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

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

Pyramid Healthcare, Inc. (NPI 1659988525)

Field	Value
Entity Type	Organization
Organization	Pyramid Healthcare, Inc.
Address	245 Chesapeake Ave
City	Newport News
State	VA
ZIP	23607
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 25, 2020

Payer Source	Total Paid
Medicaid	$40.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	74,880	$440	$32.9M
H2036	Alcohol and/or other drug treatment program, per diem	7,240	$400	$2.9M
H2034	Alcohol and/or drug abuse halfway house services, per diem	42,130	$60	$2.4M
S0201	Partial hospitalization services, less than 24 hours, per diem	4,790	$410	$2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1,860	$170	$307.1K
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…	190	$110	$21.2K
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…	260	$70	$17.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$140	$3.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Pyramid Healthcare, Inc. — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	3	30	7,090	$420	$11.5M
S0201	Partial hospitalization services, less than 24 hours, per diem	25	80	1,870	$470	$2.9M
H2036	Alcohol and/or other drug treatment program, per diem	3	10	480	$660	$2.6M
H2034	Alcohol and/or drug abuse halfway house services, per diem	3	20	8,970	$160	$2.6M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	53	110	1,830	$220	$1.1M
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…	980	1,340	710	$90	$245K
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…	170	330	270	$40	$112.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	438	610	70	$110	$68.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pyramid Health Care Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$128.8M
Pyramid Healthcare	PA	Substance Abuse Rehabilitation Facility	$0	$87.4M
Pyramid Health Care Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$23.9M
Pyramid Healthcare Inc.	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$14.3M
Pyramid Healthcare Inc.	PA	Methadone Clinic	$125.2K	$13.3M
Pyramid Healthcare Inc.	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11M
Pyramid Healthcare Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$10.4M
Pyramid Healthcare Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$8.6M
Pyrmaid Healthcare Inc.	PA	Methadone Clinic	$96.6K	$8.1M
Pyramid Healthcare Inc	PA	Children's Substance Abuse Rehabilitation Facility	$0	$8.2M

Nearby Providers

Other providers in the same ZIP code as Pyramid Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Conglamorate Home Healthcare, LLC	VA	Home Health Agency	$0	$9.4M
City Of Newport News	VA	Ambulance	$1.4M	$5.7M
Carrie Moss	VA	Physical Medicine & Rehabilitation Physician	$261.8K	$0
Clay Singleton	VA	Physical Medicine & Rehabilitation Physician	$244.6K	$0
Jonathan Haber	VA	Clinical Psychologist	$107.9K	$0

Pyramid Healthcare, Inc. — Billing Profile & Reimbursement Data

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Pyramid Healthcare, Inc. — 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