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

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

Programs For Infants & Children, Inc (NPI 1164571238)

Field	Value
Entity Type	Organization
Organization	Programs For Infants & Children, Inc
Address	3330 Arctic Blvd Ste 101
City	Anchorage
State	AK
ZIP	99503
Taxonomy	Pediatric Occupational Therapist
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$293.8K
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
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.	2,110	$90	$195.8K
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…	790	$80	$64.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	90	$230	$21.4K
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…	100	$100	$10.7K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	20	$90	$1.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Programs For Infants & Children, Inc — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

5 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.	43	120	970	$140	$652.1K
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…	47	70	2,310	$100	$531.8K
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	10	700	$130	$190K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	7	10	90	$200	$37.5K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	3	10	170	$110	$23.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Programs For Infants & Children, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Programs For Infants & Children, Inc.	AK	Case Management Agency	$0	$5.1M

Nearby Providers

Other providers in the same ZIP code as Programs For Infants & Children, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Home Medical, Inc.	AK	Durable Medical Equipment & Medical Supplies	$0	$32.5M
Anchorage Neighborhood Health Center, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$28.2M
Absolute Care Of Alaska, LLC.	AK	In Home Supportive Care Agency	$0	$23.4M
Hearts And Hands, Inc	AK	Home Health Agency	$0	$22.5M
Alaska Hospitalist Group LLC	AK	Internal Medicine Physician	$0	$18.6M
Arctic Care Services	AK	Home Health Agency	$0	$17.7M
Turnagain Social Club	AK	Alzheimer Center (Dementia Center)	$0	$15.2M
Akeela Inc	AK	Substance Abuse Rehabilitation Facility	$0	$14.4M
Shine Bright Care, LLC	AK	In Home Supportive Care Agency	$0	$13.7M
Easter Seals Of Alaska	AK	Home Health Agency	$0	$13.6M

Programs For Infants & Children, Inc — Billing Profile & Reimbursement Data

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Programs For Infants & Children, Inc — 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