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

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

In-sync Pediatric Therapy (NPI 1073704516)

Field	Value
Entity Type	Organization
Organization	In-sync Pediatric Therapy
Address	1109 Fayetteville Road
City	Van Buren
State	AR
ZIP	72956
Taxonomy	Clinic/Center
NPI Enumerated	August 8, 2007

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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.	60,760	$60	$3.6M
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…	47,470	$60	$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…	36,220	$60	$2M
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	310	$140	$42.8K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	120	$180	$21.4K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	670	$20	$14K
97003	N/A	130	$100	$13.4K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	70	$140	$9.1K
97001	N/A	60	$100	$6.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	20	$100	$1.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

In-sync Pediatric Therapy — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	22	20	1,430	$190	$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…	34	570	2,470	$70	$801.4K
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.	17	580	3,620	$60	$712.7K
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…	28	500	3,410	$60	$523.5K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	159	240	1,910	$10	$49.3K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	9	20	50	$170	$46.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	71	110	40	$100	$32.6K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	3	30	40	$150	$20.5K
97001	N/A	48	100	60	$40	$13.1K
97003	N/A	26	90	50	$70	$9.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stepping Stone School For Exceptional Children,inc	AR	Developmentally Disabled Services Day Training Agency	$0	$28.3M
Independence At Home Homecare, LLC	AR	In Home Supportive Care Agency	$0	$8.7M
Hope's Creek Inc.	AR	Assisted Living Facility	$0	$6.6M
Arkansas Pediatric Therapy	AR	Clinic/Center	$0	$3M
The Guidance Center - Van Buren Clinic	AR	Community/Behavioral Health Agency	$0	$3M
Baptist Health Regional Hospitals	AR	General Acute Care Hospital	$0	$2.5M
Adair Ya, LLC	AR	Speech-Language Pathologist	$0	$2.2M
Heather Hale	AR	Nurse Practitioner	$267.3K	$0
Laura Henson	AR	Nurse Practitioner	$43.7K	$0
Kristy Graham	AR	Orthopedic Chiropractor	$20.9K	$1.8K

In-sync Pediatric Therapy — Billing Profile & Reimbursement Data

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In-sync Pediatric Therapy — Billing Profile & Reimbursement Data

Sign up for In-sync 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