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

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

Houston Therapy Consult PLLC (NPI 1174918825)

Field	Value
Entity Type	Organization
Organization	Houston Therapy Consult PLLC
Address	3600 S Gessner Rd Ste 215
City	Houston
State	TX
ZIP	77063
Taxonomy	Home Health Agency
NPI Enumerated	March 31, 2015

Payer Source	Total Paid
Medicaid	$18.7M
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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	26,310	$580	$15.3M
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…	22,130	$70	$1.4M
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…	9,750	$100	$926.3K
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.	7,680	$90	$683.3K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	3,290	$80	$276.1K
S9152	Speech therapy, re-evaluation	140	$80	$11.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	30	$130	$3.8K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	50	$70	$3.6K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	40	$80	$3.3K
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…	10	$50	$600

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Houston Therapy Consult PLLC — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	78	140	29,740	$490	$24.4M
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…	156	1,350	1,860	$80	$872.4K
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.	234	1,620	1,070	$70	$333.5K
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…	132	1,320	1,070	$60	$211.1K
S9152	Speech therapy, re-evaluation	128	270	120	$110	$62.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	267	360	100	$140	$62K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	123	180	90	$90	$29.4K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	74	110	90	$90	$26.5K
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…	55	60	40	$100	$22.1K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	3	180	110	$20	$7.7K

Nearby Providers

Other providers in the same ZIP code as Houston Therapy Consult PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M. Winter & Associates Pediatric Therapy Centers, Ltd	TX	Rehabilitation Clinic/Center	$0	$32.1M
Jaimel Health Care Service LLC	TX	Home Health Agency	$0	$27.2M
Just Real Kare, Inc	TX	Personal Care Attendant	$0	$26.3M
Vita-living, Inc.	TX	Case Management Agency	$0	$19M
Restore Health Care Services,inc.	TX	Home Health Agency	$0	$14.8M
Outreach Health Community Care Services, Lc	TX	Home Health Agency	$0	$12.4M
Belltech Enterprises, Inc.	TX	Home Health Agency	$0	$12.2M
Elite Clinical Laboratory, Inc	TX	Clinical Medical Laboratory	$3M	$366.9K
Physicians Ambulatory Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$794.6K	$830
Stuart Nathan	TX	Clinical Psychologist	$518.1K	$21K

Houston Therapy Consult PLLC — Billing Profile & Reimbursement Data

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Houston Therapy Consult PLLC — 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