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

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

The Center For Autism (NPI 1174129563)

Field	Value
Entity Type	Organization
Organization	The Center For Autism
Address	3905 Ford Rd Ste 6
City	Philadelphia
State	PA
ZIP	19131
Taxonomy	Mental Health Counselor
NPI Enumerated	December 10, 2020

Payer Source	Total Paid
Medicaid	$14.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,740	$4,510	$12.4M
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…	4,230	$400	$1.7M
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	940	$220	$210.3K
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…	300	$270	$80.7K
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…	220	$100	$20.5K
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…	80	$20	$1.8K
H2021	Community-based wrap-around services, per 15 minutes	24,620	$0	$0
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	62,860	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

The Center For Autism — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

8 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…	90	150	8,280	$220	$4.1M
97154	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	20	1,780	$210	$2.6M
H2021	Community-based wrap-around services, per 15 minutes	40	220	3,810	$100	$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…	134	150	2,770	$200	$1.4M
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	8	20	490	$270	$808.8K
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…	114	120	1,330	$180	$557.5K
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…	69	100	530	$120	$196.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7	240	130	$300	$139.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Center For Autism, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Center For Autism	PA	Mental Health Counselor	$0	$10.5M

Nearby Providers

Other providers in the same ZIP code as The Center For Autism, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yapa Apartment Living Program, Inc	PA	Community/Behavioral Health Agency	$0	$18.5M
Merakey Parkside Recovery	PA	Community/Behavioral Health Agency	$130.8K	$11.8M
Community Council	PA	Community/Behavioral Health Agency	$0	$7.8M
Easter Seals Of Southeastern Pennsylvania	PA	Speech-Language Pathologist	$0	$6M
Community Council For Mental Health And Mental Retardation I	PA	Community/Behavioral Health Agency	$0	$5.7M
Belmont Behavioral Hospital, LLC	PA	Psychiatric Hospital	$0	$5.5M
John Costello	PA	Clinical Cardiac Electrophysiology Physician	$313.1K	$0
Daniela Marinaro	PA	Orthopaedic Surgery Physician	$221.5K	$0
Bradley Bacik	PA	Clinical Cardiac Electrophysiology Physician	$188.5K	$600
Jeffrey Freeman	PA	Endocrinology, Diabetes & Metabolism Physician	$120.3K	$25K

The Center For Autism — Billing Profile & Reimbursement Data

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The Center For Autism — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References