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

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

Learning Arts Corporation (NPI 1104051077)

Field	Value
Entity Type	Organization
Organization	Learning Arts Corporation
Address	6400 Tupelo Dr
City	Citrus Heights
State	CA
ZIP	95621
Taxonomy	Behavior Analyst
NPI Enumerated	May 21, 2009

Payer Source	Total Paid
Medicaid	$46.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	185,160	$150	$28M
H2012	Behavioral health day treatment, per hour	58,290	$160	$9.1M
H0032	Mental health service plan development by non-physician	50,040	$90	$4.4M
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…	14,810	$170	$2.5M
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…	7,680	$160	$1.2M
S5111	Home care training, family; per session	13,300	$50	$717.9K
H0046	Mental health services, not otherwise specified	3,780	$110	$408.6K
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…	1,670	$110	$182.2K
H0031	Mental health assessment, by non-physician	200	$140	$28K
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…	20	$130	$2.8K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Learning Arts Corporation — 4 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	13	660	4,750	$140	$3.1M
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…	14	90	2,960	$150	$2.6M
H0032	Mental health service plan development by non-physician	22	980	1,080	$160	$1.5M
H2012	Behavioral health day treatment, per hour	2	110	3,310	$160	$1.3M
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…	9	80	1,300	$150	$798.6K
H0046	Mental health services, not otherwise specified	41	140	1,570	$130	$598.9K
H0031	Mental health assessment, by non-physician	215	360	330	$180	$492.6K
H2014	Skills training and development, per 15 minutes	117	140	790	$120	$395.1K
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…	33	40	330	$220	$230.1K
S5111	Home care training, family; per session	10	270	650	$70	$190.1K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Learning Arts Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Kim	CA	Pain Medicine (Anesthesiology) Physician	$214.7K	$0
Gayatri Sarkar	CA	Endocrinology, Diabetes & Metabolism Physician	$171.4K	$0

Learning Arts Corporation — Billing Profile & Reimbursement Data

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Learning Arts Corporation — 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