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

Why is the Medicaid comparison limited to Missouri 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. Missouri (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 Education (NPI 1235394453)

Field	Value
Entity Type	Organization
Organization	The Center For Autism Education
Address	105 Sheriff Dierker Ct
City	O Fallon
State	MO
ZIP	63366
Taxonomy	Clinic/Center
NPI Enumerated	July 28, 2008

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	54,160	$200	$10.6M
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…	4,390	$150	$658K
0369T	Duodenal mucosal resurfacing, endoscopic	890	$140	$126.5K
0368T	Behavior treatment modified additional	850	$40	$36.4K
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…	20	$50	$810

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

The Center For Autism Education — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	28	170	18,890	$180	$5.4M
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…	20	70	2,030	$140	$460.6K
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…	34	30	370	$80	$64.3K
0369T	Duodenal mucosal resurfacing, endoscopic	4	10	590	$100	$63.9K
0368T	Behavior treatment modified additional	4	20	530	$40	$24.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Above & Beyond Home Care Services, Inc.	MO	In Home Supportive Care Agency	$0	$10.4M
Above All Home Care	MO	In Home Supportive Care Agency	$0	$6.9M
Additional Home Care Services, Inc.	MO	In Home Supportive Care Agency	$0	$3.5M
Chastity Aubuchon	MO	Family Nurse Practitioner	$139K	$0
Louis Gaefke	MO	Podiatrist	$119.8K	$0
Julie Stewart	MO	Foot & Ankle Surgery Podiatrist	$70.5K	$0
Raymond Ottomeyer	MO	Chiropractor	$57.5K	$8.3K
Cynthia Williams	MO	Professional Counselor	$55.3K	$0
Robert Goerss	MO	Corneal and Contact Management Optometrist	$33.9K	$0
Erin Huie	MO	Optometrist	$28.9K	$0

The Center For Autism Education — Billing Profile & Reimbursement Data

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The Center For Autism Education — 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