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

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

Foundations Autism Center LLC (NPI 1255041992)

Field	Value
Entity Type	Organization
Organization	Foundations Autism Center LLC
Address	1908 Kruchten Ct S
City	Sartell
State	MN
ZIP	56377
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	December 5, 2022

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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…	25,890	$70	$1.9M
H0032	Mental health service plan development by non-physician	19,190	$90	$1.7M
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…	19,180	$60	$1.1M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Foundations Autism Center LLC — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

3 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…	12	50	6,550	$90	$3.1M
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…	10	50	1,140	$70	$720.1K
H0032	Mental health service plan development by non-physician	8	230	490	$80	$255.2K

Nearby Providers

Other providers in the same ZIP code as Foundations Autism Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Central Lakes, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$122.1M
Sleep Therapy	MN	Durable Medical Equipment & Medical Supplies	$0	$11.6M
Northway Academy, Inc.	MN	Community/Behavioral Health Agency	$0	$10.5M
Centracare Clinic	MN	Primary Care Clinic/Center	$0	$6.1M
Dale Reynolds	MN	Ophthalmology Physician	$5.6M	$0
Regional Diagnostic Radiology	MN	Diagnostic Radiology Physician	$0	$4.4M
Vamsi Gullapalli	MN	Ophthalmology Physician	$380.4K	$17.4K
Charles Cunningham	MN	Diagnostic Radiology Physician	$256.8K	$0
Barry Labine	MN	Dermatology Physician	$201.4K	$0
Mats Liden	MN	Diagnostic Radiology Physician	$172.4K	$0

Foundations Autism Center LLC — Billing Profile & Reimbursement Data

Sign up for Foundations Autism Center LLC — Billing Profile & Reimbursement Data policy alerts

Foundations Autism Center LLC — Billing Profile & Reimbursement Data

Sign up for Foundations Autism Center LLC — 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