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.

Milestone Behavioral Health LLC (NPI 1710335377)

Field	Value
Entity Type	Organization
Organization	Milestone Behavioral Health LLC
Address	301 Oxford Valley Rd
City	Yardley
State	PA
ZIP	19067
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 24, 2016

Payer Source	Total Paid
Medicaid	$16.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0032	Mental health service plan development by non-physician	42,820	$180	$7.5M
H2021	Community-based wrap-around services, per 15 minutes	16,540	$310	$5.1M
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…	25,520	$70	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	14,390	$120	$1.7M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,030	$80	$152.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	830	$110	$95.1K
H0031	Mental health assessment, by non-physician	1,180	$50	$55.4K
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…	620	$90	$54.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	590	$10	$7.7K
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…	290	$30	$7.4K

Showing 1–10 of 12

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

Milestone Behavioral Health LLC — 0 of 11 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	53	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	12	210	3,020	$130	$1.3M
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…	96	690	2,240	$80	$1M
H0046	Mental health services, not otherwise specified	102	170	1,200	$130	$909.6K
H2019	Therapeutic behavioral services, per 15 minutes	31	180	3,510	$80	$685K
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…	362	560	1,400	$90	$485.7K
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…	423	540	1,490	$50	$316.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	186	420	650	$180	$270.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	103	240	130	$300	$139.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	395	980	310	$50	$136.6K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Goldstar Rehabilitation Inc.	PA	Speech-Language Pathologist	$0	$19.1M
Farhan Tahir	PA	Rheumatology Physician	$1M	$0
Carmen Campanelli	PA	MOHS-Micrographic Surgery Physician	$808.7K	$0
Christopher Schulze	PA	Clinical Cardiac Electrophysiology Physician	$625.3K	$0
Joel Berman	PA	Diagnostic Radiology Physician	$614.9K	$0
Adel Haque	PA	Dermatology Physician	$503.3K	$0
Thomas Maclennan	PA	Diagnostic Radiology Physician	$469.2K	$0
Adam Blechman	PA	MOHS-Micrographic Surgery Physician	$450.6K	$0
Paul Grena	PA	Cardiovascular Disease Physician	$433.4K	$0
Priya Dhanaraj	PA	Dermatology Physician	$373.3K	$0

Milestone Behavioral Health LLC — Billing Profile & Reimbursement Data

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Milestone Behavioral Health LLC — 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