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

Why is the Medicaid comparison limited to New York 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. New York (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.

Elmcrest Childrens Center (NPI 1417080292)

Field	Value
Entity Type	Organization
Organization	Elmcrest Childrens Center
Address	960 Salt Springs Rd
City	Syracuse
State	NY
ZIP	13224
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	March 13, 2007

Payer Source	Total Paid
Medicaid	$20.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	44,870	$130	$5.8M
S5145	Foster care, therapeutic, child; per diem	45,960	$110	$4.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	24,860	$80	$1.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	13,260	$140	$1.8M
H2015	Comprehensive community support services, per 15 minutes	4,180	$420	$1.8M
T2034	Crisis intervention, waiver; per diem	290	$5,410	$1.5M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6,260	$170	$1M
S5150	Unskilled respite care, not hospice; per 15 minutes	4,630	$180	$838K
H2014	Skills training and development, per 15 minutes	2,440	$230	$567.4K
H2013	Psychiatric health facility service, per diem	210	$240	$51.5K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Elmcrest Childrens Center — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	17	50	2,140	$500	$16.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	25	60	2,490	$110	$15.4M
H2014	Skills training and development, per 15 minutes	89	160	3,210	$200	$4.5M
S5145	Foster care, therapeutic, child; per diem	12	70	6,510	$180	$3.9M
T2034	Crisis intervention, waiver; per diem	9	10	1,530	$720	$2.3M
H2013	Psychiatric health facility service, per diem	3	10	430	$790	$2.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7	100	5,790	$110	$1.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	12	120	2,410	$90	$872.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	35	270	1,340	$110	$658.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	61	1,320	140	$260	$334K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ibrahim Tangoren	NY	Dermatology Physician	$152.6K	$0
Alisa Murphy	NY	Physician Assistant	$59.6K	$0

Elmcrest Childrens Center — Billing Profile & Reimbursement Data

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Elmcrest Childrens 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