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

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

Helena Autism Therapy Center, Inc (NPI 1922449057)

Field	Value
Entity Type	Organization
Organization	Helena Autism Therapy Center, Inc
Address	5301 E River Rd
City	Fridley
State	MN
ZIP	55421
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 17, 2013

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	45,620	$130	$5.7M
H0032	Mental health service plan development by non-physician	14,760	$80	$1.2M
H0046	Mental health services, not otherwise specified	16,420	$20	$328.4K
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…	3,320	$90	$312.2K
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…	1,460	$80	$113.6K
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…	2,610	$40	$109.7K
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.	1,900	$40	$72K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	160	$130	$20.6K
0362T	An on–site physician or other qualified healthcare professional, with the assistance of one or more technicians, performs a follow–up assessment of a patient’s maladaptive destructive behavior in an…	30	$20	$460

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Helena Autism Therapy Center, Inc — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

9 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…	28	50	6,550	$90	$3.1M
H2014	Skills training and development, per 15 minutes	17	190	6,230	$120	$2.2M
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…	25	50	1,140	$70	$720.1K
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…	50	110	1,880	$50	$564.6K
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.	98	260	890	$60	$405.3K
H0032	Mental health service plan development by non-physician	12	230	490	$80	$255.2K
H0046	Mental health services, not otherwise specified	50	210	2,990	$10	$213.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	203	500	90	$120	$124.6K
0362T	An on–site physician or other qualified healthcare professional, with the assistance of one or more technicians, performs a follow–up assessment of a patient’s maladaptive destructive behavior in an…	4	10	530	$30	$16.9K

Nearby Providers

Other providers in the same ZIP code as Helena Autism Therapy Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pro-health Care, Inc	MN	Home Health Agency	$0	$55.4M
All Temporaries Inc	MN	Home Health Agency	$0	$26.3M
River Oaks Columbia Heights, LLC	MN	Assisted Living Facility	$0	$10.6M
Carepoint Dental	MN	Dentist	$0	$6.4M
Fairview Express Care	MN	Physical Therapy Clinic/Center	$0	$5M
Shobana Murali	MN	Ophthalmology Physician	$132.1K	$0
James Natwick	MN	Foot & Ankle Surgery Podiatrist	$31.1K	$0
Lisa Dust	MN	Occupational Therapist	$19.3K	$0

Helena Autism Therapy Center, Inc — Billing Profile & Reimbursement Data

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Helena Autism Therapy Center, Inc — 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