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.

Bright Beginnings Therapeutic Services, LLC (NPI 1194212282)

Field	Value
Entity Type	Organization
Organization	Bright Beginnings Therapeutic Services, LLC
Address	1326 Chestnut St Fl 3
City	Philadelphia
State	PA
ZIP	19107
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 16, 2018

Payer Source	Total Paid
Medicaid	$46.8M
Medicare	$0

Key Findings

BRIGHT BEGINNINGS THERAPEUTIC SERVICES, LLC reports $46.8M in lifetime Medicaid revenue and no Medicare billing on file, making its business effectively single-payer (Medicaid) at the scale shown in the dataset. The absence of Medicare revenue means analyses of national Medicare competitiveness are not applicable for this entity.

Revenue is highly concentrated: the top three Medicaid billing codes (97153, 97155, 97151) together account for 97.5% of the provider’s total Medicaid revenue. This concentration indicates the organization’s economics are driven almost entirely by a narrow set of ABA-related service lines.

The code mix and descriptions point to a specialized applied behavior analysis (ABA) operation: 97153 represents technician-delivered adaptive behavior treatments supervised by a clinician, 97155 represents clinician-delivered ABA with protocol modification, and 97151 covers assessment, scoring, and plan-of-care development. These codes collectively imply a workflow that combines high-volume technician sessions, clinician oversight and adjustment, and formal assessment/reporting activities.

Volume and payment intensity underline operational scale: 97153 appears 140.2K claims at $228 avg paid/claim generating $32M revenue, 97155 appears 43.5K claims at $247 avg paid/claim generating $10.7M revenue, and 97151 appears 14.9K claims at $196 avg paid/claim generating $2.9M revenue. Those counts and average payments are consistent with a large technician workforce and substantial clinician capacity to supervise, assess, and create care plans.

Against in-state peers BRIGHT BEGINNINGS is a dominant outlier on its top ABA codes: 97153 ranks #3 of 145 providers in-state (99th percentile; extreme outlier) and 97155 ranks #4 of 151 providers in-state (98th percentile; extreme outlier), while 97151 ranks #6 of 122 providers in-state (96th percentile; notably above typical). These rank and percentile positions indicate the provider operates at a markedly higher volume for these services than nearly all other Pennsylvania providers.

Smaller but present supplementary services include caregiver training and family-focused sessions (97156: 6.9K claims, $112 avg paid/claim, $772.8K revenue, 1.7% of total Medicaid revenue) and non-physician mental health assessment (H0031: 2.6K claims, $148 avg paid/claim, $384.8K revenue, 0.8% of total Medicaid revenue). These secondary codes show the organization also bills for caregiver-directed services and basic behavioral health assessments, but they contribute a small share of overall revenue.

The extreme concentration in a small set of ABA codes creates operational and reimbursement sensitivity: with 97.5% of Medicaid revenue tied to 97153/97155/97151, changes in Medicaid coverage, rates, or prior authorization policies for these codes could materially affect revenue. Similarly, being effectively Medicaid-only amplifies payer-concentration exposure compared with diversified payer mixes.

The provider’s NPI was enumerated on 2018-04-16 (~8 years ago), indicating a relatively recent but established presence in the market; achieving $46.8M in Medicaid lifetime revenue and the reported high claim volumes within that time frame suggests rapid scale-up of ABA services since enumeration.

Medicaid: Complete Services Breakdown

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

5 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…	140,160	$230	$32M
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…	43,490	$250	$10.7M
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…	14,880	$200	$2.9M
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…	6,900	$110	$772.8K
H0031	Mental health assessment, by non-physician	2,600	$150	$384.8K

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

Bright Beginnings Therapeutic Services, LLC — 4 of 5 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

5 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…	3	150	8,280	$220	$4.1M
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…	4	150	2,770	$200	$1.4M
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…	6	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…	7	100	530	$120	$196.1K
H0031	Mental health assessment, by non-physician	2	110	220	$70	$31.7K

Nearby Providers

Other providers in the same ZIP code as Bright Beginnings Therapeutic Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Progressions	PA	Case Management Agency	$0	$50.8M
Thomas Jefferson University Hospitals Inc	PA	General Acute Care Hospital	$0	$40.3M
Jefferson University Physicians	PA	General Practice Physician	$0	$30.8M
The Pennsylvania Hospital Of The University Of Pennsylvania Health Sys	PA	General Acute Care Hospital	$0	$25.7M
Philadelphia Mental Health Clinic	PA	Clinic/Center	$0	$18.3M
Philadelphia Fight	PA	Federally Qualified Health Center (FQHC)	$0	$18.1M
Public Health Mangement Corporation	PA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Addiction Medicine And Health Advocates, Incorporated	PA	Methadone Clinic	$56.9K	$9.2M
Assessment & Treatment Alternatives	PA	Community/Behavioral Health Agency	$0	$9.1M
Nadia Darbouze	PA	Social Worker	$0	$9.1M

Bright Beginnings Therapeutic Services, LLC — Billing Profile & Reimbursement Data

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Bright Beginnings Therapeutic Services, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References