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.

Sarah Lauterbach (NPI 1871959304)

Field	Value
Entity Type	Individual
Organization	Sarah Lauterbach
Address	3636 N 124th St
City	Wauwatosa
State	WI
ZIP	53222
Taxonomy	Behavior Analyst
NPI Enumerated	January 13, 2016

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	7,440	$90	$640K
0365T	Adaptive behavior tx addl	3,980	$70	$258.6K
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…	1,700	$80	$141.1K
0364T	Behavior treatment	4,180	$20	$66.8K
0369T	Duodenal mucosal resurfacing, endoscopic	890	$60	$54.4K
0370T	Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)	690	$70	$46.7K
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…	680	$70	$45.3K
97158	The provider administers adaptive behavior treatment to multiple patients in a social skills group. Report this code for each 15 minutes that the provider spends face–to–face with multiple patients…	610	$60	$39.2K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	650	$50	$29K
0368T	Behavior treatment modified additional	930	$30	$26K

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

Sarah Lauterbach — 1 of 10 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

10 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…	45	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…	60	110	2,070	$120	$581.8K
0365T	Adaptive behavior tx addl	21	50	3,570	$70	$305.2K
0369T	Duodenal mucosal resurfacing, endoscopic	29	50	1,180	$100	$155.8K
0364T	Behavior treatment	21	50	3,670	$10	$68.2K
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…	21	80	200	$70	$60.4K
0368T	Behavior treatment modified additional	29	50	1,190	$30	$50K
0370T	Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)	6	30	350	$80	$31K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	2	10	370	$30	$22.7K
97158	The provider administers adaptive behavior treatment to multiple patients in a social skills group. Report this code for each 15 minutes that the provider spends face–to–face with multiple patients…	1	10	70	$60	$14.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesee Community Services, LLC	WI	Community/Behavioral Health Agency	$0	$5.4M
Stephanie King	WI	Behavior Analyst	$0	$1.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Speciality Screening LLC	WI	Clinical Medical Laboratory	$0	$10.8M
Genetox, LLC	WI	Clinical Medical Laboratory	$0	$6.5M
Tracy Pritzl	WI	Clinical Psychologist	$0	$4.5M
West Grove Clinic, Sc	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Maria Amarante	WI	Professional Counselor	$0	$3.6M
Elizabeth Moberg-wolff	WI	Pediatric Rehabilitation Medicine Physician	$49.2K	$2.7M
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Children's Medical Group	WI	Pediatrics Physician	$0	$2.1M
Milwaukee Internal Medicine Associates Inc	WI	Multi-Specialty Clinic/Center	$0	$2M
Wellpoint Care Network	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2M

Sarah Lauterbach — Billing Profile & Reimbursement Data

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Sarah Lauterbach — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References