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.

Pediatrics Plus Therapy Services, LLC (NPI 1134277320)

Field	Value
Entity Type	Organization
Organization	Pediatrics Plus Therapy Services, LLC
Address	2740 College Ave
City	Conway
State	AR
ZIP	72034
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	January 6, 2007

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	32,110	$70	$2.3M
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.	26,010	$70	$1.8M
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…	16,200	$60	$1M
H2019	Therapeutic behavioral services, per 15 minutes	8,810	$70	$642.9K
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…	2,120	$180	$379.5K
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…	1,930	$180	$348.4K
T2024	Service assessment/plan of care development, waiver	1,790	$180	$324.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	2,150	$110	$240.4K
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…	10	$0	$0
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…	10	$0	$0

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

Pediatrics Plus Therapy Services, LLC — 4 of 8 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
H2019	Therapeutic behavioral services, per 15 minutes	58	170	2,430	$80	$1.1M
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…	56	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.	73	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…	83	500	3,410	$60	$523.5K
T2024	Service assessment/plan of care development, waiver	1	10	70	$180	$112K
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…	1	20	50	$170	$46.7K
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…	84	90	90	$80	$36.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	4	110	40	$100	$32.6K
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…	35	40	150	$60	$31.9K
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…	1	30	40	$150	$20.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatrics Plus Therapy Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Perez	AR	Occupational Therapist	$49.7K	$0

Nearby Providers

Other providers in the same ZIP code as Pediatrics Plus Therapy Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kid Success, Inc.	AR	Rehabilitation Clinic/Center	$0	$140.9M
Milestones Services, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$11.6M
Conway Regional Medical Center Inc	AR	General Acute Care Hospital	$0	$10.6M
Independent Living Services, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Counseling Associates, Inc	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.6M
Central Arkansas Pediatrics, P.A.	AR	Pediatrics Physician	$0	$6.7M
Aaron K. Forrester Dds, PLLC	AR	Pediatric Dentistry	$0	$5.7M
Conway Childrens Clinic PA Corp	AR	Pediatrics Physician	$0	$4.8M
Arkansas Pediatrics Of Conway, PA	AR	Pediatrics Physician	$0	$3.9M
Noha Mohamed	AR	Rheumatology Physician	$3.8M	$0

Pediatrics Plus Therapy Services, LLC — Billing Profile & Reimbursement Data

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Pediatrics Plus Therapy Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References