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

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

Positive Behavior Supports (NPI 1700024296)

Field	Value
Entity Type	Organization
Organization	Positive Behavior Supports
Address	7108 S Kanner Hwy
City	Stuart
State	FL
ZIP	34997
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 22, 2009

Payer Source	Total Paid
Medicaid	$131.4M
Medicare	$0

Key Findings

POSITIVE BEHAVIOR SUPPORTS is effectively a Medicaid-focused behavioral health agency: it has no Medicare billing on file and reports $131.4M in lifetime Medicaid revenue, indicating a near‑exclusive reliance on state Medicaid business rather than Medicare fee‑for‑service income. Its NPI was enumerated on 2009-01-22 (~17 years ago), showing an extended operating tenure in the market.

Revenue concentration is heavily focused in a very small set of service lines: the precomputed top 3 Medicaid codes account for 85.2% of the provider’s total Medicaid revenue, demonstrating substantial dependency on a few high-volume services rather than a broad mix of Medicaid billables. This concentration suggests that changes in reimbursement policy or utilization for those codes would materially affect the provider’s revenue.

H2014 is the largest single revenue driver: the provider reported $61.6M (46.8% of its Medicaid revenue) for H2014 (Skills training and development, per 15 minutes). The provider ranks #1 of 364 in-state and is described as an extreme outlier, indicating dominant statewide volume for skills training services relative to peers.

97153 is the second major revenue source with $26.2M (19.9% of Medicaid revenue) and 138.6K claims for technician‑delivered adaptive behavior treatment. The provider ranks #1 of 177 in-state and is labeled an extreme outlier, signaling that technician‑administered ABA services are a core operational focus and a competitive strength in the state market.

H2019 contributes $24.3M (18.5% of Medicaid revenue) and 176K claims for therapeutic behavioral services; the provider ranks #8 of 1879 in-state and is characterized as an extreme outlier. Together with H2014 and 97153, H2019 completes the top three codes that drive 85.2% of Medicaid revenue, reinforcing that therapeutic and skills‑training behavioral interventions are the provider’s central service lines.

Several additional ABA‑related codes appear at notable, often top‑state ranks: 97155 ($7.8M, rank #1 of 634), 97156 ($1.7M, rank #1 of 404), 97151 ($1.4M, rank #1 of 85), and 97152 ($1.0M, rank #1 of 1). This pattern of high rankings across both technician and provider ABA codes indicates a vertically integrated service model that delivers assessments, direct therapy, and caregiver training at scale.

The provider shows both depth and unusual scale on specific Medicaid codes compared with in‑state peers: multiple codes are labeled as extreme outliers or 100th‑percentile performers (e.g., H2014, 97153, 97155, 97156, 97151), demonstrating market dominance in several behavioral service categories rather than modest participation. These percentiles and ranks suggest a regional concentration of referral volume or operational capacity that far exceeds typical providers.

While most high‑volume codes are extreme outliers, some service lines are nearer to typical state volumes: H0032 (mental health service plan development) ranks in the 97th percentile and H0031 (mental health assessment) is at the 96th percentile, indicating above‑average but less anomalous participation in non‑ABA mental health services. This mix implies the organization provides both specialized ABA treatment at exceptional scale and more routine mental‑health administrative/assessment services at elevated but not extraordinary levels.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	373,090	$170	$61.6M
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…	138,570	$190	$26.2M
H2019	Therapeutic behavioral services, per 15 minutes	176,010	$140	$24.3M
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…	40,230	$190	$7.8M
H2012	Behavioral health day treatment, per hour	28,000	$130	$3.6M
H0032	Mental health service plan development by non-physician	11,880	$160	$1.9M
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…	15,080	$120	$1.7M
H0031	Mental health assessment, by non-physician	10,210	$150	$1.6M
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…	7,610	$180	$1.4M
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	4,090	$250	$1M

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Positive Behavior Supports — 10 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	1	360	3,270	$140	$1.1M
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	1	10	4,090	$250	$1M
H2020	Therapeutic behavioral services, per diem	24	20	8,300	$40	$941.9K
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…	1	180	750	$140	$579.6K
H2019	Therapeutic behavioral services, per 15 minutes	8	1,880	1,010	$70	$544.5K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	1	10	390	$280	$152.8K
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…	1	630	440	$140	$146K
H2012	Behavioral health day treatment, per hour	1	180	450	$90	$123.7K
H0032	Mental health service plan development by non-physician	32	1,130	110	$60	$91.7K
H0031	Mental health assessment, by non-physician	51	1,160	210	$40	$87.3K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ability Home Care, Inc.	FL	Attendant Care Provider	$0	$10.3M
Richard Krathen	FL	MOHS-Micrographic Surgery Physician	$1.4M	$0
Stephen Chastain	FL	Cardiovascular Disease Physician	$508.5K	$0
Sara Pratt	FL	Adult Health Nurse Practitioner	$424.3K	$0
Michele Thune Capobianco	FL	Nurse Practitioner	$358K	$0
Richard Weisberg	FL	Family Medicine Physician	$169.5K	$0
Publix Super Markets Inc	FL	Community/Retail Pharmacy	$101.1K	$0
John Serbes Mccain	FL	Podiatrist	$60.9K	$0
Michael Mackechnie	FL	Sports Medicine (Orthopaedic Surgery) Physician	$25.4K	$0

Positive Behavior Supports — Billing Profile & Reimbursement Data

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Positive Behavior Supports — Billing Profile & Reimbursement Data

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

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References