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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Prestige Aba Therapy Services, Inc (NPI 1407459233)

Field	Value
Entity Type	Organization
Organization	Prestige Aba Therapy Services, Inc
Address	855 Waterman Ave Ste D
City	East Providence
State	RI
ZIP	02914
Taxonomy	Behavior Analyst
NPI Enumerated	November 16, 2020

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	7,740	$310	$2.4M
H0046	Mental health services, not otherwise specified	8,190	$160	$1.3M
H2014	Skills training and development, per 15 minutes	1,250	$60	$71.4K
T1016	Case management, each 15 minutes	360	$60	$20.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Prestige Aba Therapy Services, Inc — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	21	90	510	$160	$975K
H0046	Mental health services, not otherwise specified	20	70	2,310	$70	$698K
H2014	Skills training and development, per 15 minutes	19	30	1,420	$90	$300.3K
T1016	Case management, each 15 minutes	95	180	400	$20	$230.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Side Clinical Laboratory, Inc.	RI	Clinical Medical Laboratory	$4.1M	$48.6M
Beacon Hospice, LLC	RI	Community Based Hospice Care Agency	$0	$47.2M
The Summit Management Group, LLC	RI	Home Health Agency	$0	$10.6M
Independence, LLC	RI	Durable Medical Equipment & Medical Supplies	$0	$8.1M
Access Healthcare, Inc.	RI	Home Health Agency	$0	$7.1M
Winslow Gardens	RI	Assisted Living Facility	$0	$4.9M
Coastline Emergency Medical Services, Inc	RI	Land Ambulance	$1.5M	$1.9M
Primary Medical Center And Walk-in LLC	RI	Family Medicine Physician	$0	$2.9M
Rhode Island Hospital	RI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
Sarah Guarascio	RI	Optometrist	$8.3K	$2M

Prestige Aba Therapy Services, Inc — Billing Profile & Reimbursement Data

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Prestige Aba Therapy 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