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.

Service Access And Management Inc (NPI 1356470207)

Field	Value
Entity Type	Organization
Organization	Service Access And Management Inc
Address	19 N 6th St
City	Reading
State	PA
ZIP	19601
Taxonomy	Case Management Agency
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicaid	$129M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all recorded federal revenue is from Medicaid, with total Medicaid revenue reported as $129M. The absence of Medicare activity indicates the organization’s business and billing footprint is concentrated entirely in Medicaid programs.

Revenue is extremely concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 97.5% of this provider’s total Medicaid revenue. The three leading codes are W7210 ($76.9M, 59.6%), T1017 ($44.3M, 34.3%), and T1016 ($4.6M, 3.5%), showing the business is highly dependent on these specific service lines.

The code mix indicates a case-management–centered operation: T1017 (Targeted case management, each 15 minutes) and T1016 (Case management, each 15 minutes) together represent a large share of billed activity and revenue, which suggests core services are recurring, time-based care coordination and case management. W7210 has no description available in the file but its scale (873.3K claims and $76.9M revenue) implies it is a core, high-volume service line supporting the same operational model.

Two individual codes show statewide dominance: W7210 ranks #1 of 69 providers in-state at the 100th percentile and is labeled an extreme outlier, and T1017 also ranks #1 of 205 providers in-state at the 100th percentile and is labeled an extreme outlier. By contrast, T1016 ranks #11 of 155 providers in-state at the 94th percentile and is described as typical, unremarkable volume — together these ranks portray the provider as a dominant statewide actor for its two largest codes and a strong but not singular player on the third.

The provider’s operational scale is substantial in claim volume: W7210 has 873.3K claims and T1017 has 426K claims, with T1016 contributing 50.6K claims. Given average paid-per-claim of $88 for W7210, $104 for T1017, and $90 for T1016, the organization is running very high throughput of relatively low-dollar, time- or unit-based services, which has direct implications for staffing, scheduling, and claims-processing capacity.

Concentration creates exposure to policy or rate changes: with W7210 and T1017 alone representing 59.6% and 34.3% of Medicaid revenue respectively, any changes to coverage, reimbursement rules, or state program eligibility tied to these codes would disproportionately affect the provider’s financial performance. The top-3 cumulative share of 97.5% underscores that risk is not broadly diversified across many service lines.

Smaller codes and atypical payment records are present but represent minor revenue contributions: T2024 ($1.6M, 1.2%) and W0016 ($1.3M, 1.0%) are modest revenue sources and are described as typical, unremarkable volumes, while H2011 and H0030 appear in the file with reported claims but $0 avg paid/claim. These zero-paid entries should be interpreted cautiously in analytic workflows (they may represent non-reimbursed encounters, data artifacts, or different billing pathways) and do not materially change the provider’s revenue profile.

The provider has a long tenure in NPI records, enumerated on 2007-03-05 (~19 years ago), indicating sustained operational presence in the state Medicaid market. That longevity, combined with extreme outlier rankings on major codes, suggests an established programmatic relationship with Medicaid payers and likely institutional experience in the specific services that drive its revenue.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W7210	N/A	873,330	$90	$76.9M
T1017	Targeted case management, each 15 minutes	426,020	$100	$44.3M
T1016	Case management, each 15 minutes	50,560	$90	$4.6M
T2024	Service assessment/plan of care development, waiver	5,390	$290	$1.6M
W0016	N/A	14,490	$90	$1.3M
H0038	Self‑help/peer services, per 15 minutes	3,240	$110	$366.2K
W1011	N/A	160	$90	$14.1K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	30	$60	$1.5K
H2011	Crisis intervention service, per 15 minutes	260	$0	$0
H0030	Behavioral health hotline service	3,670	$0	$0

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

Service Access And Management Inc — 2 of 8 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W7210	N/A	1	70	83,330	$80	$10M
T1017	Targeted case management, each 15 minutes	1	210	18,200	$100	$2.9M
T2024	Service assessment/plan of care development, waiver	9	20	5,420	$170	$2.9M
H2011	Crisis intervention service, per 15 minutes	58	70	2,210	$250	$1.3M
T1016	Case management, each 15 minutes	11	160	2,180	$80	$965.8K
H0038	Self‑help/peer services, per 15 minutes	62	160	2,290	$150	$865.4K
W0016	N/A	8	50	3,640	$70	$575.5K
H0030	Behavioral health hotline service	13	50	2,200	$20	$100.7K
W1011	N/A	6	10	120	$80	$37.5K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	25	40	40	$20	$6K

Nearby Providers

Other providers in the same ZIP code as Service Access And Management Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Berks Counseling Center, Inc.	PA	Addiction (Substance Use Disorder) Counselor	$0	$43.9M
Service Access And Management Inc	PA	Case Management Agency	$0	$36.5M
Service Access And Management Inc	PA	Case Management Agency	$0	$24.9M
Community Education Centers, Inc.	PA	Community/Behavioral Health Agency	$0	$9.8M
The Progressions Companies, Inc.	PA	Clinic/Center	$0	$9.3M
Familicare Counseling Center LLC	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.1M
Chor Youth And Family Services	PA	Psychiatric Residential Treatment Facility	$0	$8M
Opportunity Behavioral Health	PA	Community/Behavioral Health Agency	$0	$7.8M
Service Access And Management Inc	PA	Case Management Agency	$0	$6.6M
City Of Reading	PA	Ambulance	$478K	$5.8M

Service Access And Management Inc — Billing Profile & Reimbursement Data

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Service Access And Management Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References