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.

Eagleville Hospital (NPI 1477615656)

Field	Value
Entity Type	Organization
Organization	Eagleville Hospital
Address	100 Eagleville Rd
City	Eagleville
State	PA
ZIP	19403
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$90M
Medicare	$0

Key Findings

EAGLEVILLE HOSPITAL is effectively a Medicaid-focused substance abuse rehabilitation facility: there is no Medicare billing on file while total Medicaid revenue is $90M, indicating the organization operates almost entirely within the Medicaid payer channel and serves populations typically covered by state behavioral health benefits. The provider’s taxonomy as a Substance Abuse Rehabilitation Facility aligns with the dominant service lines reflected in its Medicaid code mix.

Revenue concentration is extremely high: the top three Medicaid codes account for 98.8% of this provider’s total Medicaid revenue, signaling that a very small set of per-diem and detoxification services drives nearly all reimbursements. This concentration implies limited diversification in service offerings and high dependence on behavioral health residential and detox services for financial performance.

H2036 (Alcohol and/or other drug treatment program, per diem) is by far the largest single revenue driver with $55.3M in revenue, representing 61.4% of the provider’s Medicaid revenue and placing EAGLEVILLE HOSPITAL at rank #4 of 117 providers in-state (97th percentile). That high rank and the characterization as “notably above typical state volume for this code” indicate the provider is a major regional center for per-diem addiction treatment services.

H0018 (short-term residential, without room and board, per diem) is the second major revenue contributor with $28.9M, or 32.2% of Medicaid revenue, and the facility ranks #3 of 95 providers in-state (98th percentile). The combination of high volumes and top percentile ranking for both H2036 and H0018 suggests the provider operates significant capacity in both ongoing per-diem treatment programs and short-term residential behavioral health services.

H0013 (acute detoxification) contributes $4.7M (5.2% of Medicaid revenue) and ranks #7 of 61 providers in-state (90th percentile), a position described as typical and unremarkable relative to peers. This indicates that while detox services are a meaningful part of the clinical mix, they are not the primary revenue engine compared with the per-diem residential programs.

T2048 (long-term care residential with room and board) represents a modest share at $1.1M (1.2% of Medicaid revenue) and ranks #16 of 58 providers in-state (74th percentile). Its presence in the billing mix shows some long-term residential capacity, but the lower revenue share and mid-range percentile indicate it is a relatively smaller line of business for this provider.

Competitive standing across Medicaid is strong for the provider’s core services: two of its top three codes (H2036 and H0018) are in the top decile statewide (97th and 98th percentiles), marking EAGLEVILLE HOSPITAL as a leading in-state provider for residential substance abuse treatment per-diem services. For codes outside the top two, rankings fall to more typical peer levels, reflecting a focused competitive advantage rather than broad dominance across all behavioral health modalities.

Tenure in the Medicare/Medicaid ecosystem is long: the NPI was enumerated on 2006-12-14 (approximately 20 years ago), which suggests institutional stability and an extended operating history in Medicaid behavioral health contracting and claims submission. Long tenure combined with concentrated revenue lines likely supports established referral relationships and operational expertise in residential addiction services.

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
H2036	Alcohol and/or other drug treatment program, per diem	130,390	$420	$55.3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	78,020	$370	$28.9M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	11,960	$390	$4.7M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	3,760	$290	$1.1M

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

Eagleville Hospital — 2 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
H2036	Alcohol and/or other drug treatment program, per diem	4	120	7,190	$420	$8.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	3	100	5,130	$370	$4.5M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	7	60	2,400	$450	$2.6M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	16	60	1,280	$360	$1.8M

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ruth Covington	PA	Addiction Psychiatry Physician	$33K	$0

Nearby Providers

Other providers in the same ZIP code as Eagleville Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arc Advocacy Services	PA	Case Management Agency	$0	$25M
Quest Diagnostics Clinical Laboratories Inc	PA	Clinical Medical Laboratory	$74.6K	$22.7M
Child And Family Focus, Inc.	PA	Community/Behavioral Health Agency	$0	$19.4M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$12.2M
East Goshen Pharmacy, LLC	PA	Home Infusion Therapy Pharmacy	$0	$10.1M
Einstein Medical Center Montgomery	PA	General Acute Care Hospital	$0	$7.5M
Avenues Recovery Medical Center At Valley Forge	PA	General Acute Care Hospital	$0	$6.9M
Tracey Evans	PA	Hematology & Oncology Physician	$1.3M	$0
Lower Providence Community Center	PA	Ambulance	$405.5K	$404.1K
East Norriton Surgical Center, LLC	PA	Ambulatory Surgical Clinic/Center	$772.8K	$0

Eagleville Hospital — Billing Profile & Reimbursement Data

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Eagleville Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References