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

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

Therapy & Learning Center Inc (NPI 1013037159)

Field	Value
Entity Type	Organization
Organization	Therapy & Learning Center Inc
Address	32 Garland Dr
City	Jackson
State	TN
ZIP	38305
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	March 30, 2007

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	52,710	$50	$2.5M
S5100	Day care services, adult; per 15 minutes	1,610	$740	$1.2M
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…	9,880	$40	$385.5K
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…	1,250	$40	$55K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	600	$70	$44K
96111	N/A	30	$40	$1.1K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	20	$40	$700
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	50	$10	$370

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Therapy & Learning Center Inc — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5100	Day care services, adult; per 15 minutes	7	10	3,030	$40	$865.9K
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…	53	230	2,130	$40	$616.8K
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.	13	340	1,400	$40	$354.2K
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…	167	350	1,060	$30	$173.8K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	118	120	610	$10	$81K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	7	20	50	$60	$32.7K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	34	40	380	$10	$11.3K
96111	N/A	4	10	30	$70	$6.3K

Nearby Providers

Other providers in the same ZIP code as Therapy & Learning Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Staffco Of Southwest Tn, LLC. Dba At Home Healthcare Of Southwest Tn	TN	In Home Supportive Care Agency	$0	$32.3M
Madison Haywood County Developmental Services, Inc	TN	Developmentally Disabled Services Day Training Agency	$0	$23M
Loving Arms, LLC	TN	Home Health Agency	$0	$13.3M
Impact Healthcare, PLLC	TN	Addiction Medicine (Family Medicine) Physician	$0	$10.1M
Encare, LLC.	TN	In Home Supportive Care Agency	$0	$9.1M
George M Short Dds Ms PC	TN	Pediatric Dentistry	$0	$8.7M
Jackson Clinic PA	TN	Internal Medicine Physician	$0	$7.9M
Family Care Walk In Clinic, Inc.	TN	Family Medicine Physician	$0	$6.2M
Jackson Radiology Associates PA	TN	Diagnostic Radiology Physician	$0	$4.4M
Jackson Ophthalmology Asc LLC	TN	Ambulatory Surgical Clinic/Center	$3.1M	$20.7K

Therapy & Learning Center Inc — Billing Profile & Reimbursement Data

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Therapy & Learning Center 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