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

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

Autism Spectrum Therapies, LLC (NPI 1609194000)

Field	Value
Entity Type	Organization
Organization	Autism Spectrum Therapies, LLC
Address	2550 N Hollywood Way Ste 301
City	Burbank
State	CA
ZIP	91505
Taxonomy	Behavior Analyst
NPI Enumerated	May 10, 2010

Payer Source	Total Paid
Medicaid	$81.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 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…	227,930	$180	$41.5M
H2019	Therapeutic behavioral services, per 15 minutes	158,440	$120	$19.6M
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…	44,830	$190	$8.5M
H0031	Mental health assessment, by non-physician	26,720	$130	$3.6M
H0032	Mental health service plan development by non-physician	19,350	$120	$2.3M
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…	4,370	$240	$1M
0365T	Adaptive behavior tx addl	6,560	$160	$1M
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…	10,420	$80	$802.3K
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	3,520	$210	$740K
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…	4,710	$140	$650.5K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Autism Spectrum Therapies, LLC — 7 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	17	20	13,390	$320	$5M
H2019	Therapeutic behavioral services, per 15 minutes	14	660	4,750	$140	$3.1M
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…	2	90	2,960	$150	$2.6M
H0032	Mental health service plan development by non-physician	71	980	1,080	$160	$1.5M
H2012	Behavioral health day treatment, per hour	107	110	3,310	$160	$1.3M
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…	2	10	3,370	$110	$909K
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	80	1,300	$150	$798.6K
H0046	Mental health services, not otherwise specified	44	140	1,570	$130	$598.9K
H0031	Mental health assessment, by non-physician	6	360	330	$180	$492.6K
H2014	Skills training and development, per 15 minutes	29	140	790	$120	$395.1K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Autism Spectrum Therapies, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Autism Learning Partners, LLC	CA	Behavior Analyst	$0	$112.7M
Jodie Lotti	MA	Behavior Analyst	$0	$31.3M
Autism Intervention Specialists	MA	Behavior Analyst	$0	$13.4M
Katharine Tackaberry	WI	Behavior Analyst	$0	$5.8M
Janice Scholz	WI	Behavior Analyst	$0	$5.7M
Katherine Gleason	WI	Behavior Analyst	$0	$3M
Linda Klotz	WI	Behavior Analyst	$0	$2.9M
Brittany Schumacher	WI	Behavior Analyst	$0	$2.8M
Karen Konop	WI	Behavior Analyst	$0	$2.7M
Erin Junemann	WI	Behavior Analyst	$0	$2.4M

Nearby Providers

Other providers in the same ZIP code as Autism Spectrum Therapies, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Burbank Adhc Inc.	CA	Adult Day Care Clinic/Center	$0	$33M
Mayur Patel	CA	Pulmonary Disease Physician	$817.1K	$306.3K
Armen Kassabian	CA	Urology Physician	$1M	$10.9K
Alameda Surgery Center LLC	CA	Clinic/Center	$849.1K	$0
Shahan Yacoubian	CA	Adult Reconstructive Orthopaedic Surgery Physician	$769.2K	$0
Edwin Jacobs	CA	Hematology & Oncology Physician	$654.4K	$0
Kanwarpal Kahlon	CA	Hematology & Oncology Physician	$546.9K	$0
Manjunath Vadmal	CA	Dermatology Physician	$540.6K	$0
Raffi-jean Mesrobian	CA	Otolaryngology/Facial Plastic Surgery Physician	$395.4K	$81.7K
Stephan Yacoubian	CA	Sports Medicine (Orthopaedic Surgery) Physician	$464.4K	$0

Autism Spectrum Therapies, LLC — Billing Profile & Reimbursement Data

Sign up for Autism Spectrum Therapies, LLC — Billing Profile & Reimbursement Data policy alerts

Autism Spectrum Therapies, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References