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.

Michael Thevar (NPI 1548414998)

Field	Value
Entity Type	Individual
Organization	Michael Thevar
Address	6930 Market St Fl 2
City	Upper Darby
State	PA
ZIP	19082
Taxonomy	Mental Health Counselor
NPI Enumerated	November 12, 2008

Payer Source	Total Paid
Medicaid	$13.3M
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
H0032	Mental health service plan development by non-physician	42,820	$190	$7.9M
H2021	Community-based wrap-around services, per 15 minutes	22,300	$170	$3.7M
H2019	Therapeutic behavioral services, per 15 minutes	11,560	$140	$1.6M
H0031	Mental health assessment, by non-physician	240	$30	$7.5K

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

Michael Thevar — 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	45	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	13	210	3,020	$130	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	39	180	3,510	$80	$685K
H0031	Mental health assessment, by non-physician	48	110	220	$70	$31.7K

Nearby Providers

Other providers in the same ZIP code as Michael Thevar, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omni Health Services Inc	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.8M
Delaware County Department Of Human Services	PA	Case Management Agency	$0	$25.7M
Holcomb Associates, Inc.	PA	Clinic/Center	$0	$20.1M
Everest Urgent Care	PA	Urgent Care Clinic/Center	$0	$17.7M
Care First Nursing	PA	Home Health Agency	$0	$16.5M
Successful Aging Care Net Inc	PA	Home Health Agency	$0	$11.1M
Greater Homecare Services Inc.	PA	In Home Supportive Care Agency	$0	$8.1M
Augie Wallace	PA	Home Health Aide	$0	$6.9M
Harwood House	PA	Substance Abuse Rehabilitation Facility	$0	$6.3M
Richard Kareha	PA	Optometrist	$13.7K	$0

Michael Thevar — Billing Profile & Reimbursement Data

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Michael Thevar — 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