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    OpenPayerNPI Medicare & MedicaidWhite Deer Run, LLC
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    White Deer Run, LLC — Billing Profile & Reimbursement Data

    NPI 1326031022 · Allenwood, PA · Community/Behavioral Health Agency

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    White Deer Run, LLC is a community/behavioral health agency provider located in Allenwood, Pennsylvania. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWhite Deer Run, LLC
    Address360 White Deer Run Road
    CityAllenwood
    StatePA
    ZIP17810
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedAugust 26, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$145.8M
    Medicare$0

    Key Findings

    WHITE DEER RUN, LLC is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $145.8M in lifetime Medicaid revenue, indicating that Medicaid is the material payer driving this entity's billing and financial footprint. The absence of any Medicare activity limits cross-payer comparisons and positions the organization as a single-payer (Medicaid) operation for analytic purposes.

    Revenue is highly concentrated in three Medicaid service lines: H2036 accounts for $87.1M (59.8% of Medicaid revenue), H0018 accounts for $41.6M (28.5%), and H0013 accounts for $17.1M (11.7%); the precomputed top-3 share equals 100.0% of this provider's total Medicaid revenue. This concentration shows that virtually all Medicaid dollars for this provider flow through those three codes rather than a broader mix of services.

    The code mix and descriptions point to a residential and detoxification service model focused on substance use treatment. H2036 (Alcohol and/or other drug treatment program, per diem) and H0018 (short-term residential, without room and board, per diem) together dominate revenue and suggest the provider operates high-volume per-diem residential programs, while H0013 (acute detoxification outpatient) signals significant acute detox services integrated into that continuum.

    Claim-level activity underscores the scale of operations: H2036 has 282K claims with a $309 avg paid/claim, H0018 has 135.5K claims with a $307 avg paid/claim, and H0013 has 46.4K claims with a $368 avg paid/claim. These high claim counts, coupled with per-diem billing patterns, imply sustained utilization and large program census rather than isolated episodic billing.

    Competitive standing in-state is dominant for these service lines: the provider ranks #2 of 117 for H2036 (99th percentile, extreme outlier), #2 of 95 for H0018 (99th percentile, extreme outlier), and #2 of 61 for H0013 (98th percentile). Those ranks and percentile labels indicate the organization is a major, atypically large participant in Pennsylvania for residential substance-use treatment and detox services.

    The dataset explicitly labels the provider an "extreme outlier" for the two largest codes and near-extreme for the third, which speaks to unusually high state volumes relative to peers for these specific services. For payers and analysts, this statistical standing flags the provider as a focal point for network capacity, utilization oversight, and benchmarking in Medicaid behavioral-health programs.

    WHITE DEER RUN has an established presence: its NPI was enumerated on 2005-08-26 (~21 years ago), suggesting long tenure in the market that is consistent with its large scale and concentration in Medicaid-funded residential and detox services. Longevity combined with concentrated Medicaid revenue supports the interpretation of an entrenched specialty provider rather than a recent entrant.

    From an operational and contracting perspective, the provider's dependence on three per-diem/substance-use codes (which together make up 100.0% of Medicaid revenue) represents both strategic specialization and business concentration risk; payers should consider this narrow revenue base when evaluating rate-setting, utilization management, and network diversification strategies.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2036Alcohol and/or other drug treatment program, per diem282,030$310$87.1M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem135,460$310$41.6M
    H0013Alcohol and/or drug services: acute detox (residential addiction program outpatient)46,360$370$17.1M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2036Alcohol and/or other drug treatment program, per diem21207,190$420$8.7M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem21005,130$370$4.5M
    H0013Alcohol and/or drug services: acute detox (residential addiction program outpatient)2602,400$450$2.6M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with White Deer Run, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    White Deer Run, LLCPAAddiction (Substance Use Disorder) Counselor$0$47.4M
    White Deer Run, LLCPACommunity/Behavioral Health Agency$0$9.4M

    Nearby Providers

    Other providers in the same ZIP code as White Deer Run, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bernstein Hilliker Hartzell Eye Center LLPPAAmbulatory Surgical Clinic/Center$2.2M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Pennsylvania Providers
    5 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    White Deer Run, LLC — 3 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania