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.

Aba Grateful Care In (NPI 1043971294)

Field	Value
Entity Type	Organization
Organization	Aba Grateful Care In
Address	11807 Allisonville Rd #522
City	Fishers
State	IN
ZIP	46038
Taxonomy	Behavior Analyst
NPI Enumerated	January 9, 2022

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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…	2,510	$790	$2M
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…	830	$570	$472.8K
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…	820	$270	$225.5K

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

Aba Grateful Care In — 0 of 3 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

3 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…	59	100	3,740	$430	$7.7M
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…	49	80	1,360	$150	$1M
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…	10	30	520	$140	$135.1K

Nearby Providers

Other providers in the same ZIP code as Aba Grateful Care In, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana Oral & Maxillofacial Surgery Associates PC	IN	Oral and Maxillofacial Surgery (Dentist)	$0	$12.9M
Fishers Pediatric Dentistry	IN	Pediatric Dentistry	$0	$12.5M
City Of Fishers	IN	Ambulance	$454.4K	$1M
Marwan Mustaklem	IN	Internal Medicine Physician	$480.3K	$0
Erik Barrett	IN	Ophthalmology Physician	$388.4K	$0
Randall Franiak	IN	Pain Medicine (Anesthesiology) Physician	$263.5K	$0
Meredith Langhorst	IN	Pain Medicine Physician	$95.9K	$0
Margaret Black	IN	Clinical Social Worker	$64K	$0
Erica Fisk	IN	Orthopaedic Foot and Ankle Surgery Physician	$57.5K	$0
Katherine Brandolini	IN	Physical Therapist	$39.6K	$0

Aba Grateful Care In — Billing Profile & Reimbursement Data

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Aba Grateful Care In — 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