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

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

Behavioral Framework, LLC (NPI 1659730307)

Field	Value
Entity Type	Organization
Organization	Behavioral Framework, LLC
Address	2000 Tower Oaks Blvd Ste 500
City	Rockville
State	MD
ZIP	20852
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 22, 2016

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	6,420	$290	$1.9M
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…	3,820	$240	$897.9K
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…	1,500	$480	$715.1K
H2033	Multisystemic therapy for juveniles, per 15 minutes	1,580	$340	$528.6K
H2012	Behavioral health day treatment, per hour	1,170	$180	$207.4K
S5111	Home care training, family; per session	370	$110	$38.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Behavioral Framework, LLC — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

6 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…	7	30	1,270	$200	$1.4M
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…	3	10	670	$180	$393.1K
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…	3	40	130	$180	$329.1K
H2033	Multisystemic therapy for juveniles, per 15 minutes	1	10	880	$360	$311.1K
H2012	Behavioral health day treatment, per hour	3	30	120	$160	$42.5K
S5111	Home care training, family; per session	1	10	40	$90	$8.7K

Nearby Providers

Other providers in the same ZIP code as Behavioral Framework, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid Atlantic Pemanente Medical Group	MD	Health Maintenance Organization	$0	$317.3M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$17.5M
Montgomery County Maryland Government	MD	Local Education Agency (LEA)	$0	$12.6M
Reginald S Lourie Center For Infants & Young Children	MD	Clinic/Center	$0	$6.5M
Harcart Health Holdings, LLC	MD	Emergency Medicine Physician	$0	$5.5M
Visionary Ophthalmology LLC	MD	Ophthalmology Physician	$0	$5.2M
Jewish Social Service Agency	MD	Community Based Hospice Care Agency	$0	$4.5M
Rockville Pediatric Dental LLC	MD	Pediatric Dentistry	$0	$4.4M
Vinay Desai	MD	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
James Xu	MD	Hematology & Oncology Physician	$1.6M	$0

Behavioral Framework, LLC — Billing Profile & Reimbursement Data

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Behavioral Framework, 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

Nearby Providers

Frequently Asked Questions

References