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.

Community Council For Mental Health And Mental Retardation I (NPI 1972199032)

Field	Value
Entity Type	Organization
Organization	Community Council For Mental Health And Mental Retardation I
Address	4900 Wyalusing Ave
City	Philadelphia
State	PA
ZIP	19131
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 14, 2020

Payer Source	Total Paid
Medicaid	$5.7M
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
H0032	Mental health service plan development by non-physician	26,920	$110	$2.9M
H2021	Community-based wrap-around services, per 15 minutes	13,110	$110	$1.5M
H2019	Therapeutic behavioral services, per 15 minutes	14,450	$90	$1.4M
H0031	Mental health assessment, by non-physician	140	$120	$16.9K

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

Community Council For Mental Health And Mental Retardation I — 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
H2021	Community-based wrap-around services, per 15 minutes	60	220	3,810	$100	$1.5M
H0032	Mental health service plan development by non-physician	23	210	3,020	$130	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	30	180	3,510	$80	$685K
H0031	Mental health assessment, by non-physician	65	110	220	$70	$31.7K

Nearby Providers

Other providers in the same ZIP code as Community Council For Mental Health And Mental Retardation I, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yapa Apartment Living Program, Inc	PA	Community/Behavioral Health Agency	$0	$18.5M
The Center For Autism	PA	Mental Health Counselor	$0	$14.4M
Merakey Parkside Recovery	PA	Community/Behavioral Health Agency	$130.8K	$11.8M
The Center For Autism	PA	Mental Health Counselor	$0	$10.5M
Community Council	PA	Community/Behavioral Health Agency	$0	$7.8M
Easter Seals Of Southeastern Pennsylvania	PA	Speech-Language Pathologist	$0	$6M
Belmont Behavioral Hospital, LLC	PA	Psychiatric Hospital	$0	$5.5M
John Costello	PA	Clinical Cardiac Electrophysiology Physician	$313.1K	$0
Daniela Marinaro	PA	Orthopaedic Surgery Physician	$221.5K	$0
Bradley Bacik	PA	Clinical Cardiac Electrophysiology Physician	$188.5K	$600

Community Council For Mental Health And Mental Retardation I — Billing Profile & Reimbursement Data

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Community Council For Mental Health And Mental Retardation I — Billing Profile & Reimbursement Data

Sign up for Community Council For Mental Health And Mental Retardation I — 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