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    OpenPayerNPI Medicare & MedicaidAlternative Community Resource Program, Inc.
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    Alternative Community Resource Program, Inc. — Billing Profile & Reimbursement Data

    NPI 1942398839 · Johnstown, PA · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Alternative Community Resource Program, Inc. is a mental health clinic/center (including community mental health center) provider located in Johnstown, Pennsylvania. This profile covers 0 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAlternative Community Resource Program, Inc.
    Address131 Market St
    CityJohnstown
    StatePA
    ZIP15901
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedOctober 10, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$20.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90834In 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…62,540$70$4.6M
    H2021Community-based wrap-around services, per 15 minutes30,850$120$3.5M
    97152A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…8,550$280$2.4M
    H0032Mental health service plan development by non-physician14,510$130$1.9M
    T1017Targeted case management, each 15 minutes23,520$70$1.6M
    97155The 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…3,730$250$947.4K
    90792In 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…5,430$150$824.6K
    97153A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…2,080$330$678.5K
    90832In 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…17,270$40$656.1K
    99214The 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…5,200$110$551K

    Showing 1–10 of 26

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97153A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…1131508,280$220$4.1M
    T1017Targeted case management, each 15 minutes8321018,200$100$2.9M
    97154A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…12201,780$210$2.6M
    H2021Community-based wrap-around services, per 15 minutes302203,810$100$1.5M
    97155The 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…651502,770$200$1.4M
    H0032Mental health service plan development by non-physician452103,020$130$1.3M
    90834In 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…366902,240$80$1M
    H0046Mental health services, not otherwise specified771701,200$130$909.6K
    97152A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…220490$270$808.8K
    H2019Therapeutic behavioral services, per 15 minutes1101803,510$80$685K

    Showing 1–10 of 26

    Nearby Providers

    Other providers in the same ZIP code as Alternative Community Resource Program, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Behavioral Health, LLCPACommunity/Behavioral Health Agency$0$57.3M
    Ibrahim SbeitanPAHematology & Oncology Physician$236.6K$200.4K
    Subarna EisamanPARadiation Oncology Physician$392.1K$0
    Jude MugerwaPACardiovascular Disease Physician$99.1K$42.1K
    Boutros ZeidanPASpecialist$25.8K$17.5K
    Diane MayPAPsychiatric/Mental Health Nurse Practitioner$5.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Pennsylvania Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Alternative Community Resource Program, Inc. — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania