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.

Penndel Mental Health Center, Inc. (NPI 1710019096)

Field	Value
Entity Type	Organization
Organization	Penndel Mental Health Center, Inc.
Address	1517 Durham Rd
City	Penndel
State	PA
ZIP	19047
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W7210	N/A	107,920	$90	$9.2M
T1017	Targeted case management, each 15 minutes	16,430	$90	$1.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1,440	$230	$335.8K
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…	760	$120	$88.7K
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…	30	$160	$5.3K
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…	20	$10	$130

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

Penndel Mental Health Center, Inc. — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W7210	N/A	27	70	83,330	$80	$10M
T1017	Targeted case management, each 15 minutes	114	210	18,200	$100	$2.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	88	110	8,460	$150	$2.1M
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…	110	150	2,970	$100	$699.4K
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…	525	560	1,400	$90	$485.7K
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…	7,757	8,870	240	$40	$56.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Penndel Mental Health Center	PA	Community/Behavioral Health Agency	$0	$10.7M
Bonnie Wright	PA	Psychiatry Physician	$296.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bmg Circle Of Life, LLC	PA	Home Health Agency	$0	$15.3M
Family Service Association Of Bucks County	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.9M
St Mary Medical Center	PA	General Acute Care Hospital	$0	$10.8M
Woods Services Inc	PA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$10.6M
Emergency Care Services Of Pennsylvania, P.C.	PA	Emergency Medicine Physician	$0	$9.2M
Pyramid Healthcare Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$8.6M
Woods Services, Inc	PA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$5.8M
Woods Services, Inc	PA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$5.6M
Pain Management Centers Of America, LLC	PA	Pain Clinic/Center	$4.6M	$74.2K
Penndel-middletown Emergency Squad	PA	Land Ambulance	$613.3K	$963.5K

Penndel Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Penndel Mental Health Center, 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