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.

Malvern Community Health Services Inc. (NPI 1508921198)

Field	Value
Entity Type	Organization
Organization	Malvern Community Health Services Inc.
Address	512 Township Line Rd Ste 115
City	Blue Bell
State	PA
ZIP	19422
Taxonomy	Clinic/Center
NPI Enumerated	December 26, 2006

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0032	Mental health service plan development by non-physician	55,930	$110	$6.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	23,920	$70	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	12,750	$90	$1.2M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	18,580	$60	$1.1M
H2021	Community-based wrap-around services, per 15 minutes	4,620	$140	$660.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7,860	$30	$243.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,430	$150	$218.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	2,370	$50	$116K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,580	$70	$115.4K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	1,340	$60	$84.2K

Showing 1–10 of 17

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

Malvern Community Health Services Inc. — 1 of 16 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	102	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	6	210	3,020	$130	$1.3M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	101	690	2,240	$80	$1M
H0046	Mental health services, not otherwise specified	108	170	1,200	$130	$909.6K
H2019	Therapeutic behavioral services, per 15 minutes	35	180	3,510	$80	$685K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	38	560	1,400	$90	$485.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	101	540	1,490	$50	$316.4K
H0034	Medication training and support, per 15 minutes	138	260	1,710	$80	$279.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	131	420	650	$180	$270.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	56	180	860	$70	$195.9K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Malvern Community Health Services Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Progressions Companies, Inc.	PA	Clinic/Center	$0	$9.3M

Nearby Providers

Other providers in the same ZIP code as Malvern Community Health Services Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Silverpath, Inc.	PA	Clinical Medical Laboratory	$41.9M	$1M
Kencrest Services	PA	Intellectual & Developmental Disabilities Psychologist	$0	$34.1M
Ethos Therapy Solutions, Inc.	PA	Durable Medical Equipment & Medical Supplies	$0	$32.1M
Columbus Medical Services, LLC	PA	Case Management Agency	$0	$25M
Wellness Coaches Usa LLC	PA	Clinical Medical Laboratory	$1M	$0
Thomas Quinn	PA	Rheumatology Physician	$883.9K	$0
Andrew Star	PA	Orthopaedic Surgery Physician	$674.8K	$0
Vincent Quinn	PA	Cardiovascular Disease Physician	$511.4K	$0
Telisha Ortiz	PA	Family Medicine Physician	$379.3K	$180
Nando Addari	PA	Physical Therapist	$261.3K	$0

Malvern Community Health Services Inc. — Billing Profile & Reimbursement Data

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Malvern Community Health Services 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

Related Providers

Nearby Providers

Frequently Asked Questions

References