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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Progressive Option Support Services (NPI 1639634470)

Field	Value
Entity Type	Organization
Organization	Progressive Option Support Services
Address	221 River Street 9th Floor
City	Hoboken
State	NJ
ZIP	07030
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 6, 2019

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	26,370	$180	$4.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	14,760	$200	$2.9M
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…	8,500	$150	$1.2M
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…	2,060	$170	$348.8K
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…	2,330	$100	$235.2K
H2014	Skills training and development, per 15 minutes	70	$70	$5.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Progressive Option Support Services — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	42	390	2,500	$210	$1.6M
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	70	1,710	$190	$1M
H2014	Skills training and development, per 15 minutes	146	160	990	$120	$462.7K
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	60	410	$160	$302.6K
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…	4	20	340	$180	$192.5K
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…	3	30	380	$120	$100.2K

Nearby Providers

Other providers in the same ZIP code as Progressive Option Support Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Humc Opco LLC	NJ	General Acute Care Hospital	$0	$57.3M
New Jersey Medical And Health Associates,llc	NJ	Internal Medicine Physician	$0	$7.6M
Pdi Health LLC	NJ	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.7M	$385.8K
Pdi Health LLC	NJ	Mobile Radiology Clinic/Center	$375.8K	$107.9K
Jeremy Davis	NJ	Primary Care Nurse Practitioner	$282.9K	$0
Juliana Paternina	NJ	Foot & Ankle Surgery Podiatrist	$230.4K	$0
Mamatha Gowda	NJ	Diagnostic Radiology Physician	$92.8K	$28.6K
Latrice Akuamoah	NJ	Pain Medicine (Anesthesiology) Physician	$97.5K	$19.7K
Tyler Mollet	NJ	Family Nurse Practitioner	$113.1K	$0
Robert Strell	NJ	Physical Medicine & Rehabilitation Physician	$101.8K	$0

Progressive Option Support Services — Billing Profile & Reimbursement Data

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Progressive Option Support Services — 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