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

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

Easter Seals Southern California, Inc (NPI 1427394865)

Field	Value
Entity Type	Organization
Organization	Easter Seals Southern California, Inc
Address	2121 S Towne Centre Pl
City	Anaheim
State	CA
ZIP	92806
Taxonomy	Behavior Analyst
NPI Enumerated	December 12, 2012

Payer Source	Total Paid
Medicaid	$78.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	567,940	$60	$36.3M
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…	165,840	$110	$18.9M
90885	The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.	222,310	$60	$14M
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…	46,730	$110	$5.2M
H0031	Mental health assessment, by non-physician	1,480	$810	$1.2M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	39,080	$30	$977.1K
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…	67,330	$10	$538.7K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	4,420	$100	$433.2K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	10,860	$40	$423.7K
H2014	Skills training and development, per 15 minutes	6,500	$50	$325.1K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Easter Seals Southern California, Inc — 7 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	3	660	4,750	$140	$3.1M
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…	4	90	2,960	$150	$2.6M
90885	The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.	2	30	380	$90	$2M
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	3	10	3,370	$110	$909K
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…	3	80	1,300	$150	$798.6K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	457	570	14,830	$10	$531K
H0031	Mental health assessment, by non-physician	97	360	330	$180	$492.6K
H2014	Skills training and development, per 15 minutes	16	140	790	$120	$395.1K
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…	22	960	1,820	$50	$351.9K
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…	19	40	330	$220	$230.1K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Easter Seals Southern California, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Southern California, Inc	CA	Behavior Analyst	$0	$49.4M

Nearby Providers

Other providers in the same ZIP code as Easter Seals Southern California, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$28.8M
Filyn Corporation	CA	Land Ambulance	$3M	$8.2M
Viewpoint Ambulance, Inc.	CA	Land Ambulance	$1.2M	$1.5M
California Treatment Services, LLC	CA	Methadone Clinic	$280K	$1.2M
Reyna Chavez	CA	Mobile Radiology Clinic/Center	$1M	$116.3K
David Kruse	CA	Sports Medicine (Family Medicine) Physician	$442.6K	$0
Ann Marie Paragas	CA	Hospitalist Physician	$68.4K	$0

Easter Seals Southern California, Inc — Billing Profile & Reimbursement Data

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Easter Seals Southern California, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References