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.

Beacon Aba Services, Inc. (NPI 1235449661)

Field	Value
Entity Type	Organization
Organization	Beacon Aba Services, Inc.
Address	300 E Main St
City	Milford
State	MA
ZIP	01757
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 19, 2010

Payer Source	Total Paid
Medicaid	$40M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	113,290	$130	$14.5M
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…	73,960	$150	$11.3M
H0031	Mental health assessment, by non-physician	36,970	$130	$4.7M
H0032	Mental health service plan development by non-physician	18,930	$160	$3M
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…	14,250	$190	$2.7M
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…	9,510	$110	$998.4K
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…	4,050	$170	$692.5K
H2012	Behavioral health day treatment, per hour	3,950	$150	$596K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	1,170	$380	$440.4K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	1,110	$330	$362.6K

Showing 1–10 of 17

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

Beacon Aba Services, Inc. — 11 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	11	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…	1	150	1,270	$220	$845K
H2012	Behavioral health day treatment, per hour	23	110	840	$70	$575.6K
H0032	Mental health service plan development by non-physician	1	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…	1	140	410	$210	$213.3K
H0031	Mental health assessment, by non-physician	1	250	380	$140	$200.8K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	2	30	110	$380	$118.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	78	600	90	$110	$106.8K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	4	40	60	$350	$104.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	111	240	210	$90	$101.2K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Beacon Aba Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Criterion Child Enrichment, Inc.	MA	Early Intervention Provider Agency	$0	$59.7M
Umass Memorial Health-milford Regional Medical Center Inc	MA	General Acute Care Hospital	$0	$48.5M
Salmon Home Care, LLC	MA	Community Based Hospice Care Agency	$0	$9.9M
Pediatric Dental Group, Inc	MA	Pediatric Dentistry	$0	$7.1M
Cheshire Adult Day Care Inc	MA	Adult Day Care Clinic/Center	$0	$6M
Brigham & Women's Physicians Organization Inc	MA	Radiation Oncology Clinic/Center	$2.7M	$760
Milford-franklin Eye Center, LLC	MA	Ambulatory Surgical Clinic/Center	$1.2M	$71.9K
Roger Kaldawy	MA	Ophthalmology Physician	$940.4K	$2.8K
Xiangyang Li	MA	Psychiatry Physician	$169.1K	$606.3K
Imgen Diagnostics, Inc.	MA	Clinical Medical Laboratory	$486K	$77.8K

Beacon Aba Services, Inc. — Billing Profile & Reimbursement Data

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Beacon Aba Services, Inc. — 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