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.

Diversified Treatment Alternative Centers LLC (NPI 1497244362)

Field	Value
Entity Type	Organization
Organization	Diversified Treatment Alternative Centers LLC
Address	40 Lawton Ln
City	Milton
State	PA
ZIP	17847
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	May 7, 2018

Payer Source	Total Paid
Medicaid	$19.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	71,600	$130	$9.1M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	43,500	$160	$7M
H0032	Mental health service plan development by non-physician	8,280	$270	$2.2M
H0046	Mental health services, not otherwise specified	2,170	$210	$457.9K
H2019	Therapeutic behavioral services, per 15 minutes	4,650	$30	$125.4K
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…	390	$210	$79.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	180	$170	$29.8K
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…	80	$190	$15.9K
H0031	Mental health assessment, by non-physician	430	$30	$12.6K
H2014	Skills training and development, per 15 minutes	10	$10	$130

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

Diversified Treatment Alternative Centers LLC — 1 of 10 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

10 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…	145	150	8,280	$220	$4.1M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	9	110	8,460	$150	$2.1M
H2021	Community-based wrap-around services, per 15 minutes	9	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…	131	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	60	210	3,020	$130	$1.3M
H2014	Skills training and development, per 15 minutes	15	20	370	$140	$1M
H0046	Mental health services, not otherwise specified	67	170	1,200	$130	$909.6K
H2019	Therapeutic behavioral services, per 15 minutes	78	180	3,510	$80	$685K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	101	240	130	$300	$139.8K
H0031	Mental health assessment, by non-physician	37	110	220	$70	$31.7K

Nearby Providers

Other providers in the same ZIP code as Diversified Treatment Alternative Centers LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Fassero	PA	Ophthalmology Physician	$794.3K	$0
David Reiner	PA	Chiropractor	$25.8K	$0

Diversified Treatment Alternative Centers LLC — Billing Profile & Reimbursement Data

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Diversified Treatment Alternative Centers LLC — 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