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

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

Parenting Possibilities (NPI 1447694831)

Field	Value
Entity Type	Organization
Organization	Parenting Possibilities
Address	4058 W Shady Plum Way
City	South Jordan
State	UT
ZIP	84095
Taxonomy	Behavior Analyst
NPI Enumerated	April 29, 2013

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

Key Findings

This provider effectively operates as a single-payer Medicaid practice: there is no Medicare billing on file and total Medicaid lifetime revenue is $12.5M, indicating Medicaid is the primary (and only reported) revenue source. The absence of Medicare activity simplifies payer exposure but concentrates financial performance on state Medicaid policies and rates.

Revenue is highly concentrated in a small set of codes: the precomputed top three Medicaid codes account for 95.4% of the provider's total Medicaid revenue. The largest single code is 97153, which generates $8.6M (68.7% of Medicaid revenue), followed by 97155 at $2.6M (20.7%) and 0364T at $764.6K (6.1%), signaling reliance on a narrow set of service lines.

The code mix and descriptions indicate an applied behavior analysis (ABA) service model that is technician-heavy with supervisory/provider oversight: 97153 is technician-delivered adaptive behavior treatment billed per 15 minutes, 97155 captures provider-level adaptive behavior treatment with protocol modifications and supervision, and 0364T is behavior treatment. Together these codes show the practice’s operations center on repeated, time-based ABA sessions delivered primarily through technician face-to-face encounters supported by clinical oversight.

Despite 97153 being the dominant revenue driver, its in-state utilization is characterized as a typical, unremarkable volume for this code and the provider ranks #4 of 29 in-state (89th percentile). This combination — very large absolute revenue from 97153 but a peer-relative classification of typical volume — suggests the provider achieves scale through high claim counts (37.5K claims) rather than an unusually high per-claim rate.

97155 is the provider’s second major line, accounting for $2.6M and 17.8K claims, and ranks #3 of 29 in-state (93th percentile) while also being described as a typical, unremarkable volume for the code. That rank places the practice among the state’s higher-volume providers for clinician-directed ABA adjustments and supervision, indicating a meaningful supervisory role in its service mix.

H0032 (mental health service plan development) is a small portion of revenue ($153.2K, 1.2% of Medicaid revenue) but is a clear outlier in competitive standing: it ranks #1 of 10 in-state and is labeled notably above typical state volume. This suggests the provider does substantially more plan-development activity than most peers, which may reflect a specialized administrative capability or focused service offering beyond direct treatment sessions.

Operationally, the provider’s average paid amounts show that 97153 averages $229 per claim, 97155 averages $145 per claim, and 0364T averages $136 per claim, reinforcing that the practice is driven by high-volume, time-based billing units. The combination of large claim volumes (37.5K for 97153, 17.8K for 97155) with these per-claim reimbursements implies that margins and cash flow will be sensitive to per-unit reimbursement and utilization patterns.

With an NPI enumeration date of 2013-04-29 (~13 years ago), the provider has an established operating history in the market. Coupled with the concentration in a few high-volume ABA codes and top-tier in-state ranks for several codes, this tenure suggests a stable, mature ABA provider footprint in Utah but one that is materially exposed to state Medicaid policy or utilization shifts affecting its top codes.

Medicaid: Complete Services Breakdown

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

9 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…	37,520	$230	$8.6M
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…	17,830	$150	$2.6M
0364T	Behavior treatment	5,620	$140	$764.6K
0368T	Behavior treatment modified additional	2,440	$110	$265.6K
H0032	Mental health service plan development by non-physician	4,510	$30	$153.2K
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…	450	$230	$106.2K
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…	190	$100	$19.7K
0359T	Behavior identification assessment, by the physician or other qualified health care professional, face-to-face with patient and/or guardian(s)/caregiver(s), includes administration of standardized…	30	$450	$15.3K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	120	$80	$9.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Parenting Possibilities — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

9 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…	4	30	7,130	$260	$8.7M
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…	3	30	2,270	$140	$1.7M
0364T	Behavior treatment	6	10	5,310	$110	$855.5K
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…	6	10	340	$210	$437.7K
0368T	Behavior treatment modified additional	4	10	1,470	$90	$205K
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…	5	10	140	$60	$163.1K
H0032	Mental health service plan development by non-physician	1	10	250	$70	$51.4K
0359T	Behavior identification assessment, by the physician or other qualified health care professional, face-to-face with patient and/or guardian(s)/caregiver(s), includes administration of standardized…	3	10	30	$360	$42.4K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	11	20	120	$80	$35K

Nearby Providers

Other providers in the same ZIP code as Parenting Possibilities, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services Inc	UT	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$26.9M
Ihc Health Services Inc	UT	Home Health Agency	$0	$9.6M
Ihc Health Services Inc	UT	Community Based Hospice Care Agency	$0	$6.5M
Roselene Dalanhese	UT	Clinical Social Worker	$0	$3M
Physician Group Of Utah Inc	UT	Specialist	$0	$2.8M
See Healthcare, LLC	UT	Community Based Hospice Care Agency	$0	$2.1M
Prime Labs LLC	UT	Clinical Medical Laboratory	$1.7M	$385.3K
City Of South Jordan	UT	Land Ambulance	$258K	$1.6M
South Point Counseling Services, LLC	UT	Clinical Social Worker	$0	$1.8M

Parenting Possibilities — Billing Profile & Reimbursement Data

Sign up for Parenting Possibilities — Billing Profile & Reimbursement Data policy alerts

Parenting Possibilities — Billing Profile & Reimbursement Data

Sign up for Parenting Possibilities — 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