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.

Bethesda Childrens Home/lss (NPI 1922186352)

Field	Value
Entity Type	Organization
Organization	Bethesda Childrens Home/lss
Address	15487 State Highway 86
City	Meadville
State	PA
ZIP	16335
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	45,610	$140	$6.4M
H0032	Mental health service plan development by non-physician	1,270	$110	$141.2K
H2021	Community-based wrap-around services, per 15 minutes	7,100	$10	$92.3K
H2019	Therapeutic behavioral services, per 15 minutes	1,580	$60	$89.8K

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

Bethesda Childrens Home/lss — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	8	110	8,460	$150	$2.1M
H2021	Community-based wrap-around services, per 15 minutes	86	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	141	210	3,020	$130	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	125	180	3,510	$80	$685K

Nearby Providers

Other providers in the same ZIP code as Bethesda Childrens Home/lss, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meadville Medical Center	PA	General Acute Care Hospital	$0	$9.6M
Crawford County Human Services	PA	Case Management Agency	$0	$6.5M
Titusville Area Hospital	PA	Rural Health Clinic/Center	$0	$5.6M
Meadville Area Ambulance Service LLC	PA	Land Ambulance	$441.1K	$1M
Steven Heaney	PA	Plastic Surgery Physician	$667.4K	$0
Dean Spencer	PA	Family Medicine Physician	$176.8K	$161.8K
Peter White	PA	Otolaryngology Physician	$126.4K	$191.2K
Ryan Molli	PA	Orthopaedic Surgery Physician	$308.2K	$0
Donald Santora	PA	Ophthalmology Physician	$253.9K	$6.3K
Jeremy Gebhart	PA	Adult Reconstructive Orthopaedic Surgery Physician	$228.6K	$21.6K

Bethesda Childrens Home/lss — Billing Profile & Reimbursement Data

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Bethesda Childrens Home/lss — Billing Profile & Reimbursement Data

Sign up for Bethesda Childrens Home/lss — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References