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.

Rha Behavioral Health PA LLC (NPI 1538127535)

Field	Value
Entity Type	Organization
Organization	Rha Behavioral Health PA LLC
Address	614 N Easton Rd
City	Glenside
State	PA
ZIP	19038
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 2, 2006

Payer Source	Total Paid
Medicaid	$47.8M
Medicare	$0

Key Findings

RHA BEHAVIORAL HEALTH PA LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the entity reports $47.8M in lifetime Medicaid revenue. This profile indicates the organization’s patient and revenue exposure is concentrated in Medicaid rather than a mixed Medicare/Medicaid payer mix.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 74.6% of this provider's total Medicaid revenue. Those top codes are T1017 ($13.8M, 28.8%), H0039 ($12.8M, 26.7%), and H0004 ($9.1M, 19.1%), so a small set of programmatic services drives the majority of receipts.

The code mix indicates an operation focused on community-based and programmatic behavioral health services rather than short office-based psychotherapy. The three revenue leaders (T1017 targeted case management, H0039 assertive community treatment, and H0004 behavioral health counseling and therapy) point to intensive case management, ACT team activity, and structured counseling as the core service lines; traditional psychotherapy CPT codes are a minor revenue source (90834 $175.6K and 90832 $130.7K).

Competitive standing is mixed across specific service lines: RHA ranks as an extreme outlier in H0004 activity (rank #8 of 1405 providers in-state; 100th percentile) and is therefore a dominant statewide provider of behavioral health counseling and therapy. For programmatic case management and ACT services the provider ranks well but is characterized as typical in volume: T1017 is #9 of 205 (96th percentile; typical, unremarkable volume for this code) and H0039 is #10 of 43 (79th percentile; typical, unremarkable volume for this code).

Operational intensity is reflected in high claim volumes and per-claim payments for the top services: T1017 has 87.1K claims at $158 avg paid/claim, H0039 has 58.7K claims at $218 avg paid/claim, and H0004 has 33.7K claims at $271 avg paid/claim. These volumes and payment levels are consistent with sustained, programmatic delivery models (frequent short-interval billing by care teams) rather than episodic, high-fee procedures.

The provider’s service mix extends beyond the top three codes into other community supports: H0036 (31.2K claims, $3.9M, 8.1%; ranked #9 of 96, 92th percentile; typical, unremarkable volume for this code), H0037 (19.2K claims, $3.4M, 7.1%; ranked #5 of 17, 75th percentile; typical, unremarkable volume for this code), and H0038 (7.1K claims, $946.7K, 2.0%; ranked #35 of 157, 78th percentile; typical, unremarkable volume for this code) indicate a broad portfolio of community psychiatric supportive, per-diem, and peer/self-help services. This mix suggests RHA operates multiple program lines (case management, supportive treatment, peer services) serving complex needs in the community.

The provider has a long tenure in the NPI registry (enumerated 2006-05-02, ~20 years ago), which combined with $47.8M in Medicaid lifetime revenue and concentrated programmatic billing, suggests an established community behavioral health operator with sizeable scale in-state. Analysts evaluating network contracting or service capacity should treat RHA as a mature, Medicaid-focused behavioral health organization whose business risk is concentrated in a few high-volume program codes.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	87,120	$160	$13.8M
H0039	Assertive community treatment, face-to-face, per 15 minutes	58,650	$220	$12.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	33,670	$270	$9.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	31,180	$120	$3.9M
H0037	Community psychiatric supportive treatment program, per diem	19,160	$180	$3.4M
T1016	Case management, each 15 minutes	8,470	$210	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	8,870	$140	$1.2M
H0038	Self‑help/peer services, per 15 minutes	7,120	$130	$946.7K
H0032	Mental health service plan development by non-physician	2,870	$190	$543K
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…	2,830	$60	$175.6K

Showing 1–10 of 15

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

Rha Behavioral Health PA LLC — 2 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	10	40	27,890	$150	$6.2M
H0037	Community psychiatric supportive treatment program, per diem	5	20	8,040	$420	$5.2M
T1017	Targeted case management, each 15 minutes	9	210	18,200	$100	$2.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	9	100	9,680	$110	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	75	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	107	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…	316	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	46	160	2,180	$80	$965.8K
H0046	Mental health services, not otherwise specified	129	170	1,200	$130	$909.6K
H0038	Self‑help/peer services, per 15 minutes	35	160	2,290	$150	$865.4K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Rha Behavioral Health PA LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baird Respiratory Therapy, Inc.	PA	Oxygen Equipment & Supplies (DME)	$0	$6M
Toby Shawe	PA	Specialist	$527.7K	$0
Michael Lyons	PA	Family Medicine Physician	$224.5K	$40.9K
Pennsylvania Cvs Pharmacy, L.L.C.	PA	Pharmacy	$223.1K	$0
Laila Ahmed	PA	Optometrist	$129K	$530
Daniel Peterson	PA	Internal Medicine Physician	$122.1K	$1.1K
Brianna Madden	PA	Occupational Therapist	$121.7K	$0
Michael Milbourne	PA	Cardiovascular Disease Physician	$98.7K	$0

Rha Behavioral Health PA LLC — Billing Profile & Reimbursement Data

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Rha Behavioral Health PA LLC — 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

Nearby Providers

Frequently Asked Questions

References