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

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

Serene Health (NPI 1649809526)

Field	Value
Entity Type	Organization
Organization	Serene Health
Address	9265 Sky Park Ct Ste 100
City	San Diego
State	CA
ZIP	92123
Taxonomy	Mental Health Counselor
NPI Enumerated	April 3, 2020

Payer Source	Total Paid
Medicaid	$60.5M
Medicare	$0

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
G9012	Other specified case management service not elsewhere classified	299,970	$140	$41.4M
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…	62,940	$100	$6.2M
H0043	Supported housing, per diem	20,520	$250	$5.2M
G9008	Coordinated care fee, physician coordinated care oversight services	36,450	$130	$4.6M
Q3014	Telehealth originating site facility fee	61,850	$20	$1.4M
T1014	Telehealth transmission, per minute, professional services bill separately	61,830	$10	$803.8K
H0044	Supported housing, per month	990	$420	$411.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,600	$150	$245.1K
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…	1,690	$70	$109.5K
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…	1,100	$50	$57.4K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Serene Health — 6 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0043	Supported housing, per diem	5	230	580	$250	$665.6K
G9012	Other specified case management service not elsewhere classified	1	720	1,110	$110	$651.3K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	58	80	240	$120	$630.4K
H0044	Supported housing, per month	6	60	150	$570	$542.3K
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…	17	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	16	490	660	$70	$396.7K
H2016	Comprehensive community support services, per diem	81	100	400	$180	$257.2K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	336	510	290	$250	$240.6K
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…	493	1,950	500	$80	$179K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	41	70	220	$190	$115.9K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Serene Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Markus Ploesser	CA	Forensic Psychiatry Physician	$192.3K	$389.5K
Josana Joseph	CA	Podiatrist	$218.4K	$220

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sharp Memorial Hospital	CA	General Acute Care Hospital	$0	$133.7M
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$93.1M
Rady Children's Hospital San Diego	CA	Pediatrics Physician	$0	$77.3M
American Medical Response Ambulance Service Inc	CA	Ambulance	$9.6M	$65.4M
Rady Children's Hospital San Diego	CA	Children's Hospital	$0	$69.1M
Rac & Associates, Inc.	CA	Durable Medical Equipment & Medical Supplies	$0	$58.2M
Anesthesia Service Medical Group	CA	Anesthesiology Physician	$0	$31M
Balboa Nephrology Medical Group, Inc.	CA	Nephrology Physician	$0	$25.9M
Centro De Salud De La Comunidad De San Ysidro, Inc.	CA	Dental Clinic/Center	$0	$22.3M
Atul Jain	CA	Ophthalmology Physician	$3.5M	$0

Serene Health — Billing Profile & Reimbursement Data

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Serene Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References