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.

Aspire Autism, LLC (NPI 1174800239)

Field	Value
Entity Type	Organization
Organization	Aspire Autism, LLC
Address	14 Garden Ctr
City	Broomfield
State	CO
ZIP	80020
Taxonomy	Behavior Analyst
NPI Enumerated	November 3, 2011

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	6,060	$400	$2.4M
H0046	Mental health services, not otherwise specified	5,680	$120	$670K
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…	1,880	$200	$376.9K
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…	90	$140	$11.8K

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

Aspire Autism, LLC — 0 of 4 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

4 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…	41	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…	52	150	800	$210	$457.9K
H0046	Mental health services, not otherwise specified	8	60	1,380	$140	$397.2K
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…	12	30	70	$160	$23.9K

Nearby Providers

Other providers in the same ZIP code as Aspire Autism, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Angels Advocate Home Care, LLC	CO	In Home Supportive Care Agency	$0	$10.7M
Allay Home Care	CO	In Home Supportive Care Agency	$0	$10.6M
F.r.i.e.n.d.s. Of Broomfield, Inc	CO	Developmentally Disabled Services Day Training Agency	$0	$10M
1quality Life	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9M
Leslie Rose	CO	Rheumatology Physician	$663.4K	$0
Daniel Feldman	CO	Pain Medicine (Anesthesiology) Physician	$131.7K	$234K
Matthew Marrington	CO	Physical Medicine & Rehabilitation Physician	$352.6K	$0
Aaron Bubb	CO	Nurse Practitioner	$238.8K	$0
Christopher Smith	CO	Dermatology Physician	$233.4K	$0
Amanda Ferguson	CO	Family Nurse Practitioner	$139.2K	$0

Aspire Autism, LLC — Billing Profile & Reimbursement Data

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Aspire Autism, 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