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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Solutions Positive Behavior Strategies (NPI 1649475914)

Field	Value
Entity Type	Organization
Organization	Solutions Positive Behavior Strategies
Address	325 6th Avenue
City	South Charleston
State	WV
ZIP	25303
Taxonomy	Specialist
NPI Enumerated	June 18, 2007

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	8,270	$1,030	$8.5M
T1005	Respite care services, up to 15 minutes	4,230	$670	$2.8M
G9002	Coordinated care fee, maintenance rate	7,330	$200	$1.5M
T1016	Case management, each 15 minutes	8,620	$120	$1M
A0160	Non-emergency transportation: per mile - case worker or social worker	5,880	$160	$911.6K
T2021	Day habilitation, waiver; per 15 minutes	2,960	$140	$414.5K
T2025	Waiver services; not otherwise specified (nos)	470	$230	$108.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	50	$160	$8.6K
T2024	Service assessment/plan of care development, waiver	10	$50	$760

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Solutions Positive Behavior Strategies — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	30	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	42	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	9	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	25	120	2,950	$150	$901.9K
T1016	Case management, each 15 minutes	21	100	2,790	$90	$496.2K
A0160	Non-emergency transportation: per mile - case worker or social worker	33	110	2,030	$50	$278.8K
T2025	Waiver services; not otherwise specified (nos)	5	10	610	$230	$263.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	70	80	1,150	$40	$142.7K
T2024	Service assessment/plan of care development, waiver	44	50	760	$50	$95.5K

Nearby Providers

Other providers in the same ZIP code as Solutions Positive Behavior Strategies, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Loved Ones In Home Care	WV	Home Health Agency	$0	$35M
Special Touch Nursing Services, Inc.	WV	Home Health Agency	$0	$6.7M
Damous Psychological Services PLLC	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.6M
A Special Touch In-home Care	WV	In Home Supportive Care Agency	$0	$4M
Special Touch Nursing Services, Inc.	WV	In Home Supportive Care Agency	$0	$2.7M
Renal Consultants, PLLC	WV	Specialist	$0	$2.2M
A Special Touch For Seniors, LLC	WV	Case Management Agency	$0	$2M
Bassam Haffar Inc	WV	Gastroenterology Physician	$0	$1.4M
Taylor Eye Associates, PLLC	WV	Optometrist	$0	$1.4M
Total Renal Care Inc	WV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M

Solutions Positive Behavior Strategies — Billing Profile & Reimbursement Data

Sign up for Solutions Positive Behavior Strategies — Billing Profile & Reimbursement Data policy alerts

Solutions Positive Behavior Strategies — Billing Profile & Reimbursement Data

Sign up for Solutions Positive Behavior Strategies — 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