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.

Connellsville Counseling Center (NPI 1770597767)

Field	Value
Entity Type	Organization
Organization	Connellsville Counseling Center
Address	110 S Arch St
City	Connellsville
State	PA
ZIP	15425
Taxonomy	Clinic/Center
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0032	Mental health service plan development by non-physician	7,940	$160	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	4,420	$240	$1.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	5,320	$170	$920.7K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	4,130	$190	$784.9K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	3,350	$150	$485.8K
H2019	Therapeutic behavioral services, per 15 minutes	3,740	$130	$485.6K
H2021	Community-based wrap-around services, per 15 minutes	3,680	$120	$434.2K
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…	3,020	$130	$386.6K
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…	1,050	$120	$123.3K
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.	710	$100	$73.8K

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

Connellsville Counseling Center — 0 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
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	92	150	8,280	$220	$4.1M
H2021	Community-based wrap-around services, per 15 minutes	111	220	3,810	$100	$1.5M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	45	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	61	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…	433	690	2,240	$80	$1M
T1016	Case management, each 15 minutes	122	160	2,180	$80	$965.8K
H0046	Mental health services, not otherwise specified	134	170	1,200	$130	$909.6K
H2019	Therapeutic behavioral services, per 15 minutes	90	180	3,510	$80	$685K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	31	120	1,330	$180	$557.5K
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…	179	560	1,400	$90	$485.7K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Connellsville Counseling Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connellsville Counseling & Psychological Services, LLC	PA	Community/Behavioral Health Agency	$0	$11.6M
Fayette Ems	PA	Land Ambulance	$1.1M	$7.5M
Greg Hites	PA	Family Nurse Practitioner	$112.3K	$258.2K
Jennifer Sterbutzel	PA	Family Nurse Practitioner	$84.4K	$205.1K
James Oppy	PA	Family Medicine Physician	$163.3K	$51.3K
Jeremiah Altman	PA	Surgical Physician Assistant	$70.4K	$119.6K
Sarah Lumley	PA	Family Medicine Physician	$66K	$30.1K
Richard Conn	PA	Family Medicine Physician	$39.5K	$2.5K

Connellsville Counseling Center — Billing Profile & Reimbursement Data

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Connellsville Counseling Center — 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