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

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

Stepping Stones Behavioral Solutions LLC (NPI 1033663430)

Field	Value
Entity Type	Organization
Organization	Stepping Stones Behavioral Solutions LLC
Address	7405 Westfield Blvd
City	Indianapolis
State	IN
ZIP	46240
Taxonomy	Behavior Analyst
NPI Enumerated	August 15, 2016

Payer Source	Total Paid
Medicaid	$46.5M
Medicare	$0

Key Findings

STEPPING STONES BEHAVIORAL SOLUTIONS LLC appears to operate primarily as an applied behavior analysis (ABA) services provider based on its code mix: the top revenue drivers are 97153 (technician-delivered ABA services), 97155 (provider-delivered ABA with protocol modification), and 97151 (initial assessment and care planning). The code descriptions indicate a service model that relies heavily on technician face-to-face treatment administered under clinician supervision, supplemented by clinician-led assessments and supervisory sessions. This suggests operational emphasis on high-volume, technician-delivered direct therapy with supervisory oversight.

Medicaid revenue for this provider is concentrated: the top three Medicaid codes account for 99.1% of total Medicaid revenue, with 97153 alone generating $38.8M (83.4% of Medicaid revenue) and 97155 contributing $7M (15.0%). Those two codes together drive the overwhelming majority of the $46.5M in lifetime Medicaid revenue, indicating heavy dependence on unit-based ABA therapy reimbursement.

The provider effectively functions as a single-payer entity from the available data: there is no Medicare billing on file while Medicaid lifetime revenue is $46.5M. This payer mix implies that the entity’s business and reimbursement risk is concentrated with Medicaid programs rather than Medicare, so changes in state Medicaid policy or rates could materially affect revenue.

Competitive standing within Indiana for the highest-volume codes is modest-to-strong but not dominant: the provider ranks #10 of 96 for 97153 (91st percentile) and #11 of 84 for 97155 (88th percentile), which places it above most in-state peers for these technician and provider ABA services but not as a top outlier. For 97151 the provider ranks #13 of 30 (59th percentile), indicating typical in-state volume for initial assessments relative to other ABA clinicians.

Service delivery mix and reimbursement profile point to an operational model that scales volume through technician-delivered encounters: 47K claims of 97153 at an average paid/claim of $825 produce $38.8M, while 12.3K claims of 97155 at $565 avg paid/claim produce $7M. The disparity in claim counts and average payment per unit suggests primary revenue generation comes from high-frequency, shorter-interval technician sessions with fewer, lower-volume but higher-skill provider interventions.

Tenure is long enough to establish an operational footprint: the NPI was enumerated on 2016-08-15 (approximately 10 years ago), which aligns with the accumulation of $46.5M in Medicaid revenue and the substantial claim volumes reported for core ABA codes. This duration supports that the reported patterns reflect an established practice rather than a transient billing spike.

Several secondary codes show typical or low activity, reinforcing the focused service mix: 97151 (597 claims, $346.9K revenue) and 97156 (1K claims, $175.4K revenue) represent modest clinician assessment and caregiver-training revenue relative to technician-delivered therapy, and codes such as 96152, 96155, 92507, and H0004 register small dollar impact or zero reported paid/claim amounts. These peripheral patterns are consistent with a provider primarily delivering billed ABA treatment sessions rather than a broad multi-disciplinary practice.

Given the 99.1% revenue concentration in the top three Medicaid codes, the provider has limited revenue diversification across procedure types; business planning and any payer contracting strategy should account for exposure to policy, code-level reimbursement changes, or audit focus on 97153 and 97155. The in-state percentile ranks indicate the provider is a significant regional participant for technician and provider ABA services, but not an extreme or atypical outlier in volume compared with peers.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	46,980	$830	$38.8M
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…	12,310	$570	$7M
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…	600	$580	$346.9K
96152	N/A	1,490	$160	$242.4K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1,030	$170	$175.4K
96155	N/A	50	$80	$3.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	40	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	380	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Stepping Stones Behavioral Solutions LLC — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	10	100	3,740	$430	$7.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	58	70	3,960	$130	$1.9M
96152	N/A	20	40	720	$200	$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…	11	80	1,360	$150	$1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	382	390	3,600	$50	$511.6K
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…	13	30	520	$140	$135.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	10	40	210	$70	$57.8K
96155	N/A	6	10	230	$40	$24.8K

Nearby Providers

Other providers in the same ZIP code as Stepping Stones Behavioral Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana Mentor	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$62.5M
Nora Urgent Care LLC	IN	Urgent Care Clinic/Center	$0	$11.4M
Home Care Network, Inc.	IN	Home Health Agency	$0	$6.8M
Rhm Services, LLC	IN	In Home Supportive Care Agency	$0	$5.3M
Applaud Autism Services In LLC	IN	Behavior Analyst	$0	$4M
Proactive Clinical Partners	IN	Gerontology Nurse Practitioner	$0	$3.2M
M.s.d. Of Washington Township	IN	Local Education Agency (LEA)	$0	$2.8M
Blue Aba Indiana LLC	IN	Community/Behavioral Health Agency	$0	$2.6M
Neurotech, LLC	IN	Physiological Laboratory	$105.8K	$1.5M
Ibrar Paracha	IN	Hospitalist Physician	$305K	$0

Stepping Stones Behavioral Solutions LLC — Billing Profile & Reimbursement Data

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Stepping Stones Behavioral Solutions LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References