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.

Family Enrichment Center, Inc (NPI 1477519288)

Field	Value
Entity Type	Organization
Organization	Family Enrichment Center, Inc
Address	329 Penn Ave Ste 202
City	Scranton
State	PA
ZIP	18503
Taxonomy	Psychologist
NPI Enumerated	April 21, 2006

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	27,310	$270	$7.2M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	8,000	$240	$2M
H2019	Therapeutic behavioral services, per 15 minutes	8,160	$200	$1.6M
H2021	Community-based wrap-around services, per 15 minutes	7,000	$180	$1.2M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	3,140	$160	$508.2K
H0032	Mental health service plan development by non-physician	1,320	$230	$304.7K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	490	$90	$46.1K

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

Family Enrichment Center, Inc — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	26	150	8,280	$220	$4.1M
H2021	Community-based wrap-around services, per 15 minutes	88	220	3,810	$100	$1.5M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	40	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	138	210	3,020	$130	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	57	180	3,510	$80	$685K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	35	120	1,330	$180	$557.5K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	53	100	530	$120	$196.1K

Nearby Providers

Other providers in the same ZIP code as Family Enrichment Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Affiliated Pediatric Dentistry	PA	Point of Service	$0	$10.9M
Randall Peairs	PA	Ophthalmology Physician	$5.6M	$13.5K
Nei Ambulatory Surgery Center Inc PC	PA	Ambulatory Surgical Clinic/Center	$2.7M	$353.3K
Michael O'donnell	PA	MOHS-Micrographic Surgery Physician	$675.9K	$0
Mark Suchter	PA	Dermatology Physician	$548.7K	$0
Thomas Boland	PA	Ophthalmology Physician	$457.5K	$0
Donald Preate	PA	Urology Physician	$432.4K	$12K
Jerome Jordan	PA	Ophthalmology Physician	$440.1K	$0
Christopher Jordan	PA	Ophthalmology Physician	$375.9K	$0
Joseph Giacometti	PA	Ophthalmic Plastic and Reconstructive Surgery Physician	$282K	$0

Family Enrichment Center, Inc — Billing Profile & Reimbursement Data

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Family Enrichment Center, Inc — 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