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

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

Cornerstone Autism Center (NPI 1447562434)

Field	Value
Entity Type	Organization
Organization	Cornerstone Autism Center
Address	360 Polk St.
City	Greenwood
State	IN
ZIP	46143
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	July 8, 2010

Payer Source	Total Paid
Medicaid	$30.4M
Medicare	$0

Key Findings

CORNERSTONE AUTISM CENTER is effectively a single-payer Medicaid provider with no Medicare billing on file and $30.4M in lifetime Medicaid revenue, indicating its operations are focused on pediatric and developmental services reimbursed through state Medicaid programs rather than Medicare populations.

Revenue is highly concentrated in a small set of procedure codes: the top three Medicaid codes (97153, 96152, 97155) together account for 93.6% of the provider’s total Medicaid revenue, signaling dependency on a narrow set of services for the majority of cash flow.

97153 is the largest single revenue driver with $19.7M (64.7% of Medicaid revenue) across 72.7K claims; the code description and volume indicate a technician-delivered adaptive behavior treatment model supervised by qualified clinicians, implying the organization relies heavily on technician labor to deliver services.

96152 contributes $6.1M (19.9% of Medicaid revenue) from 29.6K claims and ranks #2 of 43 providers in-state (98th percentile); this code’s unusually high statewide rank and the characterization “notably above typical state volume” suggest the center is a major in-state provider of the associated assessment or testing service.

97155 accounts for $2.7M (8.9% of Medicaid revenue) from 46.9K claims and ranks #3 of 84 providers in-state (98th percentile); its description (clinician-delivered adaptive behavior treatment with protocol modification and technician training) plus the high claim count indicates substantial clinician-to-technician supervisory activity and frequent short-interval service reporting.

Several ancillary codes (96151, 92507, 97151, 97156) appear at much smaller revenue slices but show notable in-state standings: 96151 ranks #1 of 15 providers (100th percentile) and 97156 ranks #4 of 42 (93rd percentile), which indicates the center also captures a leading share of certain assessment and caregiver-training services despite their smaller revenue contribution.

Competitive standing within Indiana is mixed: for its three revenue-driving codes the provider ranks in high percentiles (96th–100th for listed codes), positioning it as a top-tier state provider for core autism/behavioral services, while several lower-revenue codes show typical or unremarkable statewide volume, indicating focused strength rather than broad service dominance.

The NPI was enumerated on 2010-07-08 (~16 years ago), indicating long-tenured participation in Medicaid markets which may support established referral relationships and operational experience in delivering ABA and related developmental services.

Medicaid: Complete Services Breakdown

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

11 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…	72,700	$270	$19.7M
96152	N/A	29,570	$210	$6.1M
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…	46,910	$60	$2.7M
96151	N/A	30,660	$40	$1.3M
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…	6,410	$50	$288.5K
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…	2,710	$80	$208.9K
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…	2,460	$40	$93.4K
0373T	Two or more technicians, under the direction of an on–site physician or other qualified healthcare professional, administer adaptive behavior treatment with modifications in protocol for a patient…	170	$310	$52.4K
96155	N/A	860	$30	$27.5K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	240	$60	$14.2K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Cornerstone Autism Center — 4 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

11 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…	5	100	3,740	$430	$7.7M
96152	N/A	2	40	720	$200	$1.1M
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…	3	80	1,360	$150	$1M
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…	142	390	3,600	$50	$511.6K
96151	N/A	1	20	1,080	$70	$361.8K
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…	5	30	520	$140	$135.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	30	50	80	$70	$70.1K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	8	10	850	$50	$64.9K
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…	4	40	210	$70	$57.8K
0373T	Two or more technicians, under the direction of an on–site physician or other qualified healthcare professional, administer adaptive behavior treatment with modifications in protocol for a patient…	1	10	170	$310	$52.4K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lincare Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$16.1M
Valle Vista LLC	IN	Methadone Clinic	$75.6K	$14.6M
Mid America Professional Group, PC	IN	Dentist	$0	$10.5M
St. Francis Medical Group, LLC	IN	Internal Medicine Physician	$0	$9.9M
Indiana University Health Urgent Care Centers, LLC.	IN	Urgent Care Clinic/Center	$0	$5.9M
Valle Vista LLC	IN	Mental Health Counselor	$0	$4.5M
Fiorenza Dental Group, LLC	IN	Dentist	$0	$3.8M
Mark Ellis	IN	Pediatric Dentistry	$0	$3.7M
Valle Vista, LLC	IN	Psychiatric Hospital	$0	$3M
Ddeutsch Homecare , Inc.	IN	In Home Supportive Care Agency	$0	$2.7M

Cornerstone Autism Center — Billing Profile & Reimbursement Data

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

Cornerstone Autism Center — Billing Profile & Reimbursement Data

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

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References