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.

Family Pathways (NPI 1629118492)

Field	Value
Entity Type	Organization
Organization	Family Pathways
Address	100 Brugh Ave
City	Butler
State	PA
ZIP	16001
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 8, 2007

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	19,830	$160	$3.1M
S5145	Foster care, therapeutic, child; per diem	2,280	$570	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	2,220	$230	$504.4K
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…	3,940	$120	$464.7K
H0034	Medication training and support, per 15 minutes	2,820	$140	$403.8K
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…	3,330	$100	$329.2K
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…	3,090	$60	$176.3K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	1,200	$120	$149K
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…	1,280	$110	$137.2K
99201	Deleted code, effective Jan. 1, 2021	1,090	$120	$130.9K

Showing 1–10 of 11

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

Family Pathways — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	4	20	1,120	$140	$1.1M
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…	274	690	2,240	$80	$1M
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…	35	560	1,400	$90	$485.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	322	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…	189	540	1,490	$50	$316.4K
H0034	Medication training and support, per 15 minutes	91	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…	143	420	650	$180	$270.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	252	340	2,010	$50	$269.8K
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…	41	180	860	$70	$195.9K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	16	60	490	$90	$122.3K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vocational Services	PA	Psychologist	$0	$22.4M
Center For Community Resources, Inc.	PA	Case Management Agency	$0	$19M
Butler Healthcare Providers	PA	General Acute Care Hospital	$0	$10.4M
Butler Ambulance Service Co	PA	Ambulance	$446.9K	$2.2M
Jeanine Wigton	PA	Family Nurse Practitioner	$40.1K	$1.1M
Butler Ambulatory Surgery Center L L C	PA	Ambulatory Surgical Clinic/Center	$680.6K	$24.7K
David Cowan	PA	Dermatology Physician	$175.8K	$31.6K
Keith Welker	PA	Specialist	$147.5K	$48.1K
Shripal Shrishrimal	PA	Pulmonary Disease Physician	$80.1K	$40.1K
Dennis Dobrzynski	PA	Hematology & Oncology Physician	$92.1K	$26.6K

Family Pathways — Billing Profile & Reimbursement Data

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Family Pathways — 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