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

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

Kaleidoscope Family Solutions Aba Inc. (NPI 1609348820)

Field	Value
Entity Type	Organization
Organization	Kaleidoscope Family Solutions Aba Inc.
Address	950 E Haverford Rd Ste 100a
City	Bryn Mawr
State	PA
ZIP	19010
Taxonomy	Behavior Analyst
NPI Enumerated	December 28, 2018

Payer Source	Total Paid
Medicaid	$9.8M
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…	30,680	$230	$7.1M
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…	14,460	$120	$1.8M
H0032	Mental health service plan development by non-physician	3,270	$80	$251.9K
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…	2,050	$120	$251.8K
H0046	Mental health services, not otherwise specified	1,010	$140	$140.9K
H2019	Therapeutic behavioral services, per 15 minutes	970	$100	$93.3K
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…	990	$50	$52.7K
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…	1,470	$20	$30.8K
H2014	Skills training and development, per 15 minutes	520	$60	$30.1K
H0031	Mental health assessment, by non-physician	170	$110	$18.4K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Kaleidoscope Family Solutions Aba Inc. — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania 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…	23	150	8,280	$220	$4.1M
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…	13	20	1,780	$210	$2.6M
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…	18	150	2,770	$200	$1.4M
H0032	Mental health service plan development by non-physician	97	210	3,020	$130	$1.3M
H2014	Skills training and development, per 15 minutes	6	20	370	$140	$1M
H0046	Mental health services, not otherwise specified	92	170	1,200	$130	$909.6K
H2019	Therapeutic behavioral services, per 15 minutes	141	180	3,510	$80	$685K
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…	50	120	1,330	$180	$557.5K
97158	The provider administers adaptive behavior treatment to multiple patients in a social skills group. Report this code for each 15 minutes that the provider spends face–to–face with multiple patients…	8	10	280	$230	$456.1K
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…	39	100	530	$120	$196.1K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Kaleidoscope Family Solutions Aba Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaleidoscope Family Solutions, Inc.	PA	Community/Behavioral Health Agency	$0	$78.3M
Resources For Human Development, Inc.	PA	Community/Behavioral Health Agency	$0	$30.7M
Sameer Gupta	PA	Hematology & Oncology Physician	$2.9M	$0
Donald Miller	PA	Rheumatology Physician	$2.2M	$0
John Devlin	PA	Hematology & Oncology Physician	$2M	$0
Bmmsa Heart & Vascular Center Of The Main Line	PA	Ambulatory Surgical Clinic/Center	$1.9M	$0
Stephanie Flagg	PA	Rheumatology Physician	$1.6M	$0
Academic Urology Of PA, LLC	PA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Sean Curran	PA	Cardiovascular Disease Physician	$1.4M	$0
Bryn Mawr Surgery Center LLC	PA	Ambulatory Surgical Clinic/Center	$1.3M	$0

Kaleidoscope Family Solutions Aba Inc. — Billing Profile & Reimbursement Data

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Kaleidoscope Family Solutions Aba Inc. — 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