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

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

Integrated Autism Therapies (NPI 1790328359)

Field	Value
Entity Type	Organization
Organization	Integrated Autism Therapies
Address	5984 S Susquehanna
City	Murray
State	UT
ZIP	84123
Taxonomy	Behavior Analyst
NPI Enumerated	October 25, 2019

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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…	9,480	$150	$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…	2,270	$130	$293.3K
H0032	Mental health service plan development by non-physician	70	$170	$11.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Integrated Autism Therapies — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

3 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…	14	30	7,130	$260	$8.7M
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…	15	30	2,270	$140	$1.7M
H0032	Mental health service plan development by non-physician	7	10	250	$70	$51.4K

Nearby Providers

Other providers in the same ZIP code as Integrated Autism Therapies, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgeway Integrated Healthcare Services Inc	UT	Behavior Analyst	$0	$65.7M
Hopeful Beginnings	UT	Community/Behavioral Health Agency	$0	$9.6M
Kal Medical Supplies Inc.	UT	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Harmony Home Health Services, LLC	UT	Home Health Agency	$0	$6.1M
Jason Horgesheimer	UT	Pediatric Dentistry	$0	$3.9M
Discovery House Tv, Inc.	UT	Methadone Clinic	$59.2K	$3.6M
Wellspring Child And Family Counseling Center, LLC	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.4M
Stephen Miller	UT	Cardiovascular Disease Physician	$1.1M	$4.2K
Eh Hospice Of The West, LLC	UT	Community Based Hospice Care Agency	$0	$753.1K
American Wellness & Rehab Clinic LLC	UT	Family Medicine Physician	$0	$689.6K

Integrated Autism Therapies — Billing Profile & Reimbursement Data

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Integrated Autism Therapies — 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