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

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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 Kid Spot Center (NPI 1104146109)

Field	Value
Entity Type	Organization
Organization	The Kid Spot Center
Address	50 Gene Cash Rd
City	Campbellsville
State	KY
ZIP	42718
Taxonomy	Occupational Therapist
NPI Enumerated	June 2, 2010

Payer Source	Total Paid
Medicaid	$27.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	25,000	$260	$6.5M
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…	129,440	$40	$5.3M
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.	108,920	$40	$4.7M
T2023	Targeted case management; per month	8,400	$310	$2.6M
S9129	Occupational therapy, in the home, per diem	22,300	$70	$1.7M
S9128	Speech therapy, in the home, per diem	21,030	$70	$1.5M
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…	19,940	$70	$1.4M
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…	13,970	$90	$1.3M
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…	17,710	$30	$584.5K
S9131	Physical therapy; in the home, per diem	5,330	$70	$384K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

The Kid Spot Center — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	77	310	830	$120	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	22	180	1,320	$220	$1.9M
S9128	Speech therapy, in the home, per diem	6	30	8,300	$70	$1.7M
S9129	Occupational therapy, in the home, per diem	5	30	7,220	$70	$1.1M
T2023	Targeted case management; per month	49	530	530	$300	$1.1M
H2015	Comprehensive community support services, per 15 minutes	59	200	1,610	$80	$585.6K
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…	2	40	1,770	$150	$567.9K
S9131	Physical therapy; in the home, per diem	8	20	3,100	$70	$480.2K
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…	96	140	460	$70	$475.2K
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…	73	1,270	760	$80	$447.2K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as The Kid Spot Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-generations LLC Central Ky	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$36.1M
Taylor County Hospital District Health Facilities Corporation	KY	General Acute Care Hospital	$0	$36.1M
Modern Care LLC	KY	Adult Care Home Facility	$0	$29.7M
Phoenix Way, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$13.6M
Reach For The Stars Case Management	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.4M
Air Evac Ems Inc	KY	Air Ambulance	$987.5K	$1.8M
City Of Campbellsville Ky	KY	Land Ambulance	$516.8K	$805.8K
Peter Hardin	KY	Radiation Oncology Physician	$694K	$0
Matthew Feltner	KY	Podiatrist	$633.9K	$0
Mark Risen	KY	Primary Podiatric Medicine Podiatrist	$170K	$444.7K

The Kid Spot Center — Billing Profile & Reimbursement Data

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The Kid Spot Center — 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