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

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

Aspire Child & Family Services (NPI 1922547900)

Aspire Child & Family Services is a behavior analyst provider located in Huntingdon Valley, Pennsylvania. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Aspire Child & Family Services
Address	1800 Byberry Road, Suite 1404
City	Huntingdon Valley
State	PA
ZIP	19006
Taxonomy	Behavior Analyst
NPI Enumerated	February 23, 2017

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

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…	19,810	$180	$3.6M
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…	6,970	$210	$1.5M
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…	2,220	$150	$339K
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…	1,500	$70	$109.4K
H2021	Community-based wrap-around services, per 15 minutes	700	$150	$101.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	370	$220	$81.8K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	140	$300	$43.5K
H0046	Mental health services, not otherwise specified	260	$150	$40.7K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	130	$110	$15.3K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	190	$60	$11.9K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Aspire Child & Family Services — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania 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…	32	150	8,280	$220	$4.1M
H2021	Community-based wrap-around services, per 15 minutes	182	220	3,810	$100	$1.5M
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…	41	150	2,770	$200	$1.4M
H0046	Mental health services, not otherwise specified	143	170	1,200	$130	$909.6K
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…	47	120	1,330	$180	$557.5K
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…	27	100	530	$120	$196.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	67	240	130	$300	$139.8K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	30	50	290	$180	$108.3K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	5	10	190	$100	$54.3K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	34	60	270	$70	$40.4K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care And Help Home Care LLC	PA	Home Health Agency	$0	$31.1M
National Seating & Mobility, Inc.	PA	Durable Medical Equipment & Medical Supplies	$0	$28.9M
New Life Home Health Care Agency	PA	Home Health Agency	$0	$12.4M
Discovery House, LLC	PA	Methadone Clinic	$212.8K	$6.2M
Foundation Surgery Affiliate Of Huntingdon Valley LP	PA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Urology Health Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$1.6M	$0
Safety First Ambulance LLC	PA	Land Ambulance	$744.9K	$528.3K
Holy Redeemer Ambulatory Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Hayatt Health Service, Inc.	PA	Ambulance	$421.7K	$357K
Samuel Chachkin	PA	Dermatology Physician	$600.3K	$0

Aspire Child & Family Services — Billing Profile & Reimbursement Data

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Aspire Child & Family Services — 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