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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Pediatric Hands On Therapy, PC (NPI 1255456513)

Field	Value
Entity Type	Organization
Organization	Pediatric Hands On Therapy, PC
Address	2557 Pembroke Rd
City	Gastonia
State	NC
ZIP	28054
Taxonomy	Pediatric Occupational Therapist
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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.	54,430	$80	$4.5M
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…	39,710	$60	$2.5M
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	2,370	$60	$132.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	330	$150	$48.8K
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…	140	$50	$7.2K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	70	$60	$4.5K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	60	$60	$3.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Pediatric Hands On Therapy, PC — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

7 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…	74	640	4,280	$60	$983.2K
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.	24	520	2,870	$70	$721.7K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	9	60	440	$60	$84K
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…	221	290	470	$30	$81.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	75	240	120	$130	$51.7K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	26	50	60	$60	$9.3K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	5	20	40	$70	$5.3K

Nearby Providers

Other providers in the same ZIP code as Pediatric Hands On Therapy, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comprehab LLC	NC	Physical Therapist	$0	$129.7M
Hughes Behavioral And Mental Health Services Inc.	NC	Developmentally Disabled Services Day Training Agency	$0	$59.8M
Gaston Memorial Hospital, Incorporated	NC	General Acute Care Hospital	$0	$49.2M
Carolina Therapeutic Services, Inc	NC	Community/Behavioral Health Agency	$0	$46.7M
Partners Behavioral Health Management	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$43.7M
Center For Emotional Health	NC	Addiction Psychiatry Physician	$0	$40.1M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$32.9M
Support Incorporated	NC	Community/Behavioral Health Agency	$0	$19.1M
Gastonia Physician Services, PLLC	NC	Emergency Medicine Physician	$0	$15.8M
Gaston Adolescent Center, Inc.	NC	Community/Behavioral Health Agency	$0	$14.4M

Pediatric Hands On Therapy, PC — Billing Profile & Reimbursement Data

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Pediatric Hands On Therapy, PC — 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