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

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

Behavior Analytic Services Of Connecticut, LLC (NPI 1154804201)

Field	Value
Entity Type	Organization
Organization	Behavior Analytic Services Of Connecticut, LLC
Address	36 N Prospect Street Ext
City	Ansonia
State	CT
ZIP	06401
Taxonomy	Behavior Analyst
NPI Enumerated	September 13, 2018

Payer Source	Total Paid
Medicaid	$2M
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…	10,540	$160	$1.7M
H0046	Mental health services, not otherwise specified	1,740	$150	$253.3K
H2014	Skills training and development, per 15 minutes	100	$40	$4.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Behavior Analytic Services Of Connecticut, LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut 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…	7	50	2,690	$170	$869.8K
H0046	Mental health services, not otherwise specified	10	50	510	$150	$187K
H2014	Skills training and development, per 15 minutes	43	50	320	$110	$88.9K

Nearby Providers

Other providers in the same ZIP code as Behavior Analytic Services Of Connecticut, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bhcare, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
Pediatric & Adolescent Healthcare, PC	CT	Pediatrics Physician	$0	$7.3M
Children's Medical Associates, P.C.	CT	Pediatrics Physician	$0	$2.9M
City Of Ansonia	CT	Ambulance	$163.2K	$1.7M
Ansonia Public School District, Ansonia Board Of Education	CT	Local Education Agency (LEA)	$0	$1.7M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$1.6M
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$217.2K	$235.4K
Michael Lipcan	CT	Gastroenterology Physician	$182.5K	$0
Luke Jeffries	CT	Foot & Ankle Surgery Podiatrist	$38.5K	$90.4K
Roman Spivak	CT	Pulmonary Disease Physician	$96K	$0

Behavior Analytic Services Of Connecticut, LLC — Billing Profile & Reimbursement Data

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Behavior Analytic Services Of Connecticut, 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

Nearby Providers

Frequently Asked Questions

References