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.

Blair Family Solutions, LLC (NPI 1720133218)

Field	Value
Entity Type	Organization
Organization	Blair Family Solutions, LLC
Address	705 12th St
City	Altoona
State	PA
ZIP	16602
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	46,290	$100	$4.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	13,930	$230	$3.2M
T1016	Case management, each 15 minutes	3,130	$170	$529.5K
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…	2,690	$90	$252.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	3,410	$70	$231.7K
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.	2,230	$60	$142.5K
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,…	2,600	$50	$140.4K
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…	1,570	$80	$125.4K
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…	530	$230	$121.5K
T1017	Targeted case management, each 15 minutes	1,760	$60	$112.8K

Showing 1–10 of 18

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

Blair Family Solutions, LLC — 3 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	189	210	18,200	$100	$2.9M
H2021	Community-based wrap-around services, per 15 minutes	11	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	135	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…	53	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	71	160	2,180	$80	$965.8K
H2019	Therapeutic behavioral services, per 15 minutes	10	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…	195	560	1,400	$90	$485.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	39	1,410	820	$160	$353.5K
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…	232	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…	228	420	650	$180	$270.2K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Blair Family Solutions, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Star Services, Inc.	PA	Case Management Agency	$0	$21M
Pyramid Healthcare Inc.	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$14.3M
Altoona Logan Twp Mobile Med Emerg Dept Authority	PA	Ambulance	$924.6K	$5.3M
George Jabbour	PA	Cardiovascular Disease Physician	$882.6K	$732.1K
Advanced Center For Surgery, LLC	PA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Ziad Khoury	PA	Cardiovascular Disease Physician	$1.1M	$151.8K
Allegheny Surgery Center LLC	PA	Ambulatory Surgical Clinic/Center	$770.6K	$361.2K
Blair Endoscopy Center, LLC	PA	Endoscopy Clinic/Center	$579.7K	$325.8K
Gregory Fulchiero	PA	MOHS-Micrographic Surgery Physician	$842.2K	$0
David Bozak	PA	Physical Medicine & Rehabilitation Physician	$768.3K	$0

Blair Family Solutions, LLC — Billing Profile & Reimbursement Data

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Blair Family Solutions, 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