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.

Hopebridge, LLC (NPI 1891820668)

Field	Value
Entity Type	Organization
Organization	Hopebridge, LLC
Address	1558 E Boulevard Ste A
City	Kokomo
State	IN
ZIP	46902
Taxonomy	Child & Adolescent Psychiatry Physician
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$140.4M
Medicare	$0

Key Findings

HOPEBRIDGE, LLC is effectively a Medicaid-centric provider: there is no Medicare billing on file while total Medicaid revenue is $140.4M, indicating the available billing footprint is dominated by Medicaid contracts and enrollee volume rather than Medicare activity. This payer concentration implies strategic and operational dependence on Medicaid reimbursement policies and managed care pathways.

Revenue is highly concentrated in a few codes: the precomputed top three Medicaid codes account for 83.8% of the provider’s total Medicaid revenue, driven by 97153 ($86.8M, 61.8%), 96152 ($19.6M, 13.9%), and 97530 ($11.3M, 8.0%). This concentration means a small set of service lines produces the overwhelming majority of cash flow and should be the focus of utilization or contract reviews.

The service mix reflects a large-scale applied behavior/therapeutic operations model: 97153 (technician-delivered adaptive behavior treatments) is the single largest revenue driver at $86.8M and 273.9K claims, and related codes such as 97155 and 97151 also appear on the list. The prominence of technician-delivered and clinician-supervised ABA services suggests an operational structure built around many frontline technicians supervised by qualified clinicians.

HOPEBRIDGE’s footprint includes substantial allied therapy and rehabilitation services beyond ABA: large claim volumes for 97530 (163.3K claims, $11.3M) and 92507 (202.2K claims, $10.1M) indicate regular delivery of therapeutic activities and direct speech/communication treatment. Presence of codes such as 97110, 97112, 97167, and 97535 shows a multidisciplinary therapy mix (PT/OT/speech) that broadens clinical scope and revenue diversification within Medicaid.

State-level competitive standing is strong and in some cases dominant: 97153 ranks #2 of 96 providers in-state (99th percentile; extreme outlier, far above typical state volume) and 96152 ranks #1 of 43 providers in-state (100th percentile; extreme outlier). Additionally, 97530 ranks #3 of 404 providers in-state (100th percentile; notably above typical state volume), indicating HOPEBRIDGE is a major statewide provider for several high-volume service lines.

Operational scale is substantial and implies capacity to manage large patient volumes and workforce: claim counts like 273.9K for 97153, 163.3K for 97530, and 202.2K for 92507 point to high-frequency, short-interval service delivery models typical of therapy and ABA programs. These volumes suggest significant administrative and billing infrastructure to handle technician-led, time-based services.

The provider also shows notable assessment and testing activity alongside therapy: multiple psychological and testing codes (e.g., 96130, 96136, 96137, 96151, 96155) appear on the top-25 list and 96137 ranks #1 of 20 providers in-state (100th percentile; extreme outlier). This profile indicates a meaningful component of standardized testing, scoring, and interpretation services feeding into individualized care plans.

HOPEBRIDGE is an established Medicaid provider with a long tenure: NPI enumerated on 2007-02-22 (~19 years ago), which combined with sustained high-volume Medicaid billing suggests longstanding relationships with payers and experience operating within Indiana’s Medicaid system. Tenure plus the concentrated code mix should be considered when evaluating reimbursement risk, contract negotiations, and capacity for service expansion.

Medicaid: Complete Services Breakdown

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

27 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…	273,940	$320	$86.8M
96152	N/A	80,620	$240	$19.6M
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.	163,300	$70	$11.3M
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…	202,230	$50	$10.1M
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…	51,500	$120	$6.2M
96151	N/A	24,580	$100	$2.6M
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…	26,030	$50	$1.4M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	31,800	$30	$1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,660	$80	$377.5K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	7,930	$40	$277.7K

Showing 1–10 of 27

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

Hopebridge, LLC — 11 of 25 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

27 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…	2	100	3,740	$430	$7.7M
96152	N/A	1	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…	2	80	1,360	$150	$1M
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…	2	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.	3	400	1,100	$40	$382.2K
96151	N/A	2	20	1,080	$70	$361.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	51	520	240	$80	$165K
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…	11	490	1,080	$30	$162.7K
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…	16	30	520	$140	$135.1K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	15	210	640	$20	$74K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopebridge LLC	NC	Community/Behavioral Health Agency	$0	$8.4M
Hopebridge, LLC	KY	Child & Adolescent Psychiatry Physician	$0	$3M
Elkins Physical Therapy Service, Inc.	WV	Physical Therapy Clinic/Center	$0	$802.9K
Lisa Wooding	NC	Occupational Therapist	$56.8K	$0
Christina Mullins	NC	Occupational Therapist	$52.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Howard Regional Health, Inc	IN	General Acute Care Hospital	$0	$25.5M
Bona Vista Programs, Inc.	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.5M
Community Howard Regional Health, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.9M
Joint Heirs Pediatrics LLC	IN	Pediatrics Physician	$0	$12M
Community Howard Regional Health Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.7M
Indiana Health Centers, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$8.6M
Ladd Dental Group Inc	IN	General Practice Dentistry	$0	$6.1M
Kokomo Pediatric Dentistry, LLC	IN	Public Health Dentistry	$0	$5.5M
Autism Brain Alternatives, Inc	IN	Behavior Analyst	$0	$4.4M
Comfort Home Health, LLC	IN	Home Health Agency	$0	$4.3M

Hopebridge, LLC — 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