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

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

Region Iii Education Service Center (NPI 1003981572)

Field	Value
Entity Type	Organization
Organization	Region Iii Education Service Center
Address	1905 Leary Ln
City	Victoria
State	TX
ZIP	77901
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$16.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1027	Family training and counseling for child development, per 15 minutes	73,640	$100	$7.7M
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.	28,000	$110	$3.1M
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…	23,810	$120	$2.8M
T1017	Targeted case management, each 15 minutes	40,860	$60	$2.4M
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	2,310	$170	$398.9K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	1,100	$120	$131.4K
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…	960	$110	$108.7K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	380	$110	$42.4K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	280	$110	$30.2K
S9470	Nutritional counseling, dietitian visit	1,690	$10	$23.6K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Region Iii Education Service Center — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1027	Family training and counseling for child development, per 15 minutes	10	40	29,770	$110	$5.2M
T1017	Targeted case management, each 15 minutes	22	220	4,700	$90	$1.4M
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…	144	1,350	1,860	$80	$872.4K
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.	51	1,620	1,070	$70	$333.5K
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…	690	1,320	1,070	$60	$211.1K
S9152	Speech therapy, re-evaluation	126	270	120	$110	$62.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	21	360	100	$140	$62K
S9470	Nutritional counseling, dietitian visit	16	60	380	$20	$40.5K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	53	180	90	$90	$29.4K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	44	60	40	$110	$29.2K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Region Iii Education Service Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Noe Olvera	TX	Rheumatology Physician	$1.5M	$0
Scott Stein	TX	Rheumatology Physician	$1.4M	$0
Gary Cox	TX	Dermatology Physician	$1.1M	$192.6K
Dakshesh-kumar Parikh	TX	Cardiovascular Disease Physician	$793.6K	$0
Ajay Gaalla	TX	Cardiovascular Disease Physician	$739.3K	$0
Harish Chandna	TX	Cardiovascular Disease Physician	$733.3K	$0
John Mikus	TX	Diagnostic Radiology Physician	$440.5K	$0
Frank Parma	TX	Family Medicine Physician	$429.6K	$0
Santiago Marroquin	TX	Diagnostic Radiology Physician	$427.5K	$0
David Tharp	TX	Diagnostic Radiology Physician	$411.3K	$0

Region Iii Education Service Center — Billing Profile & Reimbursement Data

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Region Iii Education Service Center — 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