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

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

Behavior Intervention Services (NPI 1689732620)

Field	Value
Entity Type	Organization
Organization	Behavior Intervention Services
Address	2644 Metro Blvd
City	Maryland Heights
State	MO
ZIP	63043
Taxonomy	Behavior Analyst
NPI Enumerated	December 4, 2006

Payer Source	Total Paid
Medicaid	$42.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	64,210	$550	$35.2M
T2021	Day habilitation, waiver; per 15 minutes	16,630	$250	$4.1M
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…	8,410	$160	$1.3M
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…	5,430	$190	$1.1M
T2001	Non-emergency transportation; patient attendant/escort	1,750	$150	$253.9K
T1002	Rn services, up to 15 minutes	2,210	$70	$147.9K
0369T	Duodenal mucosal resurfacing, endoscopic	680	$150	$98.6K
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…	760	$60	$44.8K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	350	$100	$34.6K
0368T	Behavior treatment modified additional	630	$40	$27K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Behavior Intervention Services — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	61	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	89	170	18,890	$180	$5.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1,189	1,330	6,550	$80	$4.6M
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…	8	60	1,810	$160	$587.2K
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…	15	70	2,030	$140	$460.6K
T2001	Non-emergency transportation; patient attendant/escort	56	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	83	200	1,720	$50	$194.4K
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…	11	30	370	$80	$64.3K
0369T	Duodenal mucosal resurfacing, endoscopic	6	10	590	$100	$63.9K
0368T	Behavior treatment modified additional	7	20	530	$40	$24.9K

Nearby Providers

Other providers in the same ZIP code as Behavior Intervention Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Strictly Pediatrics Center, Inc.	MO	Medically Fragile Infants and Children Day Care	$0	$7.9M
Community Alternatives Missouri, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$4.9M
Wcp Laboratories, Inc	MO	Clinical Medical Laboratory	$2.7M	$38.1K
Eugene Evra	MO	Physical Medicine & Rehabilitation Physician	$224K	$2.3K
Valicia Warner	MO	Adult Health Nurse Practitioner	$177.6K	$0
Galina Rivkin	MO	Family Medicine Physician	$71.2K	$0
Phylicia Little	MO	Family Nurse Practitioner	$67.7K	$0
Helix Specialty Diagnostics	MO	Clinical Medical Laboratory	$5.7K	$19.5K
Matthew Hammer	MO	Family Nurse Practitioner	$23.2K	$0
Lisa Schembri	MO	Optometrist	$7.6K	$850

Behavior Intervention Services — Billing Profile & Reimbursement Data

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Behavior Intervention Services — Billing Profile & Reimbursement Data

Sign up for Behavior Intervention Services — 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