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.

The Behavioral Wellness Center At Girard (NPI 1699975961)

Field	Value
Entity Type	Organization
Organization	The Behavioral Wellness Center At Girard
Address	801 W Girard Ave
City	Philadelphia
State	PA
ZIP	19122
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	July 24, 2007

Payer Source	Total Paid
Medicaid	$30.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	51,920	$460	$23.7M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	11,430	$290	$3.3M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	22,460	$130	$2.9M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2,320	$290	$662.3K

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

The Behavioral Wellness Center At Girard — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	12	120	7,190	$420	$8.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	58	100	5,130	$370	$4.5M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	8	60	2,400	$450	$2.6M
T2048	Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem	4	60	1,280	$360	$1.8M

Nearby Providers

Other providers in the same ZIP code as The Behavioral Wellness Center At Girard, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Behavioral Wellness Center At Girard	PA	Methadone Clinic	$131.1K	$16.5M
The Behavioral Wellness Center At Girard	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$14.9M
Ophelia Medical Group Fl, P.A.	PA	Addiction Medicine (Family Medicine) Physician	$0	$10.7M
Public Health Management Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$9.2M
Delaware Valley Community Health, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$8.9M
The Behavioral Wellness Center At Girard	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.8M
Merakey Parkside Recovery	PA	Community/Behavioral Health Agency	$34.6K	$6.1M
Icare Home Health LLC	PA	Home Health Agency	$0	$5.5M
Megan Ritz	PA	Physical Therapist	$189.5K	$0
Lester Fogelsanger	PA	Psychiatry Physician	$70.9K	$0

The Behavioral Wellness Center At Girard — Billing Profile & Reimbursement Data

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The Behavioral Wellness Center At Girard — 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