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.

Cmsu Behavioral Health And Developmental Services (NPI 1407999766)

Field	Value
Entity Type	Organization
Organization	Cmsu Behavioral Health And Developmental Services
Address	507 E Market St
City	Danville
State	PA
ZIP	17821
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$21.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W7210	N/A	95,120	$90	$8.5M
T1017	Targeted case management, each 15 minutes	64,400	$90	$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…	27,200	$110	$2.9M
T1016	Case management, each 15 minutes	19,530	$70	$1.3M
H0034	Medication training and support, per 15 minutes	13,390	$70	$897.1K
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.	8,010	$90	$681.2K
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…	4,110	$110	$444.2K
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…	2,050	$130	$264.1K
W0016	N/A	3,570	$60	$225.1K
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…	3,080	$50	$156.8K

Showing 1–10 of 18

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

Cmsu Behavioral Health And Developmental Services — 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W7210	N/A	31	70	83,330	$80	$10M
T1017	Targeted case management, each 15 minutes	22	210	18,200	$100	$2.9M
S9485	Crisis intervention mental health services, per diem	14	20	1,610	$480	$1.3M
H2011	Crisis intervention service, per 15 minutes	36	70	2,210	$250	$1.3M
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…	87	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	23	160	2,180	$80	$965.8K
W0016	N/A	27	50	3,640	$70	$575.5K
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…	226	560	1,400	$90	$485.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	904	1,410	820	$160	$353.5K
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…	190	540	1,490	$50	$316.4K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geisinger Pharmacy LLC	PA	Pharmacy	$0	$26.7M
Geisinger Clinic	PA	Family Medicine Physician	$0	$13.4M
15 Wesner Lane Pecc Operating Company, LP	PA	Medically Fragile Infants and Children Day Care	$0	$6.5M
West Shore Advanced Life Support Services, Inc.	PA	Paramedic	$1.6M	$4.4M
Cassondra Ellison	PA	Dermatology Physician	$100.4K	$0
Wells Reinheimer	PA	Ophthalmology Physician	$96.4K	$0
Louis Grandizio	PA	Orthopaedic Surgery Physician	$49.6K	$0

Cmsu Behavioral Health And Developmental Services — Billing Profile & Reimbursement Data

Sign up for Cmsu Behavioral Health And Developmental Services — Billing Profile & Reimbursement Data policy alerts

Cmsu Behavioral Health And Developmental Services — Billing Profile & Reimbursement Data

Sign up for Cmsu Behavioral Health And Developmental Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References