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Family Services Of Nw PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epeople Health Care, Inc.	PA	Home Health Agency	$0	$9.1M
Millcreek Community Hospital	PA	General Acute Care Hospital	$0	$5.7M
Danielle Sanders	PA	Family Medicine Physician	$728.3K	$0
David Carl	PA	Orthopaedic Surgery Physician	$88.7K	$94.2K
Joseph Thomas	PA	Pain Medicine (Anesthesiology) Physician	$171.5K	$980
Richard Spector	PA	Psychiatry Physician	$131.7K	$0
James Lin	PA	Geriatric Medicine (Internal Medicine) Physician	$67.3K	$3.7K
Frederick Tomassi	PA	Podiatrist	$59K	$0
Nirali Shah	PA	Foot & Ankle Surgery Podiatrist	$47.7K	$0
Richard Dibacco	PA	Foot Surgery Podiatrist	$45.5K	$0

Family Services Of Nw PA — Billing Profile & Reimbursement Data

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Family Services Of Nw PA — 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