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.

Mirmont Treatment Center (NPI 1386713642)

Field	Value
Entity Type	Organization
Organization	Mirmont Treatment Center
Address	100 Yearsley Mill Rd
City	Lima
State	PA
ZIP	19063
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	9,190	$260	$2.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	13,870	$150	$2.1M
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…	20,640	$100	$2M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	1,390	$330	$461.1K
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…	1,980	$180	$345.8K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	500	$570	$286.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	8,800	$20	$202.3K
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…	1,620	$110	$169.6K
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…	2,370	$60	$151.9K
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.	2,060	$50	$101K

Showing 1–10 of 16

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

Mirmont Treatment Center — 0 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	52	120	7,190	$420	$8.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	78	100	5,130	$370	$4.5M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	40	60	2,400	$450	$2.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	36	110	8,460	$150	$2.1M
H2035	Alcohol and/or other drug treatment program, per hour	24	20	1,150	$180	$1.2M
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…	340	690	2,240	$80	$1M
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…	15	150	2,970	$100	$699.4K
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…	230	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…	388	540	1,490	$50	$316.4K
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…	114	420	650	$180	$270.2K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Mirmont Treatment Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elwyn Of Pennsylvania And Delaware	PA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.1M
Elwyn Of Pennsylvania And Delaware	PA	Mental Illness Community Based Residential Treatment Facility	$0	$16.3M
Pediatric Services Of America, LLC	PA	Home Health Agency	$0	$12.8M
Elwyn Of Pennsylvania And Delaware	PA	Community/Behavioral Health Agency	$0	$10.7M
Sunny Days Early Childhood Developmental Services Inc	PA	Behavior Analyst	$0	$10M
Mvp Recovery LLC	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.7M
Jason Lange	PA	Ophthalmology Physician	$1.6M	$0
Benjamin Jacobs	PA	Internal Medicine Physician	$1.3M	$0
Thais Moldovan	PA	Rheumatology Physician	$1.1M	$0
Riddle Health Care Services	PA	Ambulance	$852K	$173.1K

Mirmont Treatment Center — Billing Profile & Reimbursement Data

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Mirmont Treatment Center — 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