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

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

The Griffin Promise (NPI 1083037956)

The Griffin Promise is a speech-language pathologist provider located in Broken Arrow, Oklahoma. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	The Griffin Promise
Address	3100 S Elm Pl Ste A
City	Broken Arrow
State	OK
ZIP	74012
Taxonomy	Speech-Language Pathologist
NPI Enumerated	January 29, 2014

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

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

9 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…	34,840	$60	$2.2M
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.	13,120	$60	$721.3K
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…	2,720	$60	$165.6K
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…	480	$120	$57.4K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	230	$60	$12.8K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	120	$70	$9K
99366	A medical team discusses a treatment plan in a meeting with a patient who requires attention from more than one medical specialty.	60	$80	$4.3K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	30	$80	$2.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$160	$2.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

The Griffin Promise — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	31	200	1,720	$80	$645.7K
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…	17	210	1,850	$70	$560.1K
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…	11	50	1,640	$90	$212.4K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	6	20	130	$240	$72.9K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	2	10	20	$150	$60.6K
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	70	$140	$51.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	52	70	40	$190	$32.5K
99366	A medical team discusses a treatment plan in a meeting with a patient who requires attention from more than one medical specialty.	2	10	60	$40	$7.6K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	2	10	40	$70	$4.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Collaborative Therapy Services Inc	OK	Multi-Specialty Clinic/Center	$0	$12.9M
Family Smiles Dentistry, PLLC	OK	General Practice Dentistry	$0	$10.8M
Eastern Oklahoma Oral And Maxillofacial Surgeons	OK	Oral and Maxillofacial Surgery (Dentist)	$0	$8.3M
Stonewood Hills Oral Maxillofacial Surgery, Inc.	OK	Oral and Maxillofacial Surgery (Dentist)	$0	$6.5M
Eton Home Healthcare, Inc.	OK	Home Health Agency	$0	$5.6M
Brighter Dimensions, LLC	OK	Community/Behavioral Health Agency	$0	$5M
City Of Broken Arrow	OK	Land Ambulance	$1.2M	$2.4M
Dental Depot Of Broken Arrow, PLLC	OK	Dentist	$0	$3.2M
Pmo Medical PLLC	OK	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$3.1M
Wellspring Family Clinic	OK	Clinic/Center	$0	$2.9M

The Griffin Promise — Billing Profile & Reimbursement Data

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The Griffin Promise — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

References