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.

Connellsville Counseling & Psychological Services, LLC (NPI 1275844789)

Field	Value
Entity Type	Organization
Organization	Connellsville Counseling & Psychological Services, LLC
Address	416 S Pittsburgh St
City	Connellsville
State	PA
ZIP	15425
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 30, 2010

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 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…	34,450	$100	$3.6M
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…	15,230	$180	$2.7M
H0034	Medication training and support, per 15 minutes	12,460	$120	$1.5M
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…	6,290	$160	$1M
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	5,800	$110	$637.6K
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…	3,280	$170	$571.2K
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…	5,450	$100	$529K
99201	Deleted code, effective Jan. 1, 2021	4,110	$110	$448K
H0032	Mental health service plan development by non-physician	1,840	$130	$242.4K
H2021	Community-based wrap-around services, per 15 minutes	1,960	$110	$209.4K

Showing 1–10 of 16

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

Connellsville Counseling & Psychological Services, LLC — 0 of 16 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

16 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…	43	150	8,280	$220	$4.1M
H2021	Community-based wrap-around services, per 15 minutes	137	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…	72	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	127	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…	71	690	2,240	$80	$1M
H0046	Mental health services, not otherwise specified	171	170	1,200	$130	$909.6K
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…	15	20	490	$270	$808.8K
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…	20	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…	531	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…	372	540	1,490	$50	$316.4K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Connellsville Counseling & Psychological Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fayette Ems	PA	Land Ambulance	$1.1M	$7.5M
Connellsville Counseling Center	PA	Clinic/Center	$0	$6.1M
Greg Hites	PA	Family Nurse Practitioner	$112.3K	$258.2K
Jennifer Sterbutzel	PA	Family Nurse Practitioner	$84.4K	$205.1K
James Oppy	PA	Family Medicine Physician	$163.3K	$51.3K
Jeremiah Altman	PA	Surgical Physician Assistant	$70.4K	$119.6K
Sarah Lumley	PA	Family Medicine Physician	$66K	$30.1K
Richard Conn	PA	Family Medicine Physician	$39.5K	$2.5K

Connellsville Counseling & Psychological Services, LLC — Billing Profile & Reimbursement Data

Sign up for Connellsville Counseling & Psychological Services, LLC — Billing Profile & Reimbursement Data policy alerts

Connellsville Counseling & Psychological Services, LLC — Billing Profile & Reimbursement Data

Sign up for Connellsville Counseling & Psychological Services, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References