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.

Pennsylvania Organization For Women In Early Recovery (NPI 1386781037)

Field	Value
Entity Type	Organization
Organization	Pennsylvania Organization For Women In Early Recovery
Address	7445 Church St
City	Pittsburgh
State	PA
ZIP	15218
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 31, 2007

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2034	Alcohol and/or drug abuse halfway house services, per diem	23,050	$270	$6.1M
H2036	Alcohol and/or other drug treatment program, per diem	7,790	$250	$2M
H0047	Alcohol and/or other drug abuse services, not otherwise specified	9,600	$190	$1.9M
H0001	Alcohol and/or drug assessment	3,540	$210	$757.3K
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…	5,280	$110	$591.1K
H0038	Self‑help/peer services, per 15 minutes	1,640	$260	$430.8K
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…	1,180	$70	$87K
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	130	$620	$80.2K
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…	930	$70	$60.5K
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.	310	$110	$32.9K

Showing 1–10 of 12

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

Pennsylvania Organization For Women In Early Recovery — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	55	120	7,190	$420	$8.7M
H2034	Alcohol and/or drug abuse halfway house services, per diem	7	40	3,770	$460	$4.7M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	59	60	2,400	$450	$2.6M
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…	241	690	2,240	$80	$1M
H0038	Self‑help/peer services, per 15 minutes	90	160	2,290	$150	$865.4K
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…	98	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…	452	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…	459	540	1,490	$50	$316.4K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	10	90	1,610	$80	$297.9K
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…	225	340	2,010	$50	$269.8K

Showing 1–10 of 12

Pennsylvania Organization For Women In Early Recovery — Billing Profile & Reimbursement Data

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Pennsylvania Organization For Women In Early Recovery — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References