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.

Dr Warren E Smith Community Mental Health Mental Retardation & Substan (NPI 1528171790)

Field	Value
Entity Type	Organization
Organization	Dr Warren E Smith Community Mental Health Mental Retardation & Substan
Address	1315 Windrim Avenue
City	Philadelphia
State	PA
ZIP	19141
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicaid	$34.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	62,480	$140	$9M
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…	83,430	$80	$6.6M
H2021	Community-based wrap-around services, per 15 minutes	42,990	$90	$4M
H0032	Mental health service plan development by non-physician	44,170	$90	$4M
H0004	Behavioral health counseling and therapy, per 15 minutes	13,880	$200	$2.7M
H2019	Therapeutic behavioral services, per 15 minutes	25,100	$90	$2.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	20,820	$70	$1.4M
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…	4,230	$250	$1M
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…	9,730	$100	$963.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,860	$290	$839.7K

Showing 1–10 of 18

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

Dr Warren E Smith Community Mental Health Mental Retardation & Substan — 6 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	8	40	27,890	$150	$6.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	21	100	9,680	$110	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	21	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	9	210	3,020	$130	$1.3M
T1015	Clinic visit/encounter, all-inclusive	1,235	1,690	760	$170	$1.2M
T1016	Case management, each 15 minutes	76	160	2,180	$80	$965.8K
H2019	Therapeutic behavioral services, per 15 minutes	15	180	3,510	$80	$685K
H0004	Behavioral health counseling and therapy, per 15 minutes	40	1,410	820	$160	$353.5K
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…	5	540	1,490	$50	$316.4K
H0034	Medication training and support, per 15 minutes	9	260	1,710	$80	$279.8K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dr Warren E Smith Community Mental Health Mental Retardation & Substan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abayomi Ige	PA	Psychiatry Physician	$145.7K	$0

Nearby Providers

Other providers in the same ZIP code as Dr Warren E Smith Community Mental Health Mental Retardation & Substan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patriot Home Care, Inc	PA	Home Health Agency	$0	$135.9M
Albert Einstein Medical Center	PA	General Acute Care Hospital	$0	$81.1M
Pathways To Housing PA, Inc.	PA	Case Management Agency	$0	$26.4M
Albert Einstein Medical Center	PA	Rehabilitation Hospital Unit	$0	$14.5M
Einstein Practice Plan Inc	PA	Emergency Medicine Physician	$0	$13.9M
Einstein Practice Plan Inc	PA	Diagnostic Radiology Physician	$0	$9.6M
Einstein Practice Plan Inc	PA	Pediatrics Physician	$0	$8M
Resources For Human Development, Inc.	PA	Case Management Agency	$0	$7.1M
Chad Home Health Agency, Inc.	PA	Home Health Agency	$0	$6M
Ruchika Patel	PA	Rheumatology Physician	$1.5M	$0

Dr Warren E Smith Community Mental Health Mental Retardation & Substan — 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