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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Agapi Behavioral Consultants (NPI 1821494584)

Field	Value
Entity Type	Organization
Organization	Agapi Behavioral Consultants
Address	7 Mckenna Commons Ct
City	Greenville
State	SC
ZIP	29615
Taxonomy	Behavior Analyst
NPI Enumerated	November 7, 2014

Payer Source	Total Paid
Medicaid	$15M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 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…	52,190	$140	$7.2M
0365T	Adaptive behavior tx addl	31,690	$90	$2.7M
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…	17,660	$130	$2.2M
0369T	Duodenal mucosal resurfacing, endoscopic	8,780	$90	$763.7K
0364T	Behavior treatment	32,600	$20	$489K
0363T	0363T deleted effective January 1, 2019	10,120	$50	$485.6K
0361T	Multi-slice computer tomography, heart, with contrast material, including 3D image postprocessing; during cardiac catheterization	3,280	$150	$475K
0368T	Behavior treatment modified additional	12,420	$30	$360.2K
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…	890	$130	$113.2K
0362T	An on–site physician or other qualified healthcare professional, with the assistance of one or more technicians, performs a follow–up assessment of a patient’s maladaptive destructive behavior in an…	10,300	$10	$92.7K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Agapi Behavioral Consultants — 9 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

14 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	20	1,560	$150	$708.5K
0363T	0363T deleted effective January 1, 2019	1	10	10,120	$50	$482.9K
0365T	Adaptive behavior tx addl	1	10	1,600	$70	$446.9K
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	20	350	$130	$178.9K
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…	2	10	510	$240	$119.4K
0369T	Duodenal mucosal resurfacing, endoscopic	1	10	130	$100	$119.2K
0361T	Multi-slice computer tomography, heart, with contrast material, including 3D image postprocessing; during cardiac catheterization	1	10	1,090	$100	$113.8K
0362T	An on–site physician or other qualified healthcare professional, with the assistance of one or more technicians, performs a follow–up assessment of a patient’s maladaptive destructive behavior in an…	1	10	10,300	$10	$88.9K
0364T	Behavior treatment	1	10	1,620	$10	$77.3K
0368T	Behavior treatment modified additional	1	10	130	$30	$46K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Agapi Behavioral Consultants, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Medical Center	SC	Specialist	$0	$17.1M
Prisma Health University Medical Group	SC	Developmental - Behavioral Pediatrics Physician	$0	$16M
St Francis Hospital, Inc.	SC	General Acute Care Hospital	$0	$13M
Eastside Pediatric Dentistry PA	SC	Pediatric Dentistry	$0	$10M
Magnolia Medical Group Inc	SC	Physical Therapist	$0	$9.9M
Greenville Health Corporation	SC	Durable Medical Equipment & Medical Supplies	$0	$8.9M
D&s Community Services Sc, LLC	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.3M
Bloom Behavioral Therapy LLC	SC	Mental Health Counselor	$0	$7.5M
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$6.4M
Clemson Eye, PA	SC	Ophthalmology Physician	$0	$5.5M

Agapi Behavioral Consultants — Billing Profile & Reimbursement Data

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Agapi Behavioral Consultants — 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