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

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

Eric Lund (NPI 1801954474)

Field	Value
Entity Type	Individual
Organization	Eric Lund
Address	1575 Allouez Ave
City	Green Bay
State	WI
ZIP	54311
Taxonomy	Clinical Psychologist
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$77.1M
Medicare	$0

Key Findings

ERIC LUND has no Medicare billing on file and is effectively a single-payer Medicaid operation, reporting $77.1M in lifetime Medicaid revenue; this absence of Medicare activity means analyses should focus on Medicaid program dynamics and state-level payment policy impacts. The provider’s Medicaid revenue is highly concentrated, with the top three codes accounting for 95.1% of total Medicaid revenue — 97153 ($54.6M, 70.8%), 97155 ($17.2M, 22.3%), and 0365T ($1.6M, 2.1%).

The code mix points squarely to Applied Behavior Analysis (ABA) and adaptive behavior treatment as the core service line: 97153 and 97155 are technician-delivered ABA services and provider-delivered ABA with protocol modification, respectively, and 0365T is an ABA add-on. High claim volumes for these codes (97153: 802.4K claims; 97155: 143.1K claims; 0365T: 33.1K claims) indicate an operation structured around frequent, short-interval therapy sessions rather than infrequent high-intensity visits.

Operationally, the profile suggests a large network of technician-delivered sessions supervised or overseen by the licensed clinician: 97153 is billed predominantly by technicians under supervision while 97155 captures the provider-level treatment planning and modification that supports technician activity. This split implies a high-throughput, multi-technician delivery model where provider time is concentrated on oversight and protocol adjustments rather than one-on-one testing or long evaluations.

ERIC LUND is a dominant statewide provider for ABA-related Medicaid billing: 97153 ranks #1 of 114 providers in-state at the 100th percentile and is labeled an extreme outlier, 97155 ranks #1 of 107 providers in-state at the 100th percentile (extreme outlier), and 0365T ranks #1 of 48 providers (100th percentile, extreme outlier). Those rank and percentile positions indicate volumes far above typical state peers and a competitive position that is unusually large for these specific codes.

Beyond the top three, the provider also reports material billing on nearby ABA and behavior-related codes that reinforce the ABA service-line focus: 0369T ($1.4M, 1.8%) ranks #1 of 45 providers in-state (100th percentile; extreme outlier), and 97156 ($666.8K, 0.9%) ranks #2 of 76 providers in-state (99th percentile; extreme outlier). At the same time, several non-ABA behavioral and psychological testing codes (for example, H2019, 90791, 96130/96131) appear at modest volumes and are characterized as typical or unremarkable relative to peers, indicating some service breadth but not material revenue drivers.

The extreme concentration in a few ABA codes creates a material revenue risk if state policy, prior authorization, reimbursement rates, or practice guidelines for those codes change: with 95.1% of Medicaid revenue coming from the top three codes, any payment or utilization shifts for 97153, 97155, or 0365T would disproportionately affect overall revenue. Analysts should prioritize monitoring Medicaid policy and utilization trends for those specific codes when assessing future revenue stability.

The NPI was enumerated on 2006-12-05 (~20 years ago), indicating long tenure in the market; combined with very high claim volumes (e.g., 802.4K claims for 97153 and 143.1K claims for 97155), this profile is consistent with an established, high-capacity ABA service operation that has scaled Medicaid-facing service delivery over many years. For competitive benchmarking or contract discussions, treating ERIC LUND as a large, specialized Medicaid ABA provider is appropriate given the available billing pattern.

Medicaid: Complete Services Breakdown

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

16 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…	802,360	$70	$54.6M
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…	143,060	$120	$17.2M
0365T	Adaptive behavior tx addl	33,100	$50	$1.6M
0369T	Duodenal mucosal resurfacing, endoscopic	15,650	$90	$1.4M
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…	10,100	$70	$666.8K
0364T	Behavior treatment	35,350	$10	$459.6K
0368T	Behavior treatment modified additional	16,050	$30	$433.4K
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…	5,480	$80	$421.9K
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…	3,550	$90	$316K
H2019	Therapeutic behavioral services, per 15 minutes	1,020	$80	$79.2K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Eric Lund — 9 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

16 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…	1	110	5,170	$80	$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…	1	110	2,070	$120	$581.8K
0365T	Adaptive behavior tx addl	1	50	3,570	$70	$305.2K
H2019	Therapeutic behavioral services, per 15 minutes	3	10	790	$70	$185.4K
0369T	Duodenal mucosal resurfacing, endoscopic	1	50	1,180	$100	$155.8K
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…	1	10	580	$90	$89K
0364T	Behavior treatment	1	50	3,670	$10	$68.2K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	16	30	130	$120	$65.4K
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…	2	80	200	$70	$60.4K
0368T	Behavior treatment modified additional	1	50	1,190	$30	$50K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eric Lund, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caravel Autism Health, LLC	WI	Behavior Analyst	$0	$18.5M
Imagine Behavioral & Developmental Services	WA	Community/Behavioral Health Agency	$0	$2.8M
Savanah Ovans	WI	Behavior Analyst	$0	$2M
Victoria Oliversen	WI	Behavior Analyst	$0	$1.3M

Nearby Providers

Other providers in the same ZIP code as Eric Lund, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baycare Aurora, LLC	WI	General Acute Care Hospital	$0	$25.4M
County Of Brown	WI	Clinic/Center	$0	$21.1M
County Of Brown	WI	Community/Behavioral Health Agency	$0	$8.2M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Infusion Therapy Pharmacy	$0	$5M
Baycare Clinic LLP	WI	Emergency Medicine Physician	$0	$3.6M
County Of Brown	WI	Case Management Agency	$0	$3.3M
Aegis Group Inc	WI	Land Ambulance	$1.2M	$1.6M
Visiting Nurse Association Of Wisconsin, Inc	WI	Home Health Agency	$0	$2.7M
Orthopedic Surgery Center Of Green Bay, LLC	WI	Ambulatory Surgical Clinic/Center	$2M	$0
Debbie Lim	WI	Rheumatology Physician	$1.8M	$0

Eric Lund — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References