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

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

Oliver Behavioral Consultants LLC (NPI 1053639468)

Oliver Behavioral Consultants LLC is a behavior analyst provider located in Thornton, Colorado. This profile covers 0 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Oliver Behavioral Consultants LLC
Address	550 Thornton Pkwy # 234
City	Thornton
State	CO
ZIP	80229
Taxonomy	Behavior Analyst
NPI Enumerated	May 10, 2010

Payer Source	Total Paid
Medicaid	$16.6M
Medicare	$0

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

20 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…	21,100	$230	$4.8M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	34,460	$80	$2.7M
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…	10,940	$230	$2.5M
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…	39,660	$60	$2.3M
H0046	Mental health services, not otherwise specified	2,340	$670	$1.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	30,210	$40	$1.2M
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	9,090	$60	$527.1K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	4,550	$80	$350K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,320	$120	$287.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,410	$100	$233.7K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Oliver Behavioral Consultants LLC — 6 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

20 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…	9	150	2,450	$270	$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…	5	150	800	$210	$457.9K
H0046	Mental health services, not otherwise specified	21	60	1,380	$140	$397.2K
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…	14	310	1,750	$40	$319.9K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	7	40	790	$60	$306.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	330	1,670	550	$100	$229.3K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	15	40	180	$230	$227.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	12	680	1,160	$50	$223.5K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	3	70	670	$50	$132.8K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	38	40	180	$110	$109.7K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allegiance Home Care Inc	CO	In Home Supportive Care Agency	$0	$33.7M
A Better Life Experience Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$30.7M
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$30.6M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Rocky Mountain Youth Medical & Nursing Consultants Inc	CO	Pediatrics Physician	$0	$16.2M
Carepoint Emergency Medicine, PLLC	CO	Emergency Medicine Physician	$0	$7.6M
Physician's Choice Medical, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Thornton Youth Dentistry, PC	CO	General Practice Dentistry	$0	$7.1M
H.e.a.r.t Counseling Center, LLC	CO	Community/Behavioral Health Agency	$0	$5.4M
Thornton Youth Vision, LLC	CO	Optometrist	$0	$5M

Oliver Behavioral Consultants LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

References