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

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

Fbtc Transitional Sub, LLC (NPI 1881283091)

Field	Value
Entity Type	Organization
Organization	Fbtc Transitional Sub, LLC
Address	55 Tozer Rd
City	Beverly
State	MA
ZIP	01915
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 12, 2021

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

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…	20,710	$270	$5.7M
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…	7,390	$170	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	4,970	$240	$1.2M
H0031	Mental health assessment, by non-physician	5,980	$120	$705.2K
H0032	Mental health service plan development by non-physician	2,020	$160	$327.4K
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…	2,960	$80	$239.8K
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…	430	$130	$56.5K
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…	630	$70	$46.3K
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.	900	$30	$27.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	860	$20	$17.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Fbtc Transitional Sub, LLC — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	133	290	3,680	$150	$2.9M
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…	5	150	1,270	$220	$845K
H0032	Mental health service plan development by non-physician	30	160	430	$180	$269.5K
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…	3	140	410	$210	$213.3K
H0031	Mental health assessment, by non-physician	15	250	380	$140	$200.8K
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.	227	490	730	$30	$93.3K
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…	29	110	310	$110	$88.6K
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	20	270	$90	$72.5K
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	30	90	$180	$57.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	62	200	280	$30	$37.8K

Nearby Providers

Other providers in the same ZIP code as Fbtc Transitional Sub, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusets	MA	Case Management Agency	$0	$1.1B
Northeast Behavioral Health Corporation	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$430.2K	$128.3M
Northeast Hospital Corporation	MA	General Acute Care Hospital	$0	$67.9M
Associated Home Care	MA	Home Health Agency	$0	$34.1M
Standards Care Staffing, Inc	MA	Home Health Agency	$0	$15.1M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$11.3M
Bass River Day Activity Program, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$8.8M
Pediatric Associates Of Greater Salem, Inc	MA	Pediatrics Physician	$0	$7M
Communitas, Inc.	MA	Developmentally Disabled Services Day Training Agency	$0	$6.7M
Futures Behavior Therapy Center LLC	MA	Community/Behavioral Health Agency	$0	$6.3M

Fbtc Transitional Sub, LLC — Billing Profile & Reimbursement Data

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Fbtc Transitional Sub, 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