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.

Children's Crisis Treatment Center (NPI 1326109836)

Field	Value
Entity Type	Organization
Organization	Children's Crisis Treatment Center
Address	1080 N Delaware Ave
City	Philadelphia
State	PA
ZIP	19125
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$61.4M
Medicare	$0

Key Findings

CHILDREN'S CRISIS TREATMENT CENTER is effectively a Medicaid-centric provider: it has no Medicare billing on file and reports $61.4M in total Medicaid revenue, indicating that its operations and revenue are overwhelmingly driven by the Medicaid population rather than Medicare beneficiaries. This single-payer concentration has implications for payer risk and contracting focus.

Revenue is highly concentrated in a small set of service lines: the precomputed top-three Medicaid codes (H2021, H0032, H0035) account for 47.5% of the provider's total Medicaid revenue. Specifically, H2021 drives $11M (18.0%), H0032 drives $9.3M (15.2%), and H0035 drives $8.8M (14.3%), showing that nearly half of Medicaid dollars flow through a narrowly defined set of behavioral health services.

The code mix points to an operational focus on intensive community-based behavioral health for children and adolescents: H2021 (community-based wrap-around services, per 15 minutes), H0032 (mental health service plan development by non-physician), and H0035 (partial hospitalization, less than 24 hours) are the top revenue generators. In addition, substantial billing for H2019 (therapeutic behavioral services), H0004 (behavioral health counseling and therapy), and 97152 (technician-delivered behavioral assessment) indicates a mix of time‑based therapeutic interventions, structured partial‑hospital programs, and hands‑on technician-delivered supports.

On competitive standing within Pennsylvania the provider emerges as a major player for multiple high-volume codes: H2021 ranks #4 of 218 providers (99th percentile; extreme outlier), H0032 ranks #3 of 209 (99th percentile; extreme outlier), and H0035 ranks #5 of 111 (96th percentile; notably above typical state volume). The provider also ranks #1 of 177 for 90847 (family psychotherapy, $3.3M revenue) and #1 of 18 for 97152 ($4.1M revenue, 100th percentile), signaling dominant market share in several specialty behavioral services.

Service delivery appears to be intensity- and time-driven: multiple high-revenue codes bill in 15-minute increments (H2021, H2019, T1017) or represent extended-session psychotherapy (90837, 90847). High average payments per claim for codes like H0004 ($292 avg paid/claim), 97152 ($254 avg paid/claim), and 90792 ($460 avg paid/claim) are consistent with skilled or specialty interventions and suggest significant resource intensity per encounter.

Care coordination and case-management are material components of activity: T1017 (targeted case management, 77.9K claims, $3.9M revenue, 6.4%) and related case-management codes (T1016) indicate substantial claims volume for coordination services, supporting the narrative that this provider manages complex care pathways in addition to direct therapy. T1017 ranks #14 of 205 in-state (94th percentile), which is described in the data as typical, unremarkable volume despite the large absolute claim count.

The provider’s high volumes across both clinician-delivered psychotherapy and non-physician/technician-delivered services suggest a multi-disciplinary staffing model: large claim counts for psychotherapy codes 90837 (36.2K claims, $3.5M) and 90847 (46.5K claims, $3.3M) alongside technician assessments (97152, 16.2K claims, $4.1M) and non‑physician plan development (H0032, 99K claims) point to integrated teams of therapists, care coordinators, and technicians. This mix supports comprehensive outpatient and partial‑hospital programs rather than single-modality care.

The provider has long tenure in the NPI registry (enumerated 2006-12-12, ~20 years), which, combined with the scale and percentile rankings on multiple codes, suggests established operations and sustained Medicaid engagement in Pennsylvania. The absence of Medicare billing further reinforces a persistent focus on pediatric and Medicaid-covered behavioral health services rather than broad cross-payer ambulatory medicine.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	114,910	$100	$11M
H0032	Mental health service plan development by non-physician	98,970	$90	$9.3M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	55,320	$160	$8.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	22,420	$290	$6.5M
H2019	Therapeutic behavioral services, per 15 minutes	53,820	$90	$4.8M
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…	16,150	$250	$4.1M
T1017	Targeted case management, each 15 minutes	77,940	$50	$3.9M
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…	36,180	$100	$3.5M
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…	46,530	$70	$3.3M
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…	11,670	$150	$1.8M

Showing 1–10 of 26

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

Children's Crisis Treatment Center — 12 of 24 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	14	210	18,200	$100	$2.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	5	110	8,460	$150	$2.1M
H2021	Community-based wrap-around services, per 15 minutes	4	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	3	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…	139	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	92	160	2,180	$80	$965.8K
H0046	Mental health services, not otherwise specified	131	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…	1	20	490	$270	$808.8K
H2019	Therapeutic behavioral services, per 15 minutes	3	180	3,510	$80	$685K
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…	7	120	1,330	$180	$557.5K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Children's Crisis Treatment Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Temple University Hospital, Inc - Psych Unit	PA	Psychiatric Hospital Unit	$0	$22.3M
Special Smiles Ltd	PA	General Practice Dentistry	$0	$8.5M
Temple Health System Transport Team, Inc.	PA	Land Ambulance	$84.4K	$897K
Barbara Southerland	PA	Acute Care Nurse Practitioner	$147.9K	$0
Manavendra Bakhshi	PA	Cardiovascular Disease Physician	$56.6K	$53.1K
Sanjay Upadhyay	PA	Family Medicine Physician	$84K	$7.1K
Jon George	PA	Interventional Cardiology Physician	$68.1K	$0
Jessica Smith	PA	Speech-Language Pathologist	$9.9K	$0
Elizabeth Wagner	PA	Oral and Maxillofacial Surgery (Dentist)	$5.7K	$2.1K

Children's Crisis Treatment Center — Billing Profile & Reimbursement Data

Sign up for Children's Crisis Treatment Center — Billing Profile & Reimbursement Data policy alerts

Children's Crisis Treatment Center — Billing Profile & Reimbursement Data

Sign up for Children's Crisis Treatment Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References