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 Council (NPI 1336355478)

Field	Value
Entity Type	Organization
Organization	Community Council
Address	4900 Wyalusing Ave
City	Philadelphia
State	PA
ZIP	19131
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 15, 2007

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	66,350	$70	$4.7M
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…	3,740	$280	$1M
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…	7,500	$60	$457.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,990	$180	$355.7K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	2,510	$90	$235.8K
H0034	Medication training and support, per 15 minutes	4,510	$50	$207.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,310	$50	$165.4K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1,080	$150	$163.6K
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.	7,980	$20	$151.6K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	1,500	$90	$134.6K

Showing 1–10 of 20

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 Council — 2 of 15 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	88	100	9,680	$110	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	144	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	112	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…	449	690	2,240	$80	$1M
H2019	Therapeutic behavioral services, per 15 minutes	126	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…	5	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…	145	540	1,490	$50	$316.4K
H0034	Medication training and support, per 15 minutes	64	260	1,710	$80	$279.8K
H2012	Behavioral health day treatment, per hour	4	10	430	$160	$278.3K
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…	46	420	650	$180	$270.2K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yapa Apartment Living Program, Inc	PA	Community/Behavioral Health Agency	$0	$18.5M
The Center For Autism	PA	Mental Health Counselor	$0	$14.4M
Merakey Parkside Recovery	PA	Community/Behavioral Health Agency	$130.8K	$11.8M
The Center For Autism	PA	Mental Health Counselor	$0	$10.5M
Easter Seals Of Southeastern Pennsylvania	PA	Speech-Language Pathologist	$0	$6M
Community Council For Mental Health And Mental Retardation I	PA	Community/Behavioral Health Agency	$0	$5.7M
Belmont Behavioral Hospital, LLC	PA	Psychiatric Hospital	$0	$5.5M
John Costello	PA	Clinical Cardiac Electrophysiology Physician	$313.1K	$0
Daniela Marinaro	PA	Orthopaedic Surgery Physician	$221.5K	$0
Bradley Bacik	PA	Clinical Cardiac Electrophysiology Physician	$188.5K	$600

Community Council — Billing Profile & Reimbursement Data

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Community Council — 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