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.

Twin Lakes Center Inc (NPI 1881669612)

Field	Value
Entity Type	Organization
Organization	Twin Lakes Center Inc
Address	224 Twin Lakes Road
City	Somerset
State	PA
ZIP	15501
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	February 23, 2006

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

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	19,540	$280	$5.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	12,150	$180	$2.2M
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…	17,990	$80	$1.5M
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…	9,410	$90	$856K
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	2,400	$360	$855.5K
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…	8,980	$80	$718.1K
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…	3,090	$90	$290.8K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	1,770	$60	$111.3K
H2035	Alcohol and/or other drug treatment program, per hour	1,150	$30	$32.1K
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…	430	$30	$13.7K

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

Twin Lakes Center Inc — 0 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	29	120	7,190	$420	$8.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	25	100	5,130	$370	$4.5M
H0013	Alcohol and/or drug services: acute detox (residential addiction program outpatient)	31	60	2,400	$450	$2.6M
H2035	Alcohol and/or other drug treatment program, per hour	12	20	1,150	$180	$1.2M
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…	125	690	2,240	$80	$1M
H0038	Self‑help/peer services, per 15 minutes	155	160	2,290	$150	$865.4K
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…	31	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…	175	560	1,400	$90	$485.7K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	46	90	1,610	$80	$297.9K
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…	244	420	650	$180	$270.2K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Twin Lakes Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bedford Somerset Developmental And Behavioral Health Services	PA	Community/Behavioral Health Agency	$0	$8.3M
Bedford-somerset Developmental And Behavioral Health Services	PA	Case Management Agency	$0	$5.6M
Somerset Area Ambulance Association, Inc	PA	Land Ambulance	$399.2K	$1.3M
Genevieve Everett-sigwalt	PA	Clinical Cardiac Electrophysiology Physician	$148K	$5.1K
Raymond Woshner	PA	Anatomic Pathology & Clinical Pathology Physician	$55.3K	$20.6K
Taesun Moon	PA	Surgery Physician	$30.5K	$29.8K
James Mckay	PA	Optometrist	$41.1K	$17.5K
Victor Novak	PA	Surgery Physician	$36.1K	$12.9K

Twin Lakes Center Inc — Billing Profile & Reimbursement Data

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Twin Lakes Center 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