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

Why is the Medicaid comparison limited to New York 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. New York (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.

Ability Builders For Children, LLC (NPI 1790943066)

Field	Value
Entity Type	Organization
Organization	Ability Builders For Children, LLC
Address	3175 E Tremont Ave
City	Bronx
State	NY
ZIP	10461
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	May 23, 2008

Payer Source	Total Paid
Medicaid	$22.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	56,720	$80	$4.5M
H2014	Skills training and development, per 15 minutes	37,060	$90	$3.4M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	38,000	$80	$3M
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.	33,420	$80	$2.6M
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	7,000	$330	$2.3M
T1017	Targeted case management, each 15 minutes	62,940	$30	$2M
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	37,440	$30	$1.1M
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	11,890	$80	$939.2K
H2027	Psychoeducational service, per 15 minutes	6,530	$100	$620.2K
H2037	Developmental delay prevention activities, dependent child of client, per 15 minutes	5,670	$90	$521.4K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Ability Builders For Children, LLC — 6 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	24	160	3,210	$200	$4.5M
H2027	Psychoeducational service, per 15 minutes	24	70	2,430	$100	$1.1M
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…	45	90	980	$110	$880.5K
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…	20	750	1,800	$80	$785.8K
T1017	Targeted case management, each 15 minutes	16	240	4,610	$30	$561.8K
H2037	Developmental delay prevention activities, dependent child of client, per 15 minutes	5	10	4,250	$90	$422.4K
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.	39	2,060	1,300	$60	$322.2K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	6	150	230	$260	$312.4K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	6	10	160	$70	$284.6K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	55	160	530	$40	$267.3K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Ability Builders For Children, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New York City Health And Hospitals Corporation	NY	General Acute Care Hospital	$0	$217.6M
Cupid Homecare Agency	NY	In Home Supportive Care Agency	$0	$114.1M
Citywide Mobile Response Corp	NY	Ambulance	$1.7M	$30.5M
New York Gi Center LLC	NY	Endoscopy Clinic/Center	$518.6K	$5.4M
Rajesh Bhatnagar	NY	Neurology Physician	$479.2K	$982.2K
Gary Tubman	NY	Diagnostic Radiology Physician	$617.9K	$447.2K
Eric Wolf	NY	Ophthalmology Physician	$819.6K	$0
Nabil Elhadidy	NY	Internal Medicine Physician	$222.3K	$470K
Luciano Tuluca	NY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$280.8K	$383.8K
Daniel Gurell	NY	Diagnostic Radiology Physician	$450.4K	$85.3K

Ability Builders For Children, LLC — Billing Profile & Reimbursement Data

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Ability Builders For Children, LLC — 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