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

Why is the Medicaid comparison limited to New York 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. New York (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.

Bright Start Pt & Pta PLLC (NPI 1053854059)

Field	Value
Entity Type	Organization
Organization	Bright Start Pt & Pta PLLC
Address	301 Ocean View Ave
City	Brooklyn
State	NY
ZIP	11235
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	November 22, 2016

Payer Source	Total Paid
Medicaid	$27.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 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…	54,730	$80	$4.2M
T1017	Targeted case management, each 15 minutes	124,070	$30	$4.1M
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.	44,110	$80	$3.4M
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…	26,330	$100	$2.7M
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…	7,540	$350	$2.6M
H2014	Skills training and development, per 15 minutes	29,550	$90	$2.6M
H2027	Psychoeducational service, per 15 minutes	22,230	$110	$2.3M
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…	16,850	$80	$1.3M
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	30,750	$40	$1.1M
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…	10,650	$80	$819.7K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Bright Start Pt & Pta PLLC — 6 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	28	160	3,210	$200	$4.5M
H2027	Psychoeducational service, per 15 minutes	12	70	2,430	$100	$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…	12	90	980	$110	$880.5K
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…	22	750	1,800	$80	$785.8K
T1017	Targeted case management, each 15 minutes	6	240	4,610	$30	$561.8K
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.	25	2,060	1,300	$60	$322.2K
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…	3	150	230	$260	$312.4K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	60	160	530	$40	$267.3K
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…	177	2,430	1,310	$40	$257.8K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	47	90	820	$70	$243.8K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Bright Start Pt & Pta PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Family Care, Inc	NY	Home Health Agency	$0	$841M
S & A Unified Home Care, Inc.	NY	Home Health Agency	$0	$766.2M
All American Homecare Agency Inc.	NY	Home Health Agency	$0	$758.7M
Attentive Home Care Agency Inc	NY	Home Health Agency	$0	$537.9M
Advantage Management Associates Inc.	NY	Home Health Agency	$0	$335.9M
Parkshore Home Health Care LLC	NY	Home Health Agency	$0	$300.4M
Good Care Agency Inc	NY	Home Health Agency	$0	$264.5M
Eagle Eye Fv, Inc	NY	Home Health Agency	$0	$245M
Friendly Home Care	NY	Home Health Agency	$0	$197.1M
All American Homecare Agency Inc.	NY	Home Health Agency	$0	$166M

Bright Start Pt & Pta PLLC — Billing Profile & Reimbursement Data

Sign up for Bright Start Pt & Pta PLLC — Billing Profile & Reimbursement Data policy alerts

Bright Start Pt & Pta PLLC — Billing Profile & Reimbursement Data

Sign up for Bright Start Pt & Pta PLLC — 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