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

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

Behavior Train (NPI 1528437050)

Field	Value
Entity Type	Organization
Organization	Behavior Train
Address	628 Commercial Pkwy Ste 2
City	West Monroe
State	LA
ZIP	71292
Taxonomy	Behavior Analyst
NPI Enumerated	September 15, 2015

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

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…	64,460	$80	$5.2M
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…	21,210	$60	$1.3M
0365T	Adaptive behavior tx addl	7,130	$60	$456K
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…	2,880	$30	$95K
0364T	Behavior treatment	6,060	$10	$84.9K
0369T	Duodenal mucosal resurfacing, endoscopic	1,330	$40	$53.3K
0368T	Behavior treatment modified additional	1,370	$20	$32.8K
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…	120	$90	$10.2K
97157	The provider discusses multiple patients’ adaptive behavior treatment face–to–face with a group of guardians or caregivers, without the respective patients being present. Report this code for each 15…	210	$10	$2.8K
0371T	Non-invasive calculation and analysis of central arterial pressure waveforms with interpretation and report	20	$30	$510

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Behavior Train — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana 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…	3	60	5,170	$110	$1.4M
0365T	Adaptive behavior tx addl	4	30	1,840	$100	$361.3K
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…	4	60	1,720	$50	$318K
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	30	90	$20	$94.8K
0364T	Behavior treatment	5	30	1,770	$10	$49K
0369T	Duodenal mucosal resurfacing, endoscopic	7	30	440	$40	$46.5K
0368T	Behavior treatment modified additional	11	30	460	$30	$43K
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	10	120	$100	$38.5K
0371T	Non-invasive calculation and analysis of central arterial pressure waveforms with interpretation and report	4	10	80	$20	$4K
97157	The provider discusses multiple patients’ adaptive behavior treatment face–to–face with a group of guardians or caregivers, without the respective patients being present. Report this code for each 15…	3	10	210	$20	$3.7K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthcare Warehouse LLC	LA	Durable Medical Equipment & Medical Supplies	$0	$20.8M

Behavior Train — Billing Profile & Reimbursement Data

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Behavior Train — 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