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.

Sunny Days Early Childhood Developmental Services Inc (NPI 1952441701)

Field	Value
Entity Type	Organization
Organization	Sunny Days Early Childhood Developmental Services Inc
Address	1023 E Baltimore Pike Ste 303
City	Media
State	PA
ZIP	19063
Taxonomy	Behavior Analyst
NPI Enumerated	February 8, 2007

Payer Source	Total Paid
Medicaid	$10M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	8,210	$170	$1.4M
S9128	Speech therapy, in the home, per diem	11,730	$110	$1.3M
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.	8,210	$130	$1.1M
S9131	Physical therapy; in the home, per diem	9,520	$110	$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…	4,760	$220	$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…	5,570	$180	$1M
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…	9,240	$100	$886.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	6,220	$130	$777.1K
S9129	Occupational therapy, in the home, per diem	5,810	$120	$691.5K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	3,970	$150	$592.1K

Showing 1–10 of 14

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

Sunny Days Early Childhood Developmental Services Inc — 1 of 14 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

14 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…	85	150	8,280	$220	$4.1M
H2021	Community-based wrap-around services, per 15 minutes	175	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…	52	150	2,770	$200	$1.4M
H0046	Mental health services, not otherwise specified	84	170	1,200	$130	$909.6K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	6	20	490	$270	$808.8K
S9128	Speech therapy, in the home, per diem	1	10	4,870	$110	$585.8K
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…	10	120	1,330	$180	$557.5K
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…	25	410	1,130	$60	$455.4K
S9129	Occupational therapy, in the home, per diem	2	10	910	$130	$442.2K
S9131	Physical therapy; in the home, per diem	3	20	910	$120	$418.1K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Sunny Days Early Childhood Developmental Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elwyn Of Pennsylvania And Delaware	PA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.1M
Elwyn Of Pennsylvania And Delaware	PA	Mental Illness Community Based Residential Treatment Facility	$0	$16.3M
Pediatric Services Of America, LLC	PA	Home Health Agency	$0	$12.8M
Elwyn Of Pennsylvania And Delaware	PA	Community/Behavioral Health Agency	$0	$10.7M
Mirmont Treatment Center	PA	Substance Abuse Rehabilitation Facility	$0	$8.3M
Mvp Recovery LLC	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.7M
Jason Lange	PA	Ophthalmology Physician	$1.6M	$0
Benjamin Jacobs	PA	Internal Medicine Physician	$1.3M	$0
Thais Moldovan	PA	Rheumatology Physician	$1.1M	$0
Riddle Health Care Services	PA	Ambulance	$852K	$173.1K

Sunny Days Early Childhood Developmental Services Inc — Billing Profile & Reimbursement Data

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Sunny Days Early Childhood Developmental Services 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