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

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

Children's Clinics For Rehabilitative Services (NPI 1063454346)

Key Findings

Field	Value
Entity Type	Organization
Organization	Children's Clinics For Rehabilitative Services
Address	2600 N Wyatt Dr
City	Tucson
State	AZ
ZIP	85712
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$58.8M
Medicare	$0

This provider appears to be effectively a Medicaid-focused operation: there is no Medicare billing on file and total reported Medicaid revenue is $58.8M. The NPI was enumerated on 2006-06-12 (~20 years ago), indicating longstanding participation in the Medicaid market rather than recent entry.

Revenue is highly concentrated in a single encounter-level code: T1015 accounts for $41.9M or 75.3% of the provider’s reported Medicaid revenue, and the precomputed top-three codes together account for 83.0% of Medicaid revenue. This concentration implies the majority of Medicaid income flows through an all-inclusive clinic/encounter billing mechanism rather than a diversified fee mix.

The code mix signals a multi-specialty pediatric clinic model that mixes primary/outpatient care with therapy services: high volumes of T1015 and E/M codes 99214 ($2.4M) and 99213 ($1.8M) show routine outpatient visits and established-patient management, while well-child codes (99393, 99394, 99395) and immunization code 90460 support a strong preventive/pediatric primary-care component. These E/M and preventive codes together reflect steady primary-care throughput in addition to the all-inclusive clinic encounters.

Rehabilitation and habilitation services form a substantial non-E/M line of business: 97530 ($1.8M), 97112 ($560.9K), 97110 ($314.5K), 97535 ($347.9K), and 97161 ($273.2K) indicate sizable physical/occupational therapy activity, and 97542 ($309.7K) specifically shows wheelchair evaluation/training where the provider ranks #1 of 8 in-state (100th percentile; notably above typical state volume for this code). The volume and variety of PT/OT codes are consistent with a pediatric rehabilitation center offering ongoing therapy sessions.

Behavioral, speech and audiology services are prominent alongside medical care: speech-language evaluation 92523 ($294.5K) and hearing test 92552 ($178.4K, rank #4 of 63, 95th percentile) point to robust audiology and SLP capacity, while psychotherapy 90837 ($480.9K) and mental-health assessment H0031 ($215.3K) indicate integrated behavioral-health services. Family psychotherapy 90847 ($212K) is an extreme statistical outlier in-state (rank #1 of 41, 100th percentile; extreme outlier), signaling unusually high family therapy volume relative to peers.

State-level competitive standing is strong for the provider’s core outpatient/E/M and clinic encounter work: T1015 ranks #14 of 357 in-state (96th percentile), 99214 ranks #149 of 3041 (95th percentile), and 99213 ranks #122 of 2775 (96th percentile), reflecting a high-volume presence in these commonly billed categories even when descriptions label the volumes as typical. For specialty diagnostics the standing is mixed: transthoracic echo 93303 brings $461.6K (rank #8 of 21, 65th percentile), indicating more modest involvement in that specific specialty service.

The operational profile implied by this billing mix is concentrated and somewhat specialized: reliance on a high-dollar, all-inclusive clinic encounter (T1015) plus large-volume therapy and allied-health services suggests the organization runs a centralized clinic model delivering bundled or inclusive visits and extensive rehabilitative care. From a payer perspective, the combination of a dominant clinic-encounter revenue stream and high-percentile volumes on multiple therapy and behavioral codes makes the provider a major Medicaid participant in its service lines and sensitive to any policy or rate changes affecting those codes.

Medicaid: Complete Services Breakdown

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

152 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	139,600	$300	$41.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	27,490	$90	$2.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	28,850	$60	$1.8M
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.	21,220	$90	$1.8M
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…	18,870	$50	$887.1K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	7,970	$90	$701.2K
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…	8,900	$60	$560.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	4,240	$120	$491.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,450	$110	$480.9K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	1,890	$240	$461.6K

Showing 1–10 of 152

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Children's Clinics For Rehabilitative Services — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

152 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	14	360	3,640	$230	$7.7M
T1016	Case management, each 15 minutes	564	1,160	2,110	$30	$1.2M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	8	20	160	$270	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	1,118	1,150	1,700	$90	$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…	62	400	2,110	$70	$800.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	79	310	960	$60	$705.5K
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.	41	510	1,320	$60	$454.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	113	400	200	$120	$403K
H0031	Mental health assessment, by non-physician	238	810	280	$120	$360.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	149	3,040	750	$50	$343.9K

Showing 1–10 of 152

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Dean	AZ	Otolaryngology Physician	$227.8K	$0
Elias Stratigouleas	AZ	Otolaryngology Physician	$210.9K	$0
David Hu	AZ	Otolaryngology Physician	$171.7K	$3.1K
NPI 1710626361	—	—	$11.2K	$0
Alisha Severson	AZ	Audiologist	$10.3K	$0
Lauren Imbornoni	CO	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$4K	$0
Aaron Mason	CO	Plastic and Reconstructive Surgery Physician	$3.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tucson Medical Center	AZ	General Acute Care Hospital	$0	$127.3M
Codac Health Recovery And Wellness	AZ	Community/Behavioral Health Agency	$0	$97.8M
Nsi-nursing Service Inc.	AZ	Home Health Agency	$0	$29.8M
Tmc Medical Network	AZ	Multi-Specialty Clinic/Center	$0	$20.3M
Arlene Bautista	AZ	Family Nurse Practitioner	$16.8M	$0
I-groupsmedicaltransportaion@wheelchair	AZ	Non-emergency Medical Transport (VAN)	$0	$15.5M
Bodycentral Physical Therapy P C	AZ	Physical Therapy Clinic/Center	$0	$14.5M
Arizona Oncology Associates PC	AZ	Specialist	$0	$13.9M
Child & Family Support Services, Inc	AZ	Community/Behavioral Health Agency	$0	$13.4M
Caldera Emergency Physicians LLC	AZ	Emergency Medicine Physician	$0	$13.2M

Children's Clinics For Rehabilitative Services — Billing Profile & Reimbursement Data

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Children's Clinics For Rehabilitative Services — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References