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.

Piece By Piece Aba Therapy LLC (NPI 1700434701)

Field	Value
Entity Type	Organization
Organization	Piece By Piece Aba Therapy LLC
Address	80 Professional Ct
City	Lafayette
State	IN
ZIP	47905
Taxonomy	Behavior Technician
NPI Enumerated	September 3, 2019

Payer Source	Total Paid
Medicaid	$33M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and is effectively a single-payer Medicaid operation, with lifetime Medicaid revenue of $33M and no recorded Medicare revenue. That concentration means analyses of payer mix and reimbursement risk should focus on state Medicaid policy and rates rather than Medicare dynamics.

The provider’s taxonomy as a Behavior Technician and its claims mix show a clear ABA therapy operational model: the vast majority of work is technician-delivered adaptive behavior treatment (code 97153), supported by direct clinician modifications/training (97155) and small amounts of caregiver consultation (97156). Code-level volumes and descriptions indicate day-to-day service delivery is driven by face-to-face technician sessions under supervision rather than by diagnostic assessments or non-face-to-face care planning.

Revenue concentration is extremely high: the top three Medicaid codes account for 99.9% of Medicaid revenue, with 97153 alone representing $29.4M (89.3% of the provider’s Medicaid revenue). That degree of concentration implies the provider’s overall financial performance is heavily dependent on reimbursement and utilization trends for a very narrow set of ABA procedure codes.

High-volume and payment metrics underline the operational focus: 97153 shows 19.7K claims at an average paid/claim of $1491 generating $29.4M; 97155 shows 6.8K claims at $512 avg paid/claim generating $3.5M; 97156 shows 242 claims at $244 avg paid/claim generating $59K. The marked difference in avg paid/claim between 97153 and 97155 highlights that most Medicaid dollars are concentrated in the high-dollar technician-delivered sessions rather than the lower-paid clinician modification sessions.

State competitive standing on key codes is solid but not dominant. For 97153 the provider ranks #19 of 96 in-state (81th percentile; labeled typical, unremarkable volume), and for 97155 it ranks #18 of 84 (80th percentile; typical, unremarkable volume), indicating above-median volume but not market-leading share; 97156 ranks #20 of 42 (54th percentile; typical, unremarkable volume), and the assessment code 97151 is low volume (25 claims, $23.6K revenue) ranking #28 of 30 in-state (7th percentile).

Operational and reimbursement sensitivity is a key implication: because 97153 and 97155 together represent the overwhelming share of billing dollars (97153 at 89.3% and 97155 at 10.5%, with the top three codes totaling 99.9%), any state-level rate changes, prior authorization shifts, or utilization management policies affecting these specific ABA codes would materially affect the provider’s revenue. Analysts should prioritize monitoring policy activity around these codes.

The provider’s NPI was enumerated on 2019-09-03 (~7 years ago), indicating it has been active long enough to establish referral and billing patterns but is a relatively recent entrant compared with older statewide competitors; combined with the concentrated code mix, this suggests a focused, scale-driven ABA service model rather than a broad multi-specialty practice.

Medicaid: Complete Services Breakdown

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

4 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…	19,740	$1,490	$29.4M
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…	6,750	$510	$3.5M
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…	240	$240	$59K
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	$940	$23.6K

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

Piece By Piece Aba Therapy LLC — 0 of 4 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

4 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…	19	100	3,740	$430	$7.7M
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…	18	80	1,360	$150	$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…	28	30	520	$140	$135.1K
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…	20	40	210	$70	$57.8K

Nearby Providers

Other providers in the same ZIP code as Piece By Piece Aba Therapy LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Lafayette	IN	General Acute Care Hospital	$0	$38.6M
Arnett Clinic, LLC	IN	Internal Medicine Physician	$0	$35.1M
Indiana University Health Arnett Inc	IN	General Acute Care Hospital	$0	$26M
Limestone Health, LLC	IN	Methadone Clinic	$117.1K	$11.2M
Sycamore Springs, LLC	IN	Psychiatric Hospital	$0	$7M
Lafayette Pain Care, P.C.	IN	Pain Medicine Physician	$0	$6M
Awl Dentistry PC	IN	General Practice Dentistry	$0	$6M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$5.2M
Emergency Care Associates Of Indiana, LLC	IN	Emergency Medicine Physician	$0	$4.5M
Evans Eye Care Inc	IN	Optometrist	$0	$4.2M

Piece By Piece Aba Therapy LLC — Billing Profile & Reimbursement Data

Sign up for Piece By Piece Aba Therapy LLC — Billing Profile & Reimbursement Data policy alerts

Piece By Piece Aba Therapy LLC — Billing Profile & Reimbursement Data

Sign up for Piece By Piece Aba Therapy LLC — 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