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

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

Possibilities Northeast, LLC. (NPI 1881734697)

Field	Value
Entity Type	Organization
Organization	Possibilities Northeast, LLC.
Address	4935 Hillegas Rd Ste 200
City	Fort Wayne
State	IN
ZIP	46818
Taxonomy	Speech-Language Pathologist
NPI Enumerated	February 8, 2007

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 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…	47,440	$330	$15.6M
96152	N/A	6,920	$250	$1.7M
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…	16,390	$80	$1.3M
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.	9,720	$70	$680.4K
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…	9,120	$40	$401.3K
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…	6,880	$50	$350.9K
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…	830	$60	$53.2K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	640	$50	$28.9K
L2280	Addition to lower extremity, molded inner boot	30	$330	$11.1K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	70	$60	$4.4K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Possibilities Northeast, LLC. — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

12 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…	9	100	3,740	$430	$7.7M
96152	N/A	10	40	720	$200	$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…	8	80	1,360	$150	$1M
L2280	Addition to lower extremity, molded inner boot	10	10	1,790	$330	$631.2K
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…	109	390	3,600	$50	$511.6K
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.	54	400	1,100	$40	$382.2K
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…	94	490	1,080	$30	$162.7K
L2275	Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined	13	20	610	$80	$162.6K
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…	5	10	60	$20	$77.7K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	13	30	470	$30	$68.1K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Possibilities Northeast, LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Sibley	IN	Diagnostic Radiology Physician	$406.2K	$0
Luther Adair	IN	Diagnostic Radiology Physician	$203K	$9.2K
Christine Tremper	IN	Diagnostic Radiology Physician	$145K	$27.8K
Eric Heatwole	IN	Diagnostic Radiology Physician	$164.8K	$0
David Janizek	IN	Diagnostic Radiology Physician	$144.4K	$0
John Lacunza	IN	Diagnostic Radiology Physician	$102.2K	$0
Vivek Sharma	IN	Diagnostic Radiology Physician	$95.4K	$0
Eugene Shih	IN	Diagnostic Radiology Physician	$94.6K	$0
Daniel Branam	IN	Diagnostic Radiology Physician	$93.3K	$0
Dakshesh Patel	IN	Diagnostic Radiology Physician	$92.8K	$0

Possibilities Northeast, LLC. — Billing Profile & Reimbursement Data

Sign up for Possibilities Northeast, LLC. — Billing Profile & Reimbursement Data policy alerts

Possibilities Northeast, LLC. — Billing Profile & Reimbursement Data

Sign up for Possibilities Northeast, LLC. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References