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

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

Florida Autism Center (NPI 1639320203)

Field	Value
Entity Type	Organization
Organization	Florida Autism Center
Address	791 Rinehart Rd
City	Lake Mary
State	FL
ZIP	32746
Taxonomy	Behavior Analyst
NPI Enumerated	October 1, 2008

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	41,360	$140	$5.7M
H2014	Skills training and development, per 15 minutes	33,530	$50	$1.8M
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…	6,950	$110	$736.9K
H2019	Therapeutic behavioral services, per 15 minutes	2,930	$100	$278.4K
H2012	Behavioral health day treatment, per hour	750	$90	$65.9K
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…	710	$40	$25.6K
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…	250	$100	$24.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Florida Autism Center — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	14	360	3,270	$140	$1.1M
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…	3	180	750	$140	$579.6K
H2019	Therapeutic behavioral services, per 15 minutes	603	1,880	1,010	$70	$544.5K
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…	8	630	440	$140	$146K
H2012	Behavioral health day treatment, per hour	60	180	450	$90	$123.7K
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…	105	400	260	$110	$67.2K
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…	12	90	40	$190	$36.2K

Nearby Providers

Other providers in the same ZIP code as Florida Autism Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Assured Services Inc.	FL	Durable Medical Equipment & Medical Supplies	$14.5M	$20.2M
Wpi Acquisition Corp.	FL	Durable Medical Equipment & Medical Supplies	$0	$33.5M
Cap Diagnostics LLC	FL	Clinical Medical Laboratory	$20M	$643.3K
Trumpet Behavioral Health, LLC	FL	Behavior Analyst	$0	$7.7M
Thomas Barnard	FL	Ophthalmology Physician	$4.5M	$6.5K
Filutowski Eye Institute PA	FL	Ambulatory Surgical Clinic/Center	$894.5K	$25.6K
Michael Burton	FL	Plastic and Reconstructive Surgery Physician	$585K	$0
Maha Ansara	FL	Endocrinology, Diabetes & Metabolism Physician	$518.8K	$0
Muhammad Chughtai	FL	Infectious Disease Physician	$518.2K	$0
Lake Mary Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$502.6K	$0

Florida Autism Center — Billing Profile & Reimbursement Data

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Florida Autism Center — 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