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

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Achieve Behavioral Health Services LLC (NPI 1366156515)

Field	Value
Entity Type	Organization
Organization	Achieve Behavioral Health Services LLC
Address	2012 S Tollgate Rd Ste 200
City	Bel Air
State	MD
ZIP	21015
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	January 12, 2023

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	24,050	$300	$7.2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	8,200	$180	$1.5M
H0001	Alcohol and/or drug assessment	1,100	$210	$226.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Achieve Behavioral Health Services LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	15	120	2,300	$270	$2.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	136	400	4,360	$160	$1.5M
H0001	Alcohol and/or drug assessment	90	440	190	$170	$115.9K

Nearby Providers

Other providers in the same ZIP code as Achieve Behavioral Health Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspire Living & Learning, Inc.	MD	Community/Behavioral Health Agency	$0	$21.2M
Bel Air Recovery Center, LLC	MD	Methadone Clinic	$161.8K	$6M
The Maryland Therapy Network, Inc	MD	Speech-Language Pathologist	$0	$5.7M
Safe Harbor Community Services	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.7M
Summit Ambulatory Surgical Center, LLC	MD	Ambulatory Surgical Clinic/Center	$1.4M	$1.5K
Matthew Mardiney	MD	Allergy & Immunology Physician	$1.4M	$0
Bel Air Endoscopy Asc LLC	MD	Ambulatory Surgical Clinic/Center	$1.1M	$71.9K
Ravikumar Bhalavat	MD	Psychiatry Physician	$362.3K	$671.6K
Sriram Balasubramanian	MD	Internal Medicine Physician	$996.8K	$0
Sumit Kunwar	MD	Rheumatology Physician	$724.6K	$0

Achieve Behavioral Health Services LLC — Billing Profile & Reimbursement Data

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Achieve Behavioral Health Services LLC — 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