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

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Serenity Treatment Center, Inc. (NPI 1992027726)

Field	Value
Entity Type	Organization
Organization	Serenity Treatment Center, Inc.
Address	5703 Industry Lane
City	Frederick
State	MD
ZIP	21704
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	February 21, 2010

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.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	25,320	$150	$3.8M
H0005	Alcohol and/or drug services; group counseling by a clinician	31,850	$50	$1.5M
H0001	Alcohol and/or drug assessment	5,310	$170	$913.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,830	$120	$328.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	15,760	$10	$157.6K
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…	450	$70	$33.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,030	$20	$18.6K
H0038	Self‑help/peer services, per 15 minutes	250	$60	$13.9K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	30	$20	$740

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Serenity Treatment Center, Inc. — 3 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	32	400	4,360	$160	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	150	380	1,450	$60	$459K
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…	1,797	3,280	610	$80	$296.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	12	360	2,160	$50	$284.3K
H0001	Alcohol and/or drug assessment	5	440	190	$170	$115.9K
H0038	Self‑help/peer services, per 15 minutes	24	40	260	$70	$62.5K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	22	30	160	$20	$24.4K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	2	190	390	$10	$14.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	79	310	240	$20	$13.3K

Nearby Providers

Other providers in the same ZIP code as Serenity Treatment Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dental Center Of Frederick, LLC	MD	Pediatric Dentistry	$0	$22.9M
Frederick Institute	MD	Methadone Clinic	$0	$6.8M
Chetankumar Patel	MD	Ophthalmology Physician	$3.9M	$0
Frederick Endoscopy Center LLC	MD	Endoscopy Clinic/Center	$1.3M	$0
Anish Desai	MD	Pulmonary Disease Physician	$302.4K	$374.2K
Scott Henry	MD	Podiatrist	$415.1K	$0
Michael Tolino	MD	Pulmonary Disease Physician	$373.5K	$0
Phuong Ho	MD	Internal Medicine Physician	$315.3K	$0
Jennifer Giegel	MD	Occupational Therapist	$227.4K	$0
Neil Waravdekar	MD	Pulmonary Disease Physician	$224.4K	$0

Serenity Treatment Center, Inc. — Billing Profile & Reimbursement Data

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Serenity Treatment Center, 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