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.

Behavioral Advancements Of Dubois (NPI 1497928154)

Field	Value
Entity Type	Organization
Organization	Behavioral Advancements Of Dubois
Address	105 West Dubois Avenue
City	Dubois
State	PA
ZIP	15801
Taxonomy	Psychologist
NPI Enumerated	April 2, 2008

Payer Source	Total Paid
Medicaid	$6.8M
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
H2019	Therapeutic behavioral services, per 15 minutes	19,310	$170	$3.2M
H2021	Community-based wrap-around services, per 15 minutes	13,040	$170	$2.3M
H0032	Mental health service plan development by non-physician	7,040	$190	$1.4M
H0031	Mental health assessment, by non-physician	230	$30	$7.2K

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

Behavioral Advancements Of Dubois — 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
H2021	Community-based wrap-around services, per 15 minutes	61	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	68	210	3,020	$130	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	19	180	3,510	$80	$685K
H0031	Mental health assessment, by non-physician	50	110	220	$70	$31.7K

Nearby Providers

Other providers in the same ZIP code as Behavioral Advancements Of Dubois, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peritech Home Health Associates LLC	PA	Home Health Agency	$0	$31.5M
Interim Healthcare Of Western Pennsylvania Inc	PA	Home Health Agency	$0	$21.2M
Dubois Regional Medical Center	PA	General Acute Care Hospital	$0	$18.7M
Brookville Behavioral Health Inc.	PA	Community/Behavioral Health Agency	$0	$16.7M
County Homemakers Inc	PA	In Home Supportive Care Agency	$0	$8.6M
Brandon Roscoe	PA	Family Medicine Physician	$690.1K	$546.1K
Gregory Roscoe	PA	Otolaryngology Physician	$188.7K	$700.7K
Lisa Pfingstler	PA	Dermatology Physician	$581.7K	$257.3K
Tuesdae Stainbrook	PA	Infectious Disease Physician	$373.4K	$229.2K
Jeffrey Rice	PA	Oral and Maxillofacial Surgery (Dentist)	$7.3K	$533.2K

Behavioral Advancements Of Dubois — Billing Profile & Reimbursement Data

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Behavioral Advancements Of Dubois — 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