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.

Uhs Recovery Foundation Inc (NPI 1841263407)

Field	Value
Entity Type	Organization
Organization	Uhs Recovery Foundation Inc
Address	2001 Providence Ave
City	Chester
State	PA
ZIP	19013
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 13, 2006

Payer Source	Total Paid
Medicaid	$51.6M
Medicare	$0

Key Findings

UHS RECOVERY FOUNDATION INC is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while the facility reports $51.6M in lifetime Medicaid revenue, indicating Medicaid is the dominant — and presently the only — public payer reflected in the claims data. This payer concentration suggests the organization’s operations and financial exposure are tightly tied to Medicaid reimbursement policies and behavioral health benefit designs.

Revenue is highly concentrated in a small set of residential and substance‑use treatment per‑diem codes: H2036, H0018, and H0013 together account for 91.0% of the provider’s Medicaid revenue. Individually these top drivers are H2036 ($29M, 56.2% of Medicaid revenue), H0018 ($13.5M, 26.2%), and H0013 ($4.4M, 8.6%), which signals that per‑diem residential and detoxification services form the core business model.

The code mix and descriptions indicate a specialized substance use disorder and residential treatment operation rather than a broad outpatient medical clinic: H2036 (Alcohol and/or other drug treatment program, per diem) and H0018 (short‑term residential without room and board, per diem) together dominate revenue, while H0013 (acute detoxification) and H0015 (intensive outpatient) round out an SUD‑centered service line. The presence of both per‑diem residential and intensive outpatient codes suggests a continuum of care oriented around inpatient/residential stays plus step‑down outpatient programming.

Competitive standing within Pennsylvania is strong for the provider’s core residential SUD services: H2036 ranks #7 of 117 providers in‑state at the 95th percentile and H0018 ranks #6 of 95 providers also at the 95th percentile, with both labeled as “typical, unremarkable volume.” These high percentile positions indicate the provider is a significant regional participant in per‑diem residential SUD services even though the descriptive label qualifies the volumes as not statistically exceptional within the peer set.

Secondary service lines (traditional psychotherapy and outpatient E/M) contribute only a small share of revenue and appear operationally subordinate to the residential SUD lines: 90853 generated $843.1K (1.6% of Medicaid revenue) with 14.3K claims and an 89th‑percentile rank of #37 of 340, while standard outpatient codes such as 90834 and 99213 each account for under 1% of Medicaid revenue. This mix implies that while group and individual psychotherapy are billed, they are not the organization’s primary revenue drivers relative to its residential and detoxification services.

Several high‑volume SUD codes are reported with large claim counts and mid‑to‑high per‑claim payments consistent with facility‑level per‑diem billing: H2036 shows 74.2K claims at $391 avg paid/claim and H0018 shows 36.7K claims at $369 avg paid/claim, while H0013 has 10K claims at $442 avg paid/claim. Together these volume and payment patterns reinforce a business model built around frequent daily billing units for residential treatment and detox services rather than episodic, high‑intensity medical procedures.

The provider’s NPI has been enumerated for a sustained period (2006‑02‑13, ~20 years ago), indicating an established presence in the market; when combined with the heavy Medicaid revenue concentration and top‑code rankings, the picture is of a long‑standing, Medicaid‑focused behavioral health agency that is a notable state‑level provider of residential substance use services.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	74,200	$390	$29M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	36,720	$370	$13.5M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	10,020	$440	$4.4M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	26,250	$120	$3.2M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	14,290	$60	$843.1K
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…	2,500	$90	$235.4K
H0001	Alcohol and/or drug assessment	950	$170	$161.2K
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…	890	$90	$75.8K
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…	630	$110	$70.7K
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.	890	$60	$57K

Showing 1–10 of 11

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

Uhs Recovery Foundation Inc — 1 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	7	120	7,190	$420	$8.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	6	100	5,130	$370	$4.5M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	9	60	2,400	$450	$2.6M
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…	330	690	2,240	$80	$1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	7	150	2,970	$100	$699.4K
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…	338	560	1,400	$90	$485.7K
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…	215	420	650	$180	$270.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	37	340	2,010	$50	$269.8K
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.	336	980	310	$50	$136.6K
H0001	Alcohol and/or drug assessment	37	80	690	$110	$135.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Uhs Recovery Foundation Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Ccmc, LLC	PA	General Acute Care Hospital	$0	$40.9M
Chespenn Health Services	PA	Federally Qualified Health Center (FQHC)	$0	$9.8M
Community Surgical Supply Of Toms River LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$7.1M
Prospect Ccmc, LLC	PA	Clinic/Center	$0	$5.5M
Mylene Go	PA	Hematology & Oncology Physician	$792.9K	$0
Sherry Jose	PA	Pain Medicine (Anesthesiology) Physician	$304.3K	$45.3K
Heather Hahn	PA	Diagnostic Radiology Physician	$320.4K	$0
John Witherell	PA	Ophthalmology Physician	$309K	$0
Kenneth Lander	PA	Pulmonary Disease Physician	$295.4K	$4.4K
John Feehery	PA	Otolaryngology Physician	$276.7K	$0

Uhs Recovery Foundation Inc — Billing Profile & Reimbursement Data

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Uhs Recovery Foundation Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References