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

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

Sensory Bin Pediatric Therapy Clinic, PLLC (NPI 1255603668)

Field	Value
Entity Type	Organization
Organization	Sensory Bin Pediatric Therapy Clinic, PLLC
Address	895 E State St
City	Eagle
State	ID
ZIP	83616
Taxonomy	Occupational Therapist
NPI Enumerated	January 31, 2012

Payer Source	Total Paid
Medicaid	$825.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 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.	8,860	$90	$823.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	30	$60	$1.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Sensory Bin Pediatric Therapy Clinic, PLLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

2 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.	49	280	1,480	$70	$389.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	27	30	270	$60	$89K

Nearby Providers

Other providers in the same ZIP code as Sensory Bin Pediatric Therapy Clinic, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Jurca	ID	Family Medicine Physician	$24M	$0
All Care Health Solutions-pcs Divisionllc	ID	Home Health Agency	$0	$7M
Ot 4 Kidz, Inc	ID	Occupational Therapist	$0	$4M
Speech Tree Inc	ID	Speech-Language Pathologist	$0	$1.5M
Ryan Judd	ID	Dental Anesthesiology	$0	$729.5K
Eagle Oral Surgery And Dental Implant Center PLLC	ID	Oral and Maxillofacial Surgery (Dentist)	$0	$486.9K
Kami Bellomy	ID	Family Nurse Practitioner	$480.3K	$0
Adams Eyecare Inc	ID	Optometrist	$0	$435.4K
Tdmk, LLC	ID	Home Health Agency	$0	$355.3K
Cody Bonine	ID	Family Nurse Practitioner	$186.8K	$0

Sensory Bin Pediatric Therapy Clinic, PLLC — Billing Profile & Reimbursement Data

Sign up for Sensory Bin Pediatric Therapy Clinic, PLLC — Billing Profile & Reimbursement Data policy alerts

Sensory Bin Pediatric Therapy Clinic, PLLC — Billing Profile & Reimbursement Data

Sign up for Sensory Bin Pediatric Therapy Clinic, PLLC — 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