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

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

Partners In Excellence Inc (NPI 1467598730)

Field	Value
Entity Type	Organization
Organization	Partners In Excellence Inc
Address	14301 Ewing Ave S
City	Burnsville
State	MN
ZIP	55306
Taxonomy	Cognitive & Behavioral Psychologist
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$61.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operation: there is no Medicare billing on file while reported Medicaid lifetime revenue is $61.3M, making the organization highly concentrated in a single public payer. That concentration creates exposure to Medicaid policy or rate changes because Medicare does not appear to be a revenue hedge for this entity.

Revenue is extremely concentrated in a few procedure lines: the precomputed top-3 Medicaid codes account for 74.0% of total Medicaid revenue, with 97153 alone representing $32.5M (53.1% of Medicaid revenue). This indicates the business is driven by a narrow set of services rather than a broad, balanced mix across many CPT/HCPCS codes.

The provider’s code mix and volumes point to an applied behavior analysis (ABA)-centered service model with a large technician workforce under clinical supervision. 97153 (485.4K claims, $67 avg paid/claim, $32.5M) is the dominant code and is described as technician-delivered adaptive behavior treatment; high volume of 97154 (104.2K claims, $12 avg paid/claim, $1.3M) and 97155 (104K claims, $53 avg paid/claim, $5.5M) further reflect a delivery model that pairs technician face-to-face hours with supervising qualified professionals.

State-level competitive positioning is pronounced for key ABA codes: the provider ranks #1 of 45 in the state for 97153 and is labeled an "extreme outlier" at the 100th percentile, and it also ranks #1 of 51 for 97155 (100th percentile, extreme outlier). These rankings indicate the provider is a dominant statewide player for technician-delivered adaptive behavior services and for supervised QHP-level ABA interventions.

97530 (therapeutic activity, 74.7K claims, $94 avg paid/claim, $7M, 11.5% of Medicaid revenue) is also an outsized contributor and ranks #5 of 262 in-state at the 98th percentile (characterized as an "extreme outlier"), suggesting significant volume in functional therapeutic services that complement the ABA work. Together with 92507 (speech therapy, 73.3K claims, $49 avg paid/claim, $3.6M), the mix indicates parallel investments in communication and functional therapy lines.

Non-ABA behavioral health codes also contribute meaningfully and suggest integrated care coordination beyond technician hours: H2014 (skills training and development, 29.5K claims, $196 avg paid/claim, $5.8M, 9.4% of Medicaid revenue) appears as a top-3 revenue driver and ranks in the 83th percentile, while H0032 (service plan development, 48.8K claims, $75 avg paid/claim, $3.7M, 6.0%) ranks #3 of 226 (99th percentile, extreme outlier). These volumes imply substantial non-physician care planning and skills-development activity.

Operational scale and tenure support the sizable reported volumes: the NPI was enumerated on 2007-01-30 (~19 years ago), consistent with an established provider that has built up long-term capacity. High absolute claim counts such as 485.4K claims for 97153 and tens of thousands of claims for several other codes corroborate a mature operation with sustained throughput.

Medicaid: Complete Services Breakdown

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

29 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…	485,420	$70	$32.5M
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.	74,730	$90	$7M
H2014	Skills training and development, per 15 minutes	29,530	$200	$5.8M
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…	104,010	$50	$5.5M
H0032	Mental health service plan development by non-physician	48,790	$80	$3.7M
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…	73,260	$50	$3.6M
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…	104,170	$10	$1.3M
0365T	Adaptive behavior tx addl	11,640	$60	$709.8K
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…	3,750	$120	$435.1K
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…	9,220	$30	$285.8K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Partners In Excellence Inc — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	154	190	2,820	$480	$4.2M
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…	1	50	6,550	$90	$3.1M
H2014	Skills training and development, per 15 minutes	32	190	6,230	$120	$2.2M
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…	1	50	1,140	$70	$720.1K
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…	5	110	1,880	$50	$564.6K
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…	1	10	3,810	$20	$529.3K
0365T	Adaptive behavior tx addl	2	10	8,500	$70	$477.1K
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.	5	260	890	$60	$405.3K
H0032	Mental health service plan development by non-physician	3	230	490	$80	$255.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	96	340	300	$100	$209.2K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Partners In Excellence Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kala Mcclellan	WI	Behavior Analyst	$0	$2.7M
Alexa Ronayne	MN	Speech-Language Pathologist	$61.3K	$0

Nearby Providers

Other providers in the same ZIP code as Partners In Excellence Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Handyhelpllc	MN	Community/Behavioral Health Agency	$0	$6.8M
River Ridge, LLC	MN	Addiction (Substance Use Disorder) Counselor	$0	$4.8M
Kelly Williams	MN	Dermatology Physician	$146.9K	$0
Michaela Bailly	MN	Occupational Therapist	$67K	$0
Nicole Gunasekera	MN	Dermatology Physician	$49.4K	$0
Joyanna Adams	MN	Physician Assistant	$39.9K	$0

Partners In Excellence Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References