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.

Strong Foundations (NPI 1164861928)

Field	Value
Entity Type	Organization
Organization	Strong Foundations
Address	550 Hartford Tpke
City	Vernon
State	CT
ZIP	06066
Taxonomy	Behavior Analyst
NPI Enumerated	June 14, 2013

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	10,330	$160	$1.7M
H0046	Mental health services, not otherwise specified	3,310	$90	$311K
0365T	Adaptive behavior tx addl	1,730	$130	$226.8K
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.	4,910	$40	$196.2K
0364T	Behavior treatment	1,750	$20	$36.7K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	1,590	$10	$15.9K
H2014	Skills training and development, per 15 minutes	150	$70	$10.6K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	350	$30	$9.3K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	30	$20	$690
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	30	$20	$650

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

Strong Foundations — 0 of 10 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

10 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…	8	50	2,690	$170	$869.8K
0365T	Adaptive behavior tx addl	7	20	1,280	$130	$242.3K
H0046	Mental health services, not otherwise specified	6	50	510	$150	$187K
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.	52	230	1,490	$30	$137.2K
H2014	Skills training and development, per 15 minutes	38	50	320	$110	$88.9K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	33	90	980	$20	$51.9K
0364T	Behavior treatment	7	20	1,290	$20	$35.7K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	17	20	90	$40	$25.5K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	10	20	40	$60	$13.9K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	3	10	350	$20	$9.6K

Nearby Providers

Other providers in the same ZIP code as Strong Foundations, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Rockville Hospital, Inc.	CT	General Acute Care Hospital	$0	$30M
Vcare Family Practice, LLC	CT	Multi-Specialty Clinic/Center	$0	$4.2M
Babar Khan	CT	General Practice Dentistry	$0	$3.8M
4 Your Peace Of Mind, LLC	CT	Home Health Agency	$0	$3.8M
Vernon Public Schools	CT	Local Education Agency (LEA)	$0	$3.5M
Hockanum Valley Community Council, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.1M
Town Of Vernon	CT	Land Ambulance	$339.8K	$1.8M
Prospect Echn Home Health, Inc.	CT	Home Health Agency	$0	$1.7M
Ctuc01	CT	Urgent Care Clinic/Center	$0	$1.7M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$1.3M

Strong Foundations — Billing Profile & Reimbursement Data

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Strong Foundations — 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