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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Learn & Grow Therapy Group LLC (NPI 1205228343)

Key Findings

Field	Value
Entity Type	Organization
Organization	Learn & Grow Therapy Group LLC
Address	66 Urb Catalana
City	Barceloneta
State	PR
ZIP	00617
Taxonomy	Speech-Language Pathologist
NPI Enumerated	February 26, 2015

Payer Source	Total Paid
Medicaid	$32.1M
Medicare	$0

LEARN & GROW THERAPY GROUP LLC is effectively a single‑payer Medicaid billing operation: it has $32.1M in total Medicaid revenue on file and no Medicare billing on file, so Medicare is not part of its current payer mix. This makes the provider highly dependent on Medicaid volume and reimbursement policies for its revenue base.

Revenue is extremely concentrated in a small set of procedure codes: the precomputed top three Medicaid codes account for 91.8% of this provider's total Medicaid revenue. Those codes are 97533 (38.1%, $12.2M), 92507 (28.1%, $9M), and 92526 (25.6%, $8.2M), indicating that a very small set of services drives nearly all reported Medicaid income.

The code mix and taxonomy (Speech‑Language Pathologist) point to a high‑volume therapy operation focused on sensory integration, communication therapy, and swallowing interventions. Heavy use of 97533 (sensory integrative techniques), 92507 (direct speech‑language treatment), and 92526 (swallowing disorder treatment) suggests the provider primarily delivers hands‑on therapeutic sessions consistent with pediatric developmental and dysphagia service lines.

Claim volumes for the top codes are large in absolute terms: 115.3K claims for 97533, 173.9K claims for 92507, and 155.4K claims for 92526. Those claim counts, coupled with the revenue concentrations above, indicate substantial throughput and an operational model built around frequent, repeat therapy encounters rather than infrequent, high‑priced interventions.

Statewide competitive standing is dominant on core services: 97533 ranks #2 of 46 providers in‑state (98th percentile; extreme outlier), 92507 ranks #2 of 141 providers in‑state (99th percentile; extreme outlier), and 92526 ranks #1 of 32 providers in‑state (100th percentile; extreme outlier). These ranks show the provider is an outlier and a major market participant for its primary Medicaid service lines within Puerto Rico.

Beyond the top three, the provider also reports meaningful activity in related evaluation and cognitive therapy codes that extend service breadth within rehabilitation/Speech‑Language practice. Examples include G0515 ($800.3K, 2.5%, ranks #1 of 11, 100th percentile; notably above typical state volume), 92523 ($407.9K, 1.3%, ranks #2 of 35, 97th percentile; extreme outlier), and several other SLP/therapy codes (92524, 92610, 92521) that rank at or near #1 in small peer groups, indicating capability in assessments and adjunct therapies.

The NPI was enumerated on 2015-02-26 (~11 years ago), signaling an established presence in the market. Combined with sustained, high Medicaid revenue and outlier ranks, this tenure supports a picture of an established, high‑volume Medicaid therapy provider rather than a new entrant.

Because the business is both highly concentrated in three Medicaid procedure codes (91.8% of Medicaid revenue) and has no Medicare billing, it faces elevated operational exposure to changes in Medicaid coverage, coding guidance, or fee schedules for those specific services. Analysts should treat policy or rate shifts affecting 97533, 92507, or 92526 as likely to have outsized impact on the provider's revenue performance.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	115,320	$110	$12.2M
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…	173,890	$50	$9M
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	155,360	$50	$8.2M
G0515	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes	34,800	$20	$800.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	3,850	$110	$407.9K
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.	5,840	$50	$315.4K
92524	The provider, typically a speech language pathologist, evaluates a patient for the quality of voice, nasality, and vocal behavior of the patient.	3,830	$60	$214.7K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	3,830	$50	$191.6K
92521	A speech–language pathologist (SLP) evaluates the patient's speech fluency for issues such as stuttering or cluttering.	2,490	$70	$164.1K
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…	14,310	$10	$157.4K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

Learn & Grow Therapy Group LLC — 11 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2	50	1,850	$70	$843.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	1	30	1,520	$50	$509.8K
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…	2	140	2,620	$50	$505.7K
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.	6	40	1,150	$40	$135.4K
G0515	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes	1	10	770	$20	$110.4K
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…	57	180	2,150	$20	$95.2K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	4	10	1,810	$20	$87.6K
92521	A speech–language pathologist (SLP) evaluates the patient's speech fluency for issues such as stuttering or cluttering.	1	10	110	$90	$77.2K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	4	10	1,040	$20	$60.6K
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…	2	70	950	$20	$60.4K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Luz Butler Moya	PR	Physical Therapist	$0	$1.5M
Priscila Negron	PR	Audiologist	$0	$966K
Walgreen Co	PR	Pharmacy	$67K	$0
Enid Guzman	PR	Certified Registered Nurse Anesthetist	$5.4K	$0
Carlos Gil	PR	General Practice Physician	$1.2K	$0

Learn & Grow Therapy Group LLC — Billing Profile & Reimbursement Data

Sign up for Learn & Grow Therapy Group LLC — Billing Profile & Reimbursement Data policy alerts

Learn & Grow Therapy Group LLC — Billing Profile & Reimbursement Data

Sign up for Learn & Grow Therapy Group LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References