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

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

Unlocking The Spectrum (NPI 1679895718)

Field	Value
Entity Type	Organization
Organization	Unlocking The Spectrum
Address	8646 Guion Rd
City	Indianapolis
State	IN
ZIP	46268
Taxonomy	Behavior Analyst
NPI Enumerated	February 16, 2010

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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…	5,800	$420	$2.4M
96152	N/A	7,040	$150	$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…	610	$200	$123K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Unlocking The Spectrum — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

3 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…	40	100	3,740	$430	$7.7M
96152	N/A	9	40	720	$200	$1.1M
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…	58	80	1,360	$150	$1M

Nearby Providers

Other providers in the same ZIP code as Unlocking The Spectrum, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lel Home Services, LLC	IN	In Home Supportive Care Agency	$0	$62.2M
Pike Medical Consultants PC	IN	Pulmonary Disease Physician	$0	$10.2M
Northwest Radiology Network P C	IN	Diagnostic Radiology Physician	$0	$9.5M
The Indiana Institute For Behavior Analysis, Inc	IN	Community/Behavioral Health Agency	$0	$9.1M
Am-pm Homes Health Services LLC	IN	Home Health Agency	$0	$9M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$8.9M
United Seating And Mobility LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$7.9M
Transcend Orthotics & Prosthetics, LLC	IN	Prosthetic/Orthotic Supplier	$0	$6.5M
Cornerstone Associates, LLC	IN	Developmentally Disabled Services Day Training Agency	$0	$6.2M
Lincare Inc	IN	Durable Medical Equipment & Medical Supplies	$0	$6M

Unlocking The Spectrum — Billing Profile & Reimbursement Data

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Unlocking The Spectrum — Billing Profile & Reimbursement Data

Sign up for Unlocking The Spectrum — 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