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

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

Elizabeth Ostendorf LLC (NPI 1932539582)

Field	Value
Entity Type	Organization
Organization	Elizabeth Ostendorf LLC
Address	9960 Federal Dr Ste 130
City	Colorado Springs
State	CO
ZIP	80921
Taxonomy	Behavior Analyst
NPI Enumerated	November 18, 2013

Payer Source	Total Paid
Medicaid	$43.8M
Medicare	$0

Key Findings

ELIZABETH OSTENDORF LLC is effectively a single-payer Medicaid operation: it has no Medicare billing on file and reports $43.8M in lifetime Medicaid revenue, indicating Medicaid is the exclusive source of recorded federal program revenue for this NPI. The provider’s taxonomy (Behavior Analyst) aligns with the dominated code mix and service focus observed in the Medicaid claims.

Revenue is highly concentrated in a narrow set of ABA-related procedure codes: 97153 generates $34.9M (69K claims, $506 avg paid/claim) and accounts for 79.7% of this provider's total Medicaid revenue, while 97155 contributes $7.7M (35.2K claims, $218 avg paid/claim) and represents 17.5% of Medicaid revenue. The precomputed top-3 codes together account for 99.8% of this provider's total Medicaid revenue, signaling extreme concentration in a small number of service lines.

The code mix indicates an operational model built around technician-delivered adaptive behavior treatments and supervising clinician oversight: 97153 (technician-delivered, billed per 15 minutes) is the dominant revenue driver and 97155 (clinician-delivered/modification and supervision) is the second-largest. Together these codes point to high-volume, recurring ABA therapy sessions rather than predominantly diagnostic or one-time interventions.

This provider is a dominant statewide participant for the two primary ABA codes: 97153 ranks #1 of 148 providers in-state and is described as an extreme outlier at the 100th percentile, and 97155 also ranks #1 of 152 providers in-state and is an extreme outlier at the 100th percentile. Those rank/percentile positions indicate ELIZABETH OSTENDORF LLC operates at volumes far above typical peers in Colorado for these services.

Other billed codes are comparatively minor but consistent with an ABA practice and related mental health services: H0046 accounts for $1.1M (5.2K claims, $216 avg paid/claim) and 2.6% of Medicaid revenue, ranking #9 of 58 providers in-state at the 86th percentile, while 97151 (assessment/reporting) contributes $76.8K (392 claims, $196 avg paid/claim) and 0.2% of revenue, ranking #4 of 32 providers at the 90th percentile. These positions suggest routine use of assessment and occasional non-specific mental health billing but at much smaller scale than the therapy codes.

A notable operational detail is the high claim volumes reported: 69K claims for 97153 and 35.2K claims for 97155. Those claim counts, together with the large revenue totals and high per-claim average for 97153 ($506 avg paid/claim), indicate the provider delivers extensive, repeat-session care rather than limited episodic encounters.

The dataset shows some administrative activity with little or no revenue impact: code 99072 appears on 3.4K claims but shows $0 avg paid/claim and $0 revenue (0.0% of this provider's total Medicaid revenue), which indicates frequent submission of this service line without associated paid dollars in the recorded Medicaid data. This pattern may reflect billing of visit-safety or supply line items that did not generate paid Medicaid revenue in the observed files.

The NPI was enumerated on 2013-11-18 (~13 years ago), providing a long operational tenure in the market consistent with the large cumulative Medicaid volume; the sustained presence likely supports the practice’s capacity to scale technician-based ABA delivery and maintain high statewide rankings for its principal codes.

Medicaid: Complete Services Breakdown

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

5 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…	69,020	$510	$34.9M
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…	35,210	$220	$7.7M
H0046	Mental health services, not otherwise specified	5,250	$220	$1.1M
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…	390	$200	$76.8K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	3,360	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Elizabeth Ostendorf LLC — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

5 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…	1	150	2,450	$270	$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…	1	150	800	$210	$457.9K
H0046	Mental health services, not otherwise specified	9	60	1,380	$140	$397.2K
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…	4	30	70	$160	$23.9K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	9	120	130	$1	$120

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Whole Kids Co. PLLC	CO	Professional Counselor	$0	$11.9M
Choice Home Care Colorado Springs, LLC	CO	In Home Supportive Care Agency	$0	$11M
Jjn Home Health Agency Inc.	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$6.9M
James Albert	CO	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$656.2K	$0
John Swenson	CO	Podiatrist	$90.4K	$0
Haley Shields	CO	Physical Therapist	$87.9K	$0
Nathanael Brady	CO	Allergy Physician	$73.3K	$0
Terri Nagy	CO	Physician Assistant	$59.6K	$4K
Kathleen Dilday	CO	Family Nurse Practitioner	$47.2K	$0
Allison Wood	CO	Nurse Practitioner	$27.8K	$0

Elizabeth Ostendorf LLC — Billing Profile & Reimbursement Data

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Elizabeth Ostendorf 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

Nearby Providers

Frequently Asked Questions

References