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

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

Prospect Kids, LLC (NPI 1124489638)

Prospect Kids, LLC is a early intervention provider agency provider located in Brooklyn, New York. This profile covers 0 Medicare and 17 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	Prospect Kids, LLC
Address	2102 Avenue Z
City	Brooklyn
State	NY
ZIP	11235
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	March 10, 2016

Payer Source	Total Paid
Medicaid	$35.7M
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	186,320	$110	$20.5M
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…	96,620	$80	$7.6M
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.	29,760	$80	$2.4M
T1017	Targeted case management, each 15 minutes	48,120	$40	$1.9M
H2014	Skills training and development, per 15 minutes	14,370	$80	$1.1M
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…	1,920	$320	$607K
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…	7,000	$80	$559.7K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	9,340	$40	$354.7K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	3,510	$80	$280.5K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	690	$150	$103.5K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Prospect Kids, LLC — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	45	160	3,210	$200	$4.5M
H2019	Therapeutic behavioral services, per 15 minutes	99	170	1,390	$570	$1.6M
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…	1	70	2,200	$150	$1.6M
H2027	Psychoeducational service, per 15 minutes	54	70	2,430	$100	$1.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	51	90	980	$110	$880.5K
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…	11	750	1,800	$80	$785.8K
T1017	Targeted case management, each 15 minutes	23	240	4,610	$30	$561.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	722	1,320	140	$260	$334K
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.	46	2,060	1,300	$60	$322.2K
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…	28	150	230	$260	$312.4K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Family Care, Inc	NY	Home Health Agency	$0	$841M
S & A Unified Home Care, Inc.	NY	Home Health Agency	$0	$766.2M
All American Homecare Agency Inc.	NY	Home Health Agency	$0	$758.7M
Attentive Home Care Agency Inc	NY	Home Health Agency	$0	$537.9M
Advantage Management Associates Inc.	NY	Home Health Agency	$0	$335.9M
Parkshore Home Health Care LLC	NY	Home Health Agency	$0	$300.4M
Good Care Agency Inc	NY	Home Health Agency	$0	$264.5M
Eagle Eye Fv, Inc	NY	Home Health Agency	$0	$245M
Friendly Home Care	NY	Home Health Agency	$0	$197.1M
All American Homecare Agency Inc.	NY	Home Health Agency	$0	$166M

Prospect Kids, LLC — Billing Profile & Reimbursement Data

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Prospect Kids, 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

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References