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

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

Knapp Center For Childhood Development (NPI 1699052191)

Field	Value
Entity Type	Organization
Organization	Knapp Center For Childhood Development
Address	1051 Tiffany South
City	Youngstown
State	OH
ZIP	44514
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 10, 2011

Payer Source	Total Paid
Medicaid	$16.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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…	45,230	$280	$12.8M
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…	18,680	$170	$3.1M
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…	5,750	$80	$477.6K
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…	2,090	$70	$148.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	170	$90	$15K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	100	$60	$6.1K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	100	$60	$5.8K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	270	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Knapp Center For Childhood Development — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

8 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…	2	40	2,980	$230	$1.7M
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…	2	40	990	$120	$317.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	559	1,260	130	$110	$84.7K
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	20	70	$90	$67.1K
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	20	190	$60	$39K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	85	190	80	$120	$34.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	124	280	80	$70	$26.5K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	56	170	120	$1	$20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Knapp Center For Childhood Development, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Julie Knapp	OH	Clinical Psychologist	$0	$10M

Nearby Providers

Other providers in the same ZIP code as Knapp Center For Childhood Development, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$22.9M
Shc Youngstown Ohio Laboratory Services Company LLC	OH	Clinical Medical Laboratory	$708.9K	$3.4M
Cavalier Mobile Xray Co	OH	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$486.5K	$2.5M
Sanaullah Khalid	OH	Hematology & Oncology Physician	$2M	$0
Center For Advanced Eye Surgery, Ltd	OH	Ambulatory Surgical Clinic/Center	$1.1M	$221.8K
Tosc, LLC	OH	Ambulatory Surgical Clinic/Center	$1.1M	$9.6K
Amy Awaida	OH	Hematology & Oncology Physician	$414.7K	$0
Nicholas Flebotte	OH	Optometrist	$372.7K	$400
Dean Ball	OH	Diagnostic Radiology Physician	$300.4K	$0
John Aey	OH	Ophthalmology Physician	$296.9K	$0

Knapp Center For Childhood Development — Billing Profile & Reimbursement Data

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Knapp Center For Childhood Development — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References