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.

Allegheny Children's Initiative, Inc (NPI 1750409728)

Field	Value
Entity Type	Organization
Organization	Allegheny Children's Initiative, Inc
Address	2304 Jane St
City	Pittsburgh
State	PA
ZIP	15203
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 27, 2007

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	15,870	$270	$4.3M
T1017	Targeted case management, each 15 minutes	7,100	$140	$979.4K
H2019	Therapeutic behavioral services, per 15 minutes	2,260	$80	$178.3K
H0032	Mental health service plan development by non-physician	710	$80	$58.1K
T1016	Case management, each 15 minutes	500	$80	$39.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	70	$310	$22K

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

Allegheny Children's Initiative, Inc — 1 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
T1017	Targeted case management, each 15 minutes	162	210	18,200	$100	$2.9M
H0032	Mental health service plan development by non-physician	153	210	3,020	$130	$1.3M
T1016	Case management, each 15 minutes	112	160	2,180	$80	$965.8K
H2019	Therapeutic behavioral services, per 15 minutes	115	180	3,510	$80	$685K
H0004	Behavioral health counseling and therapy, per 15 minutes	33	1,410	820	$160	$353.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	145	240	130	$300	$139.8K

Nearby Providers

Other providers in the same ZIP code as Allegheny Children's Initiative, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Albert Lin	PA	Sports Medicine (Orthopaedic Surgery) Physician	$155.2K	$9.8K
Benjamin Chun	PA	Ophthalmology Physician	$118.1K	$33.9K
Mark Rodosky	PA	Sports Medicine (Orthopaedic Surgery) Physician	$91.7K	$12.6K
Radley Short	PA	Emergency Medicine Physician	$95.6K	$590
Jodi Krause	PA	Physical Therapist	$57.3K	$1.2K
Carmen Zeuli	PA	Certified Registered Nurse Anesthetist	$7.7K	$0

Allegheny Children's Initiative, Inc — Billing Profile & Reimbursement Data

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Allegheny Children's Initiative, 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

Nearby Providers

Frequently Asked Questions

References