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 Alternatives, Inc. (NPI 1972570430)

Field	Value
Entity Type	Organization
Organization	Community Alternatives, Inc.
Address	700 S Scotland Ln
City	New Castle
State	PA
ZIP	16101
Taxonomy	Clinic/Center
NPI Enumerated	March 3, 2006

Payer Source	Total Paid
Medicaid	$12.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0032	Mental health service plan development by non-physician	38,590	$140	$5.5M
H2021	Community-based wrap-around services, per 15 minutes	24,720	$120	$2.9M
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…	17,020	$110	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	9,520	$110	$1.1M
97155	The 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…	2,320	$130	$301.5K
H0034	Medication training and support, per 15 minutes	2,220	$100	$213.4K
H0046	Mental health services, not otherwise specified	2,730	$80	$212.6K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	1,050	$90	$90.2K
99201	Deleted code, effective Jan. 1, 2021	960	$80	$80.6K
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…	520	$80	$43.8K

Showing 1–10 of 12

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 Alternatives, Inc. — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	39	220	3,810	$100	$1.5M
97155	The 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…	85	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	14	210	3,020	$130	$1.3M
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…	127	690	2,240	$80	$1M
H0046	Mental health services, not otherwise specified	62	170	1,200	$130	$909.6K
H0038	Self‑help/peer services, per 15 minutes	131	160	2,290	$150	$865.4K
H2019	Therapeutic behavioral services, per 15 minutes	47	180	3,510	$80	$685K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	98	120	1,330	$180	$557.5K
H0034	Medication training and support, per 15 minutes	107	260	1,710	$80	$279.8K
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…	230	420	650	$180	$270.2K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri Medical Rehab Supply Corp.	PA	Durable Medical Equipment & Medical Supplies	$0	$28.8M
Don Services Inc	PA	Home Health Agency	$0	$27.6M
Pda Ortho Specialty	PA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$19M
Professional Dental Alliance Of Indiana, LLC	PA	Dentist	$0	$17.5M
Discovery House Nc, LLC	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$221.1K	$13.4M
Human Services Center	PA	Case Management Agency	$0	$7.4M
Human Services Center	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.1M
Caroline Daniels	PA	Family Medicine Physician	$30.2K	$99.1K
Joseph Stoner	PA	Anatomic Pathology & Clinical Pathology Physician	$27.9K	$0

Community Alternatives, Inc. — Billing Profile & Reimbursement Data

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Community Alternatives, 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