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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Pennreach (NPI 1710364385)

Field	Value
Entity Type	Organization
Organization	Pennreach
Address	18 S Main St
City	Allentown
State	NJ
ZIP	08501
Taxonomy	Case Management Agency
NPI Enumerated	May 2, 2015

Payer Source	Total Paid
Medicaid	$65.1M
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
H2016	Comprehensive community support services, per diem	141,790	$420	$60M
H2021	Community-based wrap-around services, per 15 minutes	19,960	$150	$3M
H0039	Assertive community treatment, face-to-face, per 15 minutes	11,090	$100	$1.1M
H2015	Comprehensive community support services, per 15 minutes	5,560	$100	$572.4K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7,400	$50	$377.4K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	1,200	$40	$51.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Pennreach — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	48	210	23,310	$490	$41.9M
H2021	Community-based wrap-around services, per 15 minutes	28	190	3,010	$260	$3.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	21	40	12,010	$130	$2.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	101	390	2,500	$210	$1.6M
H2015	Comprehensive community support services, per 15 minutes	27	110	1,860	$140	$1.1M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	170	230	7,800	$10	$218.8K

Pennreach — Billing Profile & Reimbursement Data

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Pennreach — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References