Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPyramid Healthcare Inc.
    Ask Trek AI about this page

    Pyramid Healthcare Inc. — Billing Profile & Reimbursement Data

    NPI 1457754806 · Langhorne, PA · Substance Abuse Rehabilitation Facility

    Customize your policy alerts

    Sign up for Pyramid Healthcare Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Pyramid Healthcare Inc. is a substance abuse rehabilitation facility provider located in Langhorne, Pennsylvania. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPyramid Healthcare Inc.
    Address1990 Woodbourne Rd
    CityLanghorne
    StatePA
    ZIP19047
    TaxonomySubstance Abuse Rehabilitation Facility
    NPI EnumeratedSeptember 30, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem21,070$270$5.6M
    H0013Alcohol and/or drug services: acute detox (residential addiction program outpatient)4,310$360$1.5M
    H2036Alcohol and/or other drug treatment program, per diem4,510$330$1.5M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2036Alcohol and/or other drug treatment program, per diem691207,190$420$8.7M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem141005,130$370$4.5M
    H0013Alcohol and/or drug services: acute detox (residential addiction program outpatient)18602,400$450$2.6M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pyramid Healthcare Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pyramid Health Care Inc.PASubstance Abuse Rehabilitation Facility$0$128.8M
    Pyramid HealthcarePASubstance Abuse Rehabilitation Facility$0$87.4M
    Pyramid Healthcare, Inc.VACommunity/Behavioral Health Agency$0$40.6M
    Pyramid Health Care Inc.PASubstance Abuse Rehabilitation Facility$0$23.9M
    Pyramid Healthcare Inc.PASubstance Use Disorder Rehabilitation Clinic/Center$0$14.3M
    Pyramid Healthcare Inc.PAMethadone Clinic$125.2K$13.3M
    Pyramid Healthcare Inc.PASubstance Use Disorder Rehabilitation Clinic/Center$0$11M
    Pyramid Healthcare Inc.PASubstance Abuse Rehabilitation Facility$0$10.4M
    Pyrmaid Healthcare Inc.PAMethadone Clinic$96.6K$8.1M
    Pyramid Healthcare IncPAChildren's Substance Abuse Rehabilitation Facility$0$8.2M

    Nearby Providers

    Other providers in the same ZIP code as Pyramid Healthcare Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bmg Circle Of Life, LLCPAHome Health Agency$0$15.3M
    Family Service Association Of Bucks CountyPAMental Health Clinic/Center (Including Community Mental Health Center)$0$11.9M
    Penndel Mental Health Center, Inc.PACommunity/Behavioral Health Agency$0$11M
    St Mary Medical CenterPAGeneral Acute Care Hospital$0$10.8M
    Penndel Mental Health CenterPACommunity/Behavioral Health Agency$0$10.7M
    Woods Services IncPAEmotionally Disturbed Childrens' Residential Treatment Facility$0$10.6M
    Emergency Care Services Of Pennsylvania, P.C.PAEmergency Medicine Physician$0$9.2M
    Woods Services, IncPAEmotionally Disturbed Childrens' Residential Treatment Facility$0$5.8M
    Woods Services, IncPAEmotionally Disturbed Childrens' Residential Treatment Facility$0$5.6M
    Pain Management Centers Of America, LLCPAPain Clinic/Center$4.6M$74.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Pennsylvania Providers
    3 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Pyramid Healthcare Inc. — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania