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

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

Autism Learning Partners, LLC (NPI 1942537733)

Field	Value
Entity Type	Organization
Organization	Autism Learning Partners, LLC
Address	12432 Bellflower Blvd
City	Downey
State	CA
ZIP	90242
Taxonomy	Behavior Analyst
NPI Enumerated	November 16, 2009
NPI Deactivated	February 2, 2024

Payer Source	Total Paid
Medicaid	$112.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	546,190	$120	$63.9M
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…	134,240	$190	$24.8M
H0032	Mental health service plan development by non-physician	112,660	$80	$9.4M
H0031	Mental health assessment, by non-physician	35,080	$130	$4.6M
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…	22,160	$170	$3.9M
H2012	Behavioral health day treatment, per hour	12,600	$140	$1.7M
H0046	Mental health services, not otherwise specified	13,360	$120	$1.6M
S5110	Home care training, family; per 15 minutes	14,270	$90	$1.2M
S5111	Home care training, family; per session	15,290	$40	$596.3K
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…	3,030	$140	$424.1K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Autism Learning Partners, LLC — 7 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	174	200	3,070	$120	$4.5M
H2019	Therapeutic behavioral services, per 15 minutes	4	660	4,750	$140	$3.1M
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…	5	90	2,960	$150	$2.6M
H0032	Mental health service plan development by non-physician	8	980	1,080	$160	$1.5M
H2012	Behavioral health day treatment, per hour	19	110	3,310	$160	$1.3M
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…	5	80	1,300	$150	$798.6K
H0046	Mental health services, not otherwise specified	15	140	1,570	$130	$598.9K
H0031	Mental health assessment, by non-physician	3	360	330	$180	$492.6K
H2014	Skills training and development, per 15 minutes	22	140	790	$120	$395.1K
0365T	Adaptive behavior tx addl	5	10	1,000	$130	$388K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$101.4M
County Of Los Angeles Auditor Controller	CA	General Acute Care Hospital	$0	$38.2M
Justin Ellison	CA	Certified Registered Nurse Anesthetist	$236.9K	$0
David Millett	CA	Neurology Physician	$161.5K	$0

Autism Learning Partners, LLC — Billing Profile & Reimbursement Data

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Autism Learning Partners, 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