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

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

Reach Pediatric Therapy (NPI 1023533858)

Field	Value
Entity Type	Organization
Organization	Reach Pediatric Therapy
Address	12485 Jeff Hamilton Rd
City	Mobile
State	AL
ZIP	36695
Taxonomy	Speech-Language Pathologist
NPI Enumerated	August 14, 2017

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	39,480	$50	$2.1M
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1,850	$120	$229.2K
92522	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns. The jaw, lips, and tongue are examined for proper…	40	$50	$1.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Reach Pediatric Therapy — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	8	180	1,490	$50	$404.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	2	80	60	$110	$27.5K
92522	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns. The jaw, lips, and tongue are examined for proper…	1	10	40	$40	$1.8K

Nearby Providers

Other providers in the same ZIP code as Reach Pediatric Therapy, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vision Partners LLC	AL	Ophthalmology Physician	$0	$2.2M
Forefront Dermatology, S.c.	AL	Dermatology Physician	$0	$1.7M
Ritesh Gupta	AL	Internal Medicine Physician	$700.4K	$0
Cary Dunn	AL	Dermatology Physician	$665.3K	$0
Michael Rihner	AL	Cardiovascular Disease Physician	$639.3K	$0
Stephanie Grosz	AL	Clinical Cardiac Electrophysiology Physician	$579.5K	$0
Thomas Bender	AL	Dermatology Physician	$529.3K	$0
Mark Gacek	AL	Otolaryngology Physician	$244.7K	$0
Joseph Sugg	AL	Ophthalmology Physician	$211.3K	$0
Virginia Reeder	AL	Dermatology Physician	$181.2K	$0

Reach Pediatric Therapy — Billing Profile & Reimbursement Data

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Reach Pediatric Therapy — Billing Profile & Reimbursement Data

Sign up for Reach Pediatric Therapy — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References