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

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

Joes Kids Inc (NPI 1205267044)

Field	Value
Entity Type	Organization
Organization	Joes Kids Inc
Address	1692 W Lake St
City	Warsaw
State	IN
ZIP	46580
Taxonomy	Physical Therapist
NPI Enumerated	December 4, 2013

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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.	29,290	$60	$1.8M
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…	20,440	$50	$1.1M
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$120	$1.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Joes Kids Inc — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	47	390	3,600	$50	$511.6K
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.	12	400	1,100	$40	$382.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	50	50	80	$70	$70.1K

Nearby Providers

Other providers in the same ZIP code as Joes Kids Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bowen Health Inc	IN	Adult Mental Health Clinic/Center	$0	$508.6M
Forte Residential, Inc	IN	Developmentally Disabled Services Day Training Agency	$0	$44.8M
Warsaw Health System LLC	IN	General Acute Care Hospital	$0	$10M
Kosciusko Medical Group LLC	IN	Family Medicine Physician	$0	$8.8M
Grossnickle Eye Center, Inc.	IN	Ophthalmologic Surgery Clinic/Center	$1.8M	$0
Colin Ridenour	IN	Ophthalmology Physician	$1.2M	$0
Allison Pernic	IN	Ophthalmology Physician	$1.1M	$0
Matthew Ralstin	IN	Ophthalmology Physician	$889K	$0
Christopher Knight	IN	Ophthalmology Physician	$880.3K	$0
Ann Buikema Wiarda	IN	Ophthalmology Physician	$808.4K	$0

Joes Kids Inc — Billing Profile & Reimbursement Data

Sign up for Joes Kids Inc — Billing Profile & Reimbursement Data policy alerts

Joes Kids Inc — Billing Profile & Reimbursement Data

Sign up for Joes Kids Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References