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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

New York Psychotherapy And Counseling Center (NPI 1902811342)

Key Findings

Field	Value
Entity Type	Organization
Organization	New York Psychotherapy And Counseling Center
Address	17620 148th Ave
City	Jamaica
State	NY
ZIP	11434
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicaid	$303.8M
Medicare	$0

This provider is effectively a Medicaid-only biller: total Medicaid revenue on file is $303.8M and there is no Medicare billing on file. That concentrated payer mix makes Medicaid reimbursement policy and state plan changes the primary revenue drivers for the organization, rather than any Medicare dynamics.

Revenue is highly concentrated in a small set of psychotherapy and low-complexity E/M codes: 90832 ($161.6M, 53.2%), 90834 ($65.7M, 21.6%), and 99212 ($19.6M, 6.5%) together account for 81.3% of the provider’s Medicaid revenue. This distribution indicates most revenue is generated by high-volume outpatient therapy encounters rather than inpatient, specialty procedural, or facility-based services.

The code mix points to a high-throughput outpatient behavioral health model: dominant psychotherapy codes 90832 and 90834 (short and standard individual psychotherapy sessions) plus frequent use of family therapy 90846/90847 and psychiatric evaluation codes 90791/90792 suggest the organization operates as a community behavioral health center offering standard psychotherapy, family counseling, and initial psychiatric assessment. High counts for E/M codes such as 99212 and 99213 further indicate substantial evaluation-and-management activity integrated with psychotherapy visits.

State-level competitive standing is dominant for core psychotherapy lines: 90832 ranks #1 of 1514 providers in-state (100th percentile, extreme outlier) and 90834 ranks #2 of 2199 providers in-state (100th percentile, extreme outlier), while 99212 ranks #5 of 5421 providers in-state (100th percentile, extreme outlier). These rank positions indicate the provider is an outsized volume leader in New York for routine psychotherapy and related E/M services.

Several other codes also register as statistical outliers or notably above typical state volume, reinforcing the provider’s unusual scale in behavioral services: 90846 ranks #1 of 274 providers in-state (100th percentile, extreme outlier), 90791 ranks #1 of 1315 providers in-state (100th percentile, extreme outlier), and 99051 (after-hours visits) has 541.2K claims and ranks #1 of 1408 providers in-state (100th percentile, extreme outlier). These patterns show elevated family therapy, evaluation, and extended-hours activity compared with peers.

The provider’s operational footprint is built on very large claim volumes: examples include 1.5M claims for 90832, 459.1K claims for 90834, and 172.3K claims for 99212, with average paid/claim levels of $110, $143, and $114 respectively. Those figures are consistent with a high-throughput, community/behavioral health agency model where overall revenue is driven more by visit volume than by high per-claim reimbursement.

Service intensity and scope include both initial psychiatric assessments and combined psychotherapy/E/M sessions: 90791 ($13.2M) and 90792 ($935.6K) appear alongside add-on psychotherapy codes 90836 and 90833, indicating workflows that pair diagnostic evaluation and medical management with psychotherapy. By contrast, H2012 behavioral health day treatment appears but contributes a smaller share ($1.4M) and sits at a more typical in-state rank, suggesting day-treatment is present but not a primary revenue line.

Tenure and stability: the NPI was enumerated on 2006-07-31 (~20 years ago), indicating long-standing enrollment in the NPI system. Combined with sustained, high-volume Medicaid billing, this suggests an established provider with enduring operational scale in New York’s behavioral health market, though the organization remains heavily dependent on a narrow set of Medicaid codes for the majority of its revenue.

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
90832	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…	1,469,450	$110	$161.6M
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…	459,110	$140	$65.7M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	172,270	$110	$19.6M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	161,050	$110	$17.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	71,580	$190	$13.2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	78,490	$100	$8.2M
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	541,210	$10	$7M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	13,720	$220	$3M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	17,200	$120	$2M
99442	N/A	29,800	$60	$1.6M

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

Claims Volume vs. New York Distribution

New York Psychotherapy And Counseling Center — 13 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	13	40	14,460	$100	$3.4M
90832	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	1,510	1,010	$110	$1.1M
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	2,200	1,010	$130	$892.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	11	350	350	$210	$393.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1	1,320	140	$260	$334K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	167	19,110	360	$70	$321K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	1	270	360	$110	$319.1K
H2011	Crisis intervention service, per 15 minutes	42	140	410	$140	$241.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	6,542	16,550	220	$90	$186.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	5	5,420	210	$70	$154.3K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sweet P Home Care Inc.	NY	Home Health Agency	$0	$43.3M
Dumo Opuiyo	NY	Psychiatric/Mental Health Nurse Practitioner	$355.4K	$156K
Alan Emamdee	NY	Psychiatry Physician	$156.1K	$14.8K

New York Psychotherapy And Counseling Center — Billing Profile & Reimbursement Data

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New York Psychotherapy And Counseling Center — 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