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

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

Behavioral Connections (NPI 1194953182)

Field	Value
Entity Type	Organization
Organization	Behavioral Connections
Address	16 Sconticut Neck Rd # 206
City	Fairhaven
State	MA
ZIP	02719
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 29, 2009

Payer Source	Total Paid
Medicaid	$11M
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
H2019	Therapeutic behavioral services, per 15 minutes	15,770	$310	$5M
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…	9,110	$320	$2.9M
H0032	Mental health service plan development by non-physician	7,340	$150	$1.1M
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…	4,320	$230	$971.1K
H0031	Mental health assessment, by non-physician	4,250	$150	$616.7K
H2012	Behavioral health day treatment, per hour	2,420	$100	$248.7K
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…	2,590	$90	$232.9K
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…	1,090	$40	$42.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Behavioral Connections — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	77	290	3,680	$150	$2.9M
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…	13	150	1,270	$220	$845K
H2012	Behavioral health day treatment, per hour	30	110	840	$70	$575.6K
H0032	Mental health service plan development by non-physician	8	160	430	$180	$269.5K
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…	8	140	410	$210	$213.3K
H0031	Mental health assessment, by non-physician	19	250	380	$140	$200.8K
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…	8	110	310	$110	$88.6K
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…	4	20	270	$90	$72.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcoast Physicians Group, Inc.	MA	Family Medicine Physician	$0	$49.8M
Southcoast Visiting Nurse Association. Inc	MA	Home Health Agency	$0	$9.9M
Active Ma, Inc.	MA	Adult Day Care Clinic/Center	$0	$6.1M
Southcoast Visiting Nurse Association, Inc	MA	Community Based Hospice Care Agency	$0	$5.9M
Town Of Fairhaven	MA	Ambulance	$514K	$883.6K
Michael Crowe	MA	Podiatrist	$116.3K	$440.1K
Tina Parker-howayeck	MA	Optometrist	$28.5K	$467.2K
Walgreen Co	MA	Pharmacy	$240.3K	$0
Patrick Gagnon	MA	Radiation Oncology Physician	$217.9K	$0
Michael Barretti	MA	Critical Care Medicine (Internal Medicine) Physician	$121.5K	$0

Behavioral Connections — Billing Profile & Reimbursement Data

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Behavioral Connections — Billing Profile & Reimbursement Data

Sign up for Behavioral Connections — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References