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.

Carbon Monroe Pike Mh Ds (NPI 1437377553)

Field	Value
Entity Type	Organization
Organization	Carbon Monroe Pike Mh Ds
Address	732 Phillips St
City	Stroudsburg
State	PA
ZIP	18360
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 23, 2007

Payer Source	Total Paid
Medicaid	$13.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W7210	N/A	91,620	$70	$6.5M
T1017	Targeted case management, each 15 minutes	55,440	$90	$5M
T1016	Case management, each 15 minutes	21,390	$60	$1.3M
W0016	N/A	4,090	$60	$224.7K

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

Carbon Monroe Pike Mh Ds — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W7210	N/A	32	70	83,330	$80	$10M
T1017	Targeted case management, each 15 minutes	31	210	18,200	$100	$2.9M
T1016	Case management, each 15 minutes	21	160	2,180	$80	$965.8K
W0016	N/A	22	50	3,640	$70	$575.5K

Nearby Providers

Other providers in the same ZIP code as Carbon Monroe Pike Mh Ds, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Luke's Hospital Monroe Campus	PA	General Acute Care Hospital	$0	$11.9M
Pocono Ambulatory Surgery Center Ltd	PA	Ambulatory Surgical Clinic/Center	$966.6K	$7.8K
Shobin Oommen	PA	Psychiatry Physician	$345.8K	$396K
Thomas Kislan	PA	Optometrist	$597K	$0
Abbey Boyd	PA	Foot & Ankle Surgery Podiatrist	$209.5K	$0
Umesh Dalal	PA	Nephrology Physician	$192.9K	$0
Matthew Voluck	PA	Foot & Ankle Surgery Podiatrist	$182.9K	$0
Jwalant Patel	PA	Nephrology Physician	$143.8K	$0
Brian Olzinski	PA	Optometrist	$141.4K	$0
Allison Froehlich	PA	Endocrinology, Diabetes & Metabolism Physician	$114.6K	$0

Carbon Monroe Pike Mh Ds — Billing Profile & Reimbursement Data

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Carbon Monroe Pike Mh Ds — Billing Profile & Reimbursement Data

Sign up for Carbon Monroe Pike Mh Ds — 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