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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC (NPI 1346680071)

Field	Value
Entity Type	Organization
Organization	Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC
Address	770 Grand Blvd
City	Deer Park
State	NY
ZIP	11729
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 26, 2013

Payer Source	Total Paid
Medicaid	$54.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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…	266,640	$150	$40.8M
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,…	64,730	$140	$9.3M
H0038	Self‑help/peer services, per 15 minutes	13,020	$120	$1.5M
H0005	Alcohol and/or drug services; group counseling by a clinician	18,620	$60	$1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,220	$190	$802K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	2,410	$140	$339.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,950	$120	$240.3K
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…	1,260	$120	$153.6K
T1006	Alcohol and/or substance abuse services, family/couple counseling	830	$120	$102.7K
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	900	$80	$67.8K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	717	1,510	1,010	$110	$1.1M
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…	4	2,200	1,010	$130	$892.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	47	230	3,600	$60	$805.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	95	1,320	140	$260	$334K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,875	19,110	360	$70	$321K
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.	141	270	360	$110	$319.1K
H0038	Self‑help/peer services, per 15 minutes	13	240	950	$70	$205.4K
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,…	21	5,420	210	$70	$154.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	471	4,700	130	$100	$136.6K
H0001	Alcohol and/or drug assessment	512	810	390	$30	$52.8K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rosanne Cebelenski	NY	Legal Medicine	$135K	$229.7K
Masoom Qadeer	NY	Pain Medicine (Anesthesiology) Physician	$68K	$196.1K
Abraham Schneider	NY	Cardiovascular Disease Physician	$259.7K	$3.2K
Christy Janes	NY	Physician Assistant	$251.9K	$0
Lisa Sandler	NY	Physician Assistant	$53K	$0

Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC — Billing Profile & Reimbursement Data

Sign up for Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC — Billing Profile & Reimbursement Data policy alerts

Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC — 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