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.

Scranton Counseling Center (NPI 1629005764)

Field	Value
Entity Type	Organization
Organization	Scranton Counseling Center
Address	329 Cherry St
City	Scranton
State	PA
ZIP	18505
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicaid	$23.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	70,000	$70	$4.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	27,890	$120	$3.3M
T1016	Case management, each 15 minutes	47,480	$50	$2.6M
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…	11,260	$230	$2.6M
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…	23,850	$90	$2.1M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	26,190	$60	$1.6M
W0016	N/A	17,200	$90	$1.5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12,650	$90	$1.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	9,730	$80	$749.3K
H2021	Community-based wrap-around services, per 15 minutes	99,250	$10	$694.8K

Showing 1–10 of 24

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

Scranton Counseling Center — 6 of 23 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	22	40	27,890	$150	$6.2M
H2033	Multisystemic therapy for juveniles, per 15 minutes	12	20	3,890	$290	$3.3M
T1017	Targeted case management, each 15 minutes	19	210	18,200	$100	$2.9M
H2021	Community-based wrap-around services, per 15 minutes	5	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	114	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…	102	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	12	160	2,180	$80	$965.8K
H0046	Mental health services, not otherwise specified	145	170	1,200	$130	$909.6K
H0038	Self‑help/peer services, per 15 minutes	75	160	2,290	$150	$865.4K
H2019	Therapeutic behavioral services, per 15 minutes	4	180	3,510	$80	$685K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Scranton Counseling Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Wright Center Medical Group	PA	Federally Qualified Health Center (FQHC)	$0	$106.1M
Friendship House	PA	Adolescent and Children Mental Health Clinic/Center	$0	$22M
Kevin Olsen	PA	Cardiovascular Disease Physician	$298.1K	$0
David Hazzouri	PA	Dentist	$27.9K	$0

Scranton Counseling Center — Billing Profile & Reimbursement Data

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Scranton Counseling Center — 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