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

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

Autism Specialists LLC (NPI 1104066463)

Field	Value
Entity Type	Organization
Organization	Autism Specialists LLC
Address	5924 Anaheim Ave Ne Ste B
City	Albuquerque
State	NM
ZIP	87113
Taxonomy	Speech-Language Pathologist
NPI Enumerated	February 26, 2009

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	14,860	$70	$966.1K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	6,590	$120	$783.7K
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.	3,100	$90	$266.3K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	430	$180	$77.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	200	$250	$49.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Autism Specialists LLC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	14	50	2,930	$150	$1.4M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	37	50	1,370	$130	$633K
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…	19	130	2,280	$50	$363.9K
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.	83	220	1,570	$70	$340.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	7	30	50	$170	$22.4K

Nearby Providers

Other providers in the same ZIP code as Autism Specialists LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Mexico Consumer Direct Personal Care, LLC	NM	Home Health Agency	$0	$149.8M
Ambercare Hospice, Inc.	NM	Community Based Hospice Care Agency	$0	$28.7M
Advantage Home Care, Inc.	NM	Primary Care Nurse Practitioner	$0	$13.7M
Home Modification Solutions, LLC	NM	In Home Supportive Care Agency	$0	$9.9M
A Childs Voice	NM	Community/Behavioral Health Agency	$0	$5.3M
Allergy Partners, PLLC	NM	Allergy & Immunology Physician	$0	$5M
Christopher Roybal	NM	Ophthalmology Physician	$3.8M	$0
Armada Skilled Homecare Of New Mexico LLC	NM	Home Health Agency	$0	$3.2M
Anne K. Hempstead D.d.s., P.C.	NM	Pediatric Dentistry	$0	$3M
Dr Puneet Rastogi & Associates LLC	NM	Optometrist	$0	$2M

Autism Specialists LLC — Billing Profile & Reimbursement Data

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Autism Specialists LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References