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

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

Global Behavior Education Alliance, Inc. (NPI 1306355516)

Global Behavior Education Alliance, Inc. is a behavior analyst provider located in Highlands Ranch, Colorado. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Global Behavior Education Alliance, Inc.
Address	5475 Knoll Pl
City	Highlands Ranch
State	CO
ZIP	80130
Taxonomy	Behavior Analyst
NPI Enumerated	September 20, 2017

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

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

15 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…	45,210	$210	$9.6M
H2019	Therapeutic behavioral services, per 15 minutes	23,620	$150	$3.5M
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…	13,850	$120	$1.7M
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…	1,330	$200	$265.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2,300	$70	$151.9K
H0032	Mental health service plan development by non-physician	290	$110	$32.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	470	$40	$20.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	80	$50	$4.4K
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…	130	$30	$4.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	40	$70	$2.7K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Global Behavior Education Alliance, Inc. — 4 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

15 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…	2	150	2,450	$270	$1.5M
H2019	Therapeutic behavioral services, per 15 minutes	5	100	1,090	$90	$600.8K
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	150	800	$210	$457.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	211	310	1,750	$40	$319.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	236	680	1,160	$50	$223.5K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	20	20	150	$310	$161.8K
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…	39	50	140	$160	$130.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	554	630	830	$30	$102.9K
H0032	Mental health service plan development by non-physician	63	180	120	$40	$61.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	331	510	80	$130	$55.8K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Wang	CO	Vascular & Interventional Radiology Physician	$532.9K	$810
Tyler Ready	CO	Physical Therapist	$190K	$0
Aditi Gulabani	CO	Diagnostic Radiology Physician	$84.4K	$37.3K
Sameer Bisarya	CO	Nephrology Physician	$105.3K	$0
Teresa Affrunti	CO	Family Nurse Practitioner	$78.2K	$0
Elizabeth Spencer	CO	Vascular & Interventional Radiology Physician	$76.3K	$0
Kristen Whitted	CO	Family Nurse Practitioner	$60K	$0
Austin Brown	CO	Foot & Ankle Surgery Podiatrist	$42.9K	$0
Kari Wedell	CO	Nurse Practitioner	$37.2K	$0
Sorina Simion-rodgers	CO	Psychiatry Physician	$19.7K	$0

Global Behavior Education Alliance, Inc. — Billing Profile & Reimbursement Data

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Global Behavior Education Alliance, 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

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