Area Insights
Therapy practice market data for Pennsylvania 19111
ZIP 19111 in Pennsylvania scores 49 out of 100 (Watchlist) for starting or growing a therapy practice. The area has 66,283 residents, 89% of them insured, and 115 registered therapists. Medicare pays $158.53 for a 60-minute therapy session here.
Opportunity score
49/100
Population
66,283
Median income
$61,138
Insured residents
89.1%
Therapists
115
Therapists per 10K
17.3
Medicare 90837
$158.53
HPSA status
Possible
The Practice Opportunity Score weighs market demand, provider supply, Medicare reimbursement, and shortage-area incentives. It assumes a Master's-level credential; adjust the credential in the interactive report.
Who insures the people in 19111?
Of 66,283 residents in 19111, 32.9% hold employer-based coverage, 28.9% are covered by Medicaid, 12.0% by Medicare, 4.4% buy marketplace plans, and 10.9% are uninsured. Payer mix decides what a practice actually collects, so credential where the coverage is.
| Employer-based | 32.9% |
| Medicaid | 28.9% |
| Medicare | 12.0% |
| Marketplace | 4.4% |
| Uninsured | 10.9% |
How many therapists already practice in 19111?
The National Plan and Provider Enumeration System (NPPES) lists 131 behavioral health providers in 19111: 115 therapists, 11 psychologists, and 5 psychiatrists. That is 17.3 therapists per 10,000 residents, which reads as saturated supply for a market this size.
What does Medicare pay for therapy in 19111?
Medicare's Physician Fee Schedule for the REST OF PENNSYLVANIA locality pays $158.53 for a 60-minute psychotherapy session (CPT code 90837), $108.08 for a 45-minute session (90834), and $164.33 for an initial diagnostic evaluation (90791).
| CPT code | Session type | Medicare rate |
|---|---|---|
| 90791 | Initial diagnostic evaluation | $164.33 |
| 90834 | 45-minute psychotherapy | $108.08 |
| 90837 | 60-minute psychotherapy | $158.53 |
| 90847 | Family therapy (patient present) | $105.01 |
| 90853 | Group psychotherapy | $28.81 |
Is 19111 a federal shortage area?
A Health Professional Shortage Area (HPSA) is a federal designation for areas with too few mental health providers. Practicing in one can qualify clinicians for a 10% Medicare bonus and loan repayment programs. A county-level designation exists in this county, but local provider density makes qualification at addresses in 19111 unlikely. Verify with HRSA if the incentives matter to your plan.
Nearby ZIPs that score higher
Go deeper on 19111
The interactive report adds carrier rankings, demographics, credential-adjusted rates, and a playbook for this market. And if the market looks good, Aria runs eligibility checks and billing follow-up for practices like the ones serving 19111.
Sources: U.S. Census Bureau American Community Survey (ACS) 2024 5-year estimates, the National Plan and Provider Enumeration System (NPPES) provider registry, Health Resources and Services Administration (HRSA) shortage designations, and the Centers for Medicare and Medicaid Services (CMS) Physician Fee Schedule. Last refreshed 2026-02-14T23:16:34.724Z.