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

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

The Gregory Center For Applied Behavior Analysis (NPI 1710385323)

Field	Value
Entity Type	Organization
Organization	The Gregory Center For Applied Behavior Analysis
Address	17 Stark St
City	Pittston
State	PA
ZIP	18640
Taxonomy	Behavior Analyst
NPI Enumerated	December 12, 2014

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	25,930	$260	$6.6M
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…	8,510	$210	$1.8M
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…	4,060	$220	$897.5K
H2021	Community-based wrap-around services, per 15 minutes	1,350	$90	$127.3K
H0046	Mental health services, not otherwise specified	650	$80	$52.2K
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	$100	$40.1K
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…	40	$100	$4.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

The Gregory Center For Applied Behavior Analysis — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

7 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…	28	150	8,280	$220	$4.1M
H2021	Community-based wrap-around services, per 15 minutes	155	220	3,810	$100	$1.5M
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…	35	150	2,770	$200	$1.4M
H0046	Mental health services, not otherwise specified	105	170	1,200	$130	$909.6K
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…	17	20	490	$270	$808.8K
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…	26	120	1,330	$180	$557.5K
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…	56	100	530	$120	$196.1K

Nearby Providers

Other providers in the same ZIP code as The Gregory Center For Applied Behavior Analysis, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kci Usa Inc.	PA	Durable Medical Equipment & Medical Supplies	$0	$7.3M
Greater Pittston Ambulance	PA	Land Ambulance	$528.9K	$979.8K
Kevin Musto	PA	Internal Medicine Physician	$414K	$230
Stephen Braun	PA	Neuromusculoskeletal Medicine & OMM Physician	$186.6K	$0
Tatiana Franco	PA	Ophthalmology Physician	$112.8K	$0
Joseph Costello	PA	Podiatrist	$89.3K	$0
Anthony Polit	PA	Dentist	$26.9K	$0

The Gregory Center For Applied Behavior Analysis — Billing Profile & Reimbursement Data

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The Gregory Center For Applied Behavior Analysis — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References