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

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

Professional Therapy Providers, Inc (NPI 1215211883)

Field	Value
Entity Type	Organization
Organization	Professional Therapy Providers, Inc
Address	1 Baltimore Pl Nw
City	Atlanta
State	GA
ZIP	30308
Taxonomy	Speech-Language Pathologist
NPI Enumerated	September 30, 2011

Payer Source	Total Paid
Medicaid	$284K
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
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…	3,410	$60	$197.6K
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.	1,760	$50	$84.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$150	$2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Professional Therapy Providers, Inc — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia 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…	33	70	2,950	$60	$531.2K
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	80	1,770	$60	$366K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	22	30	140	$220	$86.2K

Nearby Providers

Other providers in the same ZIP code as Professional Therapy Providers, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlanta Perinatal Associates	GA	Maternal & Fetal Medicine Physician	$0	$38.3M
Dva Renal Healthcare Inc	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$972.5K
Sagar Patel	GA	Radiation Oncology Physician	$955.9K	$0
Nikhil Sebastian	GA	Radiation Oncology Physician	$730.9K	$0
Soumon Rudra	GA	Radiation Oncology Physician	$622.7K	$0
Mark Mcdonald	GA	Radiation Oncology Physician	$565K	$0
William Stokes	GA	Radiation Oncology Physician	$433.8K	$0
Midtown Endoscopy Center, LLC	GA	Endoscopy Clinic/Center	$374.7K	$0
David Delurgio	GA	Clinical Cardiac Electrophysiology Physician	$297.6K	$0
Evan Schoenberg	GA	Ophthalmology Physician	$275.1K	$0

Professional Therapy Providers, Inc — Billing Profile & Reimbursement Data

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Professional Therapy Providers, 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

Nearby Providers

Frequently Asked Questions

References