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

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

Total Spectrum, LLC (NPI 1922423177)

Field	Value
Entity Type	Organization
Organization	Total Spectrum, LLC
Address	650 W Grand Ave Ste 207
City	Elmhurst
State	IL
ZIP	60126
Taxonomy	Behavior Analyst
NPI Enumerated	February 25, 2014

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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…	39,560	$160	$6.3M
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…	8,230	$220	$1.8M
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…	2,540	$70	$175.4K
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…	290	$530	$150.7K
0365T	Adaptive behavior tx addl	610	$60	$37.8K
0364T	Behavior treatment	570	$10	$8K
0369T	Duodenal mucosal resurfacing, endoscopic	20	$180	$3.9K
0368T	Behavior treatment modified additional	20	$60	$1.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Total Spectrum, LLC — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

8 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	10	2,120	$140	$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	10	750	$150	$367.4K
0365T	Adaptive behavior tx addl	2	10	1,260	$90	$112.9K
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…	1	10	390	$80	$54.2K
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…	1	10	160	$290	$45.9K
0369T	Duodenal mucosal resurfacing, endoscopic	2	10	290	$80	$23.3K
0364T	Behavior treatment	2	10	1,230	$10	$15.2K
0368T	Behavior treatment modified additional	2	10	310	$30	$8.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Knippel	WI	Behavior Analyst	$0	$1.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Superior Air-ground Ambulance Service, Inc	IL	Land Ambulance	$16.1M	$90.5M
Shield - Denver Health Care Center, Inc.	IL	Parenteral & Enteral Nutrition Supplies (DME)	$0	$100.7M
Rehabtech Supply, LLC	IL	Durable Medical Equipment & Medical Supplies	$0	$89M
Home Medical Express Inc.	IL	Oxygen Equipment & Supplies (DME)	$0	$22M
Trilab, LLC	IL	Clinical Medical Laboratory	$718K	$19.3M
Alvaro Candel	IL	Anatomic Pathology & Clinical Pathology Physician	$61.8K	$6.4M
Saad Ahmad	IL	Ophthalmology Physician	$3.3M	$2.4M
Mohamed Adenwalla	IL	Ophthalmology Physician	$2.3M	$2.4M
Aaron Weinberg	IL	Retina Specialist (Ophthalmology) Physician	$3.3M	$1.2M
Kevin Patel	IL	Ophthalmology Physician	$2.3M	$589K

Total Spectrum, LLC — Billing Profile & Reimbursement Data

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Total Spectrum, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References