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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Pediatric Therapy Of Aiken, LLC (NPI 1164661609)

Field	Value
Entity Type	Organization
Organization	Pediatric Therapy Of Aiken, LLC
Address	181 Town Creek Rd
City	Aiken
State	SC
ZIP	29803
Taxonomy	Occupational Therapist
NPI Enumerated	February 6, 2009

Payer Source	Total Paid
Medicaid	$14.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 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…	72,830	$80	$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.	52,120	$80	$4.1M
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…	32,480	$70	$2.4M
E0570	Nebulizer, with compressor	4,460	$130	$557.4K
T1027	Family training and counseling for child development, per 15 minutes	5,900	$80	$495.8K
T1016	Case management, each 15 minutes	5,080	$40	$188K
S9152	Speech therapy, re-evaluation	2,170	$50	$108.3K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	4,470	$20	$98.4K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	1,340	$40	$50.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	410	$120	$46.7K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Pediatric Therapy Of Aiken, LLC — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1027	Family training and counseling for child development, per 15 minutes	32	80	3,560	$100	$857.8K
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…	9	340	2,970	$80	$711.1K
T1016	Case management, each 15 minutes	47	100	4,210	$50	$614.8K
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.	8	350	2,590	$70	$550.2K
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…	14	290	2,600	$60	$414.4K
T1018	School-based individualized education program (iep) services, bundled	18	30	650	$90	$111.8K
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	14	20	170	$30	$87K
E0570	Nebulizer, with compressor	8	80	1,180	$30	$70.2K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	13	40	390	$40	$65.5K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	18	50	370	$30	$44.4K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Pediatric Therapy Of Aiken, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aiken Obstetrics And Gynecology Associates, PA	SC	Specialist	$0	$9.6M
Aiken County Public Schools	SC	Bus	$0	$5.2M
Southside Pediatrics Of Aiken, LLC	SC	Pediatrics Physician	$0	$3.8M
Therapy Solutions, LLC	SC	Speech-Language Pathologist	$0	$2.5M
David Zimmerman	SC	Family Medicine Physician	$470K	$0
Publix Super Markets Inc	SC	Community/Retail Pharmacy	$431.1K	$0
Leopoldo Muniz	SC	Family Medicine Physician	$414.8K	$0
Stephen Rozier	SC	Physician Assistant	$389.1K	$0
William Durrett	SC	Interventional Pain Medicine Physician	$376.1K	$0
Ray Vaughters	SC	Family Medicine Physician	$186.5K	$145K

Pediatric Therapy Of Aiken, LLC — Billing Profile & Reimbursement Data

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Pediatric Therapy Of Aiken, 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