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.

Kaleidoscope Family Solutions, Inc. (NPI 1982804290)

Field	Value
Entity Type	Organization
Organization	Kaleidoscope Family Solutions, Inc.
Address	950 E Haverford Rd
City	Bryn Mawr
State	PA
ZIP	19010
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 24, 2007

Payer Source	Total Paid
Medicaid	$78.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: KALEIDOSCOPE FAMILY SOLUTIONS, INC. reports no Medicare billing on file and $78.3M in lifetime Medicaid revenue, making Medicaid the sole recorded payer in the dataset. The absence of Medicare activity indicates the organization’s services and revenues are concentrated in Medicaid-funded behavioral health and waiver programs rather than fee-for-service Medicare lines.

Revenue is highly concentrated in a small set of Medicaid codes — the top three codes (W7060, W7201, H2021) account for 60.6% of the provider’s total Medicaid revenue. The single largest line is W7060 with $31M (39.7% of Medicaid revenue), followed by W7201 at $11.1M (14.2%) and H2021 at $5.2M (6.7%), indicating a narrow set of service-types drive the majority of dollars.

The code mix and code descriptions point to a community behavioral health and habilitation orientation: H2021 is explicitly community-based wrap-around services (per 15 minutes), H2019 is therapeutic behavioral services, T2017 and T2021 are residential and day habilitation waiver services, and multiple 9615x and 9617x codes indicate psychological assessment and family counseling activity. Together these codes suggest the provider operates a mix of wrap-around care, therapeutic behavioral supports, habilitation programs, and related assessments rather than primary medical or acute care.

KALEIDOSCOPE is a dominant statewide provider for several high-revenue Medicaid codes: W7060 ranks #1 of 14 providers in-state at the 100th percentile and is labeled an extreme outlier, and W1726 and T2017 also rank #1 in-state (100th percentile) with notably above-typical volumes. These rank positions imply the provider is a major/leading in-state supplier for specific service lines, rather than a modest participant.

For some top codes the provider’s volume is typical within the state: W7201 ($11.1M) ranks #2 of 3 providers in-state at the 50th percentile and H2021 ($5.2M) ranks #27 of 218 providers at the 88th percentile and is characterized as typical, meaning KALEIDOSCOPE combines both nationally uncommon dominance on certain codes and routine participation on others. This mixed competitive profile suggests strategic strength in a few specialized services alongside broader behavioral health offerings.

Several codes show statistically notable overrepresentation in the state dataset: W7060 is an extreme outlier (100th percentile), and H2019 (98th percentile), W1726 (100th percentile), W5996 (100th percentile), T1027 (100th percentile), and T2022 (100th percentile) are all described as notably above typical state volume. These labels indicate the provider’s service mix has multiple areas where it reports materially higher activity than peers, which could reflect specialization, program scale, or concentration of certain Medicaid-funded programs.

Operationally, non-clinical service lines such as transportation and personal care are also material: T2003 (non-emergency transportation) and A0090 (non-emergency transportation per mile) appear in the top-25 with $633.2K and $90.6K respectively, and T1019 (personal care services) contributes $625.4K. The presence of these codes alongside habilitation and therapeutic services signals an integrated service model that includes support services required by Medicaid waiver and community-based programs.

The provider has established tenure in the Medicaid market, with NPI enumeration on 2007-07-24 (~19 years ago), indicating long-standing participation in state behavioral health and waiver service delivery. Combined with the concentrated revenue drivers and multiple 100th-percentile rankings, this tenure supports the interpretation of KALEIDOSCOPE as a long-term, specialized Medicaid behavioral-health provider with dominant positions in several in-state service codes.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W7060	N/A	182,650	$170	$31M
W7201	N/A	59,620	$190	$11.1M
H2021	Community-based wrap-around services, per 15 minutes	35,100	$150	$5.2M
W1726	N/A	30,450	$160	$5M
H2019	Therapeutic behavioral services, per 15 minutes	43,550	$100	$4.5M
T2017	Habilitation, residential, waiver; 15 minutes	28,940	$140	$4.1M
W5996	N/A	13,560	$280	$3.8M
W7095	N/A	12,130	$180	$2.2M
T2021	Day habilitation, waiver; per 15 minutes	16,220	$120	$2M
96151	N/A	12,370	$160	$1.9M

Showing 1–10 of 26

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

Kaleidoscope Family Solutions, Inc. — 10 of 25 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	1	10	28,940	$140	$4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	38	90	8,060	$110	$3.9M
W7201	N/A	2	10	59,620	$80	$3.8M
W7060	N/A	1	10	3,270	$200	$3.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	40	100	9,680	$110	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	27	220	3,810	$100	$1.5M
W1726	N/A	1	10	1,110	$180	$1.1M
T2021	Day habilitation, waiver; per 15 minutes	1	10	8,530	$110	$911.2K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	3	10	2,460	$190	$846.6K
H2015	Comprehensive community support services, per 15 minutes	7	20	830	$140	$791.2K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Kaleidoscope Family Solutions, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Resources For Human Development, Inc.	PA	Community/Behavioral Health Agency	$0	$30.7M
Kaleidoscope Family Solutions Aba Inc.	PA	Behavior Analyst	$0	$9.8M
Sameer Gupta	PA	Hematology & Oncology Physician	$2.9M	$0
Donald Miller	PA	Rheumatology Physician	$2.2M	$0
John Devlin	PA	Hematology & Oncology Physician	$2M	$0
Bmmsa Heart & Vascular Center Of The Main Line	PA	Ambulatory Surgical Clinic/Center	$1.9M	$0
Stephanie Flagg	PA	Rheumatology Physician	$1.6M	$0
Academic Urology Of PA, LLC	PA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Sean Curran	PA	Cardiovascular Disease Physician	$1.4M	$0
Bryn Mawr Surgery Center LLC	PA	Ambulatory Surgical Clinic/Center	$1.3M	$0

Kaleidoscope Family Solutions, Inc. — Billing Profile & Reimbursement Data

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Kaleidoscope Family Solutions, Inc. — 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