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

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

The Pediatric Playhouse (NPI 1275268005)

Field	Value
Entity Type	Organization
Organization	The Pediatric Playhouse
Address	701 E Main St Ste 16
City	Russellville
State	AR
ZIP	72801
Taxonomy	Occupational Therapist
NPI Enumerated	July 16, 2022

Payer Source	Total Paid
Medicaid	$1.7M
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.	9,960	$80	$756.7K
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…	7,990	$80	$599K
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…	4,630	$70	$337.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

The Pediatric Playhouse — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas 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…	174	570	2,470	$70	$801.4K
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.	166	580	3,620	$60	$712.7K
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…	214	500	3,410	$60	$523.5K

Nearby Providers

Other providers in the same ZIP code as The Pediatric Playhouse, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Friendship Community Care Inc.	AR	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$169.4M
St Mary's Physician Services LLC	AR	General Practice Physician	$0	$12.1M
Abc Children's Academy	AR	Developmentally Disabled Services Day Training Agency	$0	$8.5M
Real Development Corporation	AR	Community/Behavioral Health Agency	$0	$7.8M
Drs. Johnston & Lawrence	AR	Pediatric Dentistry	$0	$7.7M
Russellville Holdings LLC	AR	General Acute Care Hospital	$0	$6.5M
Abc Children's Academy	AR	Case Management Agency	$0	$5.7M
Counseling Associates Inc	AR	Community/Behavioral Health Agency	$0	$5M
Recovery Zone Pediatric Therapy, Inc	AR	Rehabilitation Clinic/Center	$0	$3.3M
Odyssey Healthcare Operating A, LP	AR	Home Health Agency	$0	$2.8M

The Pediatric Playhouse — Billing Profile & Reimbursement Data

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The Pediatric Playhouse — Billing Profile & Reimbursement Data

Sign up for The Pediatric Playhouse — 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