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.

Kids Who Count (NPI 1538646070)

Field	Value
Entity Type	Organization
Organization	Kids Who Count
Address	345 N State Road 198
City	Salem
State	UT
ZIP	84653
Taxonomy	Behavior Analyst
NPI Enumerated	July 27, 2018

Payer Source	Total Paid
Medicaid	$531.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 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…	4,200	$110	$466.4K
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…	1,250	$50	$65.2K

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

Kids Who Count — 0 of 2 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

2 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…	20	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…	19	30	2,270	$140	$1.7M

Nearby Providers

Other providers in the same ZIP code as Kids Who Count, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids Who Count	UT	Developmentally Disabled Services Day Training Agency	$0	$3.2M
Garry Miller	UT	Internal Medicine Physician	$202.2K	$660
Jackie Bringhurst	UT	Family Nurse Practitioner	$165K	$0
Troy Lunceford	UT	Internal Medicine Physician	$155.7K	$0
Tala'at Al-shuqairat	UT	Pulmonary Disease Physician	$147.9K	$2.4K
Reed Garza	UT	Dermatology Physician	$141.4K	$1.6K
Jarrett Hammer	UT	Family Medicine Physician	$53.4K	$31.8K
Christopher Gessel	UT	Family Nurse Practitioner	$79K	$0
Alan Erdmann	UT	Gastroenterology Physician	$69.9K	$5.7K
Jerry Hadlock	UT	Certified Registered Nurse Anesthetist	$72K	$0

Kids Who Count — Billing Profile & Reimbursement Data

Sign up for Kids Who Count — Billing Profile & Reimbursement Data policy alerts

Kids Who Count — Billing Profile & Reimbursement Data

Sign up for Kids Who Count — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References