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

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

Gore Therapy Center, P.C. (NPI 1245545458)

Field	Value
Entity Type	Organization
Organization	Gore Therapy Center, P.C.
Address	4121 W Gore Blvd
City	Lawton
State	OK
ZIP	73505
Taxonomy	Hearing and Speech Clinic/Center
NPI Enumerated	August 11, 2010

Payer Source	Total Paid
Medicaid	$1.8M
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.	9,480	$100	$900.3K
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…	13,160	$70	$895.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	130	$160	$21.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Gore Therapy Center, P.C. — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	47	200	1,720	$80	$645.7K
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…	37	210	1,850	$70	$560.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	13	70	40	$190	$32.5K

Nearby Providers

Other providers in the same ZIP code as Gore Therapy Center, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Williams Medical Group Practice, LLC	OK	Family Medicine Physician	$0	$27.6M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$18.3M
Chris Larrow PLLC	OK	General Practice Dentistry	$0	$16.6M
State Of Oklahoma	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
Southwestern Medical Center, LLC	OK	General Acute Care Hospital	$0	$9.4M
Health Watch Health Care Of Sw Oklahoma, LLC	OK	Home Health Agency	$0	$9.1M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$7.1M
Ocean Dental, PC	OK	General Practice Dentistry	$0	$5.5M
Our House Mhsa Inc	OK	Mental Health Counselor	$0	$5.1M
Wavel L. Wells, Dds, Inc	OK	General Practice Dentistry	$0	$4.5M

Gore Therapy Center, P.C. — Billing Profile & Reimbursement Data

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Gore Therapy Center, P.C. — 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