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.

Nadia Darbouze (NPI 1720476898)

Field	Value
Entity Type	Individual
Organization	Nadia Darbouze
Address	1235 Pine St
City	Philadelphia
State	PA
ZIP	19107
Taxonomy	Social Worker
NPI Enumerated	December 24, 2014

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	27,510	$260	$7.1M
H2014	Skills training and development, per 15 minutes	13,900	$140	$2M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	30	$330	$8.3K

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

Nadia Darbouze — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	93	100	5,130	$370	$4.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	14	100	9,680	$110	$1.5M
H2014	Skills training and development, per 15 minutes	2	20	370	$140	$1M

Nearby Providers

Other providers in the same ZIP code as Nadia Darbouze, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Progressions	PA	Case Management Agency	$0	$50.8M
Bright Beginnings Therapeutic Services, LLC	PA	Community/Behavioral Health Agency	$0	$46.8M
Thomas Jefferson University Hospitals Inc	PA	General Acute Care Hospital	$0	$40.3M
Jefferson University Physicians	PA	General Practice Physician	$0	$30.8M
The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys	PA	General Acute Care Hospital	$0	$25.7M
Philadelphia Mental Health Clinic	PA	Clinic/Center	$0	$18.3M
Philadelphia Fight	PA	Federally Qualified Health Center (FQHC)	$0	$18.1M
Public Health Mangement Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Addiction Medicine And Health Advocates, Incorporated	PA	Methadone Clinic	$56.9K	$9.2M
Assessment & Treatment Alternatives	PA	Community/Behavioral Health Agency	$0	$9.1M

Nadia Darbouze — Billing Profile & Reimbursement Data

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Nadia Darbouze — 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