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 Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware 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. Delaware (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.

A Center For Mental Wellness, Inc. (NPI 1639325822)

Field	Value
Entity Type	Organization
Organization	A Center For Mental Wellness, Inc.
Address	121 W Loockerman St
City	Dover
State	DE
ZIP	19904
Taxonomy	Mental Health Counselor
NPI Enumerated	August 7, 2008

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: Total Medicare revenue is none (no Medicare billing on file) while reported Medicaid revenue totals $9.9M. The absence of Medicare activity indicates the organization’s patient and payer mix is concentrated on state Medicaid programs rather than dual Medicare/Medicaid populations.

Revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (H0036, H2033, 90837) together account for 74.2% of this provider’s total Medicaid revenue. That concentration signals dependence on a few behavioral-health service types for the majority of cash flow and exposure to reimbursement changes affecting those codes.

The code mix indicates an operation focused on intensive community and psychotherapy services. H0036 (community psychiatric supportive treatment, face-to-face, per 15 minutes) contributes $3.4M (34.9% of Medicaid revenue), H2033 (multisystemic therapy for juveniles, per 15 minutes) contributes $2.1M (20.9%), and 90837 (psychotherapy, 53+ minutes) contributes $1.8M (18.4%), together reflecting high-volume, session-based behavioral health and juvenile multisystemic treatment activity.

Competitive standing on key codes varies: for 90837 the provider ranks #5 of 239 in-state (98th percentile) and is flagged as an extreme outlier, indicating this site bills psychotherapy sessions at a far higher volume than nearly all in-state peers. By contrast, H0036 ($3.4M, 34.9%) ranks #4 of 21 (85th percentile) and is described as typical/unremarkable volume, and H2033 ($2.1M, 20.9%) ranks #1 of 2 (100th percentile) but the source labels that activity as typical within a very small set of billers—suggesting leadership in a narrow niche rather than broad dominance across larger provider cohorts.

Telehealth originating-site billing is a distinctive operational feature: Q3014 shows 32.7K claims and $620.7K revenue (6.3% of Medicaid revenue), and the provider ranks #1 of 25 in-state (100th percentile) with the code labeled an extreme outlier. High Q3014 volume implies the organization either operates multiple originating sites or functions as a hub for telehealth encounters, making telehealth facility fees a meaningful secondary revenue stream.

The presence and scale of evaluation-and-management billing alongside psychotherapy indicates integrated outpatient behavioral health care delivery. Notably, 99214 accounts for 19.8K claims and $1.1M (11.0% of Medicaid revenue) and ranks #25 of 504 (95th percentile), while 99213 and other E/M codes also appear in the top code list—together these suggest combined psychotherapy and E/M visits rather than a pure psychotherapy-only practice.

Operational tenure is established: the NPI was enumerated 2008-08-07 (~18 years ago), indicating long-standing participation in billed Medicaid services and likely institutional experience and referral relationships within the state Medicaid system. This longevity, paired with high-volume psychotherapy billing, supports the view of an established community behavioral-health provider.

Concentration and outlier-status considerations create both strategic strengths and risks: the provider’s top three codes generate the majority of Medicaid revenue (74.2%), and several codes (90837 and Q3014) are extreme outliers in statewide volume. Those same strengths—high psychotherapy throughput and telehealth capacity—could be vulnerable to policy, audit, or reimbursement shifts targeting high-volume psychotherapy or originating-site payments, so payers should monitor utilization trends for these specific codes.

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
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	22,500	$150	$3.4M
H2033	Multisystemic therapy for juveniles, per 15 minutes	5,070	$410	$2.1M
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…	33,640	$50	$1.8M
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…	19,790	$60	$1.1M
Q3014	Telehealth originating site facility fee	32,670	$20	$620.7K
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…	6,520	$30	$208.5K
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…	6,020	$30	$198.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	1,350	$100	$132K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,910	$60	$120.3K
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…	2,170	$40	$78.2K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

Claims Volume vs. Delaware Distribution

A Center For Mental Wellness, Inc. — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	4	20	2,510	$160	$2M
H2033	Multisystemic therapy for juveniles, per 15 minutes	1	10	2,910	$390	$1.1M
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…	25	500	1,130	$50	$235.1K
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…	5	240	700	$60	$205.6K
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…	92	540	1,100	$40	$185.3K
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…	13	80	790	$40	$180.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	37	150	230	$90	$110.4K
99203	The provider sees a new 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 provider…	133	190	240	$60	$90.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	6	50	80	$130	$77.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	80	120	$60	$60.5K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with A Center For Mental Wellness, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Peace Of Mind	DE	Psychiatry Physician	$0	$258.2K
Fawzia Hasan	DE	Psychiatry Physician	$115.5K	$0
Karen Mcmillan	MD	Addiction (Substance Use Disorder) Counselor	$61.9K	$0
David Nixon	DE	Psychiatry Physician	$57.5K	$0
Kim Bursler	DE	Clinical Social Worker	$26.1K	$0
Khaled Mirza	DE	Psychiatry Physician	$16.9K	$0
Patricia Guarriello	DE	Clinical Social Worker	$16.3K	$0

Nearby Providers

Other providers in the same ZIP code as A Center For Mental Wellness, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$37.9M
At Home Infucare, LLC	DE	Home Health Agency	$0	$28.5M
Amazing Home Care Agency	DE	Home Health Agency	$0	$18.7M
Dedicated To Women Ob-gyn, P.A.	DE	Obstetrics & Gynecology Physician	$0	$11.1M
Help At Home Of Delaware, LLC	DE	In Home Supportive Care Agency	$0	$10.7M
State Of Delaware	DE	Case Management Agency	$0	$9.2M
West Dover Dental, LLC	DE	Dentist	$0	$9M
Americare Home Solutions	DE	In Home Supportive Care Agency	$0	$8.4M
Vicdania Health Services LLC	DE	Home Health Agency	$0	$7.4M
Reliable Aid, Inc	DE	Personal Care Attendant	$0	$6.4M

A Center For Mental Wellness, Inc. — Billing Profile & Reimbursement Data

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A Center For Mental Wellness, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References