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.

Brett Dinovi & Associates PA LLC (NPI 1225791346)

Field	Value
Entity Type	Organization
Organization	Brett Dinovi & Associates PA LLC
Address	3331 Street Rd Ste 430
City	Bensalem
State	PA
ZIP	19020
Taxonomy	Behavior Analyst
NPI Enumerated	October 15, 2021

Payer Source	Total Paid
Medicaid	$74.8M
Medicare	$0

Key Findings

BRETT DINOVI & ASSOCIATES PA LLC is effectively a single‑payer Medicaid provider: it reports no Medicare revenue on file and $74.8M in lifetime Medicaid revenue, indicating Medicaid is the dominant (sole reported) public payer for this entity. The NPI was enumerated on 2021-10-15 (~5 years ago), so this scale of Medicaid billing was achieved in a relatively short operational window.

Revenue is highly concentrated in three ABA procedure codes: the precomputed top three codes account for 97.2% of the provider's total Medicaid revenue. Specifically, 97153 contributes 71.1% of Medicaid revenue, 97155 contributes 18.5%, and 97151 contributes 7.6%, demonstrating that virtually all Medicaid dollars flow through a narrow set of adaptive behavior treatment and assessment services.

The code mix indicates an operation built around technician‑delivered applied behavior analysis (ABA) with clinician oversight. 97153 (117.6K claims, $452 avg paid/claim, $53.2M revenue) — technician face‑to‑face ABA — is the single largest revenue driver, implying a high-volume technician workforce and standardized per‑15‑minute billing.

Clinical oversight and assessment services are also material but secondary to technician delivery. 97155 (38.4K claims, $361 avg paid/claim, $13.9M revenue) represents clinician‑level modification and supervision of technician treatment, and 97151 (16.8K claims, $338 avg paid/claim, $5.7M revenue) represents assessment and care planning, together accounting for a meaningful share of the provider’s treatment pathway.

On statewide competitive standing for these ABA services the provider ranks as a major player: 97153 ranks #5 of 145 providers in‑state (97th percentile; labeled an "extreme outlier"), 97155 ranks #6 of 151 (97th percentile; "notably above typical state volume"), and 97151 ranks #5 of 122 (97th percentile; "notably above typical state volume"). These ranks indicate volumes far above typical in‑state peers for the same codes.

Smaller Medicaid services are present but represent a tiny share of revenue: 97152 generated $1.9M (2.6% of total Medicaid revenue) with 7.9K claims and $244 avg paid/claim and ranks #3 of 18 in‑state (88th percentile), while 97156 generated $163.6K (0.2% of total) with 794 claims and $206 avg paid/claim and ranks #42 of 101 (59th percentile). This suggests a focused service mix primarily centered on treatment sessions and core assessments rather than broader ancillary services.

The combination of very high claim volumes (e.g., 117.6K claims for 97153) and the per‑claim payment levels reported ($452 for 97153, $361 for 97155, $338 for 97151) indicates a business model that scales revenue through high-frequency, short‑interval billing (per 15‑minute units) typical of ABA therapy delivery. Operationally, this implies substantial scheduling, billing, and supervision capacity to sustain the reported revenues.

Because 97.2% of Medicaid revenue is concentrated in three ABA codes, the provider’s financial performance is sensitive to changes in state Medicaid policy, fee schedules, coverage rules for 15‑minute ABA units, or provider credentialing requirements; any reimbursement or regulatory changes affecting 97153, 97155, or 97151 would disproportionately impact overall revenue.

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…	117,650	$450	$53.2M
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…	38,440	$360	$13.9M
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…	16,800	$340	$5.7M
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…	7,890	$240	$1.9M
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…	790	$210	$163.6K

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

Brett Dinovi & Associates PA LLC — 3 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…	5	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…	6	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…	3	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…	5	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…	42	100	530	$120	$196.1K

Nearby Providers

Other providers in the same ZIP code as Brett Dinovi & Associates PA LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlantic Diagnostic Laboratories, LLC.	PA	Clinical Medical Laboratory	$1.5M	$87.1M
Bright Medical Technology Inc	PA	Community/Retail Pharmacy	$0	$47.4M
Dynamic Home Health Care, Inc	PA	Home Health Agency	$0	$25.9M
Brotherston Homecare, Inc.	PA	Durable Medical Equipment & Medical Supplies	$0	$16.4M
Warwick Family Based Program Inc	PA	Community/Behavioral Health Agency	$0	$14.7M
Preferred Home Health Care & Nursing Services Inc.	PA	Home Health Agency	$0	$14M
Livengrin Foundation, Inc.	PA	Community/Behavioral Health Agency	$0	$13.9M
Parkway Clinical Laboratories, Inc.	PA	Clinical Medical Laboratory	$270.9K	$7.6M
Contour Medical Supply Inc	PA	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Ic Laser Eye Care, P.C.	PA	Ophthalmology Physician	$0	$5.8M

Brett Dinovi & Associates PA LLC — Billing Profile & Reimbursement Data

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Brett Dinovi & Associates PA 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