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

Why is the Medicaid comparison limited to New York 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. New York (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.

Los Ninos Services (NPI 1225287758)

Field	Value
Entity Type	Organization
Organization	Los Ninos Services
Address	535 8th Avenue
City	New York
State	NY
ZIP	10018
Taxonomy	Case Management Agency
NPI Enumerated	September 9, 2008

Payer Source	Total Paid
Medicaid	$20.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2027	Psychoeducational service, per 15 minutes	64,010	$70	$4.6M
T1017	Targeted case management, each 15 minutes	133,160	$30	$3.7M
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…	49,490	$70	$3.2M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	30,050	$80	$2.4M
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	62,940	$30	$1.7M
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.	13,610	$60	$830.3K
H2037	Developmental delay prevention activities, dependent child of client, per 15 minutes	9,790	$80	$773K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	2,300	$330	$745.9K
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…	10,990	$70	$714.4K
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…	9,900	$60	$583.8K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Los Ninos Services — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	113	170	1,390	$570	$1.6M
H2027	Psychoeducational service, per 15 minutes	4	70	2,430	$100	$1.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	11	90	980	$110	$880.5K
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…	30	750	1,800	$80	$785.8K
T1017	Targeted case management, each 15 minutes	4	240	4,610	$30	$561.8K
H2037	Developmental delay prevention activities, dependent child of client, per 15 minutes	3	10	4,250	$90	$422.4K
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.	144	2,060	1,300	$60	$322.2K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	24	150	230	$260	$312.4K
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…	14	160	530	$40	$267.3K
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…	315	2,430	1,310	$40	$257.8K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Los Ninos Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avondale Care Group LLC	NY	Home Health Agency	$0	$219M
Selfhelp Community Services, Inc	NY	Home Health Agency	$0	$117.9M
Services For The Aged	NY	Home Health Agency	$0	$115M
Jewish Board Of Family & Childrens Services Inc	NY	Community/Behavioral Health Agency	$0	$92M
Jewish Board Of Family And Children's Services, Inc	NY	Community/Behavioral Health Agency	$0	$22.2M
Gilbert Lederman	NY	Radiation Oncology Physician	$1.4M	$2K
Ariel Lederman	NY	Radiation Oncology Physician	$806.9K	$0
Noah Greenspan	NY	Physical Therapist	$235.1K	$0
Kichiemon Asoma	NY	Ophthalmology Physician	$174.2K	$6.3K
Jessica Frankel	NY	Audiologist-Hearing Aid Fitter	$24.1K	$0

Los Ninos Services — Billing Profile & Reimbursement Data

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Los Ninos Services — 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