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

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

Early Autism Services, LLC (NPI 1700130713)

Field	Value
Entity Type	Organization
Organization	Early Autism Services, LLC
Address	5705 Willow Springs Rd
City	Countryside
State	IL
ZIP	60525
Taxonomy	Behavior Analyst
NPI Enumerated	October 30, 2012

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 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…	40,820	$120	$4.9M
H2033	Multisystemic therapy for juveniles, per 15 minutes	8,040	$180	$1.4M
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…	10,400	$100	$998.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	7,120	$110	$790.8K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	4,150	$50	$224.2K
H2019	Therapeutic behavioral services, per 15 minutes	1,040	$160	$165.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,940	$40	$149.7K
H0032	Mental health service plan development by non-physician	230	$210	$46.3K
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…	390	$60	$23K
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…	30	$160	$4.5K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Early Autism Services, LLC — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	1	10	8,040	$180	$1.4M
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	10	2,120	$140	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	241	800	2,480	$90	$962.2K
H2019	Therapeutic behavioral services, per 15 minutes	2	10	1,040	$80	$442.8K
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	10	750	$150	$367.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	31	350	390	$50	$107.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	255	1,210	1,070	$30	$102.1K
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…	4	10	390	$80	$54.2K
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…	4	10	160	$290	$45.9K
H0032	Mental health service plan development by non-physician	87	220	190	$60	$20.2K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Early Autism Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Knippel	WI	Behavior Analyst	$0	$1.4M

Nearby Providers

Other providers in the same ZIP code as Early Autism Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Seating & Mobility Inc	IL	Durable Medical Equipment & Medical Supplies	$0	$26.7M
Pleasantview Fire Protection District	IL	Ambulance	$263.9K	$3.5M
Meghan Morrow	IL	Dermatology Physician	$656.6K	$0
Gerald Simon	IL	Internal Medicine Physician	$375.8K	$480
Marcy Minshall	IL	Clinical Social Worker	$93.1K	$136.8K
Michael Milani	IL	Urology Physician	$164.6K	$0
Sheela Konda	IL	Diagnostic Radiology Physician	$83.3K	$43.1K
Michael Santilli	IL	Family Medicine Physician	$117K	$0
Mark Sedory	IL	Podiatrist	$101K	$0
Veronica Matticks	IL	Acute Care Clinical Nurse Specialist	$87.8K	$5.2K

Early Autism Services, LLC — Billing Profile & Reimbursement Data

Sign up for Early Autism Services, LLC — Billing Profile & Reimbursement Data policy alerts

Early Autism Services, LLC — Billing Profile & Reimbursement Data

Sign up for Early Autism Services, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References