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

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

Inspiring Talkers (NPI 1285880914)

Inspiring Talkers is a speech-language pathologist provider located in Firestone, Colorado. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Inspiring Talkers
Address	10184 E I25 Frontage Rd
City	Firestone
State	CO
ZIP	80504
Taxonomy	Speech-Language Pathologist
NPI Enumerated	August 13, 2008

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	66,370	$50	$3.6M
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	38,070	$70	$2.7M
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.	31,300	$60	$2M
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…	7,960	$50	$389.9K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	3,400	$50	$159.7K
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…	2,280	$40	$86.6K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	2,800	$20	$58.8K
92606	The provider gives therapeutic services to enable the patient to make use of his non–speech–generating device and also trains the patient’s caregiver.	1,430	$30	$48.6K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	210	$10	$2.9K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	90	$30	$2.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Inspiring Talkers — 4 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

10 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…	6	310	1,750	$40	$319.9K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	2	40	790	$60	$306.3K
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.	15	680	1,160	$50	$223.5K
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…	4	70	670	$50	$132.8K
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…	192	630	830	$30	$102.9K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	82	410	890	$40	$101.6K
92606	The provider gives therapeutic services to enable the patient to make use of his non–speech–generating device and also trains the patient’s caregiver.	4	10	1,430	$40	$68.1K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	42	40	500	$30	$33K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	56	70	5,620	$1	$27.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	9	130	210	$20	$21.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Longs Peak Hospital	CO	General Acute Care Hospital	$0	$11.8M
Salud Family Health	CO	Federally Qualified Health Center (FQHC)	$0	$5.7M
Uchealth Ambulatory Surgery Centers	CO	Ambulatory Surgical Clinic/Center	$754.4K	$163.6K
John Barnett	CO	Hematology & Oncology Physician	$669.8K	$0
Hossein Maymani	CO	Hematology & Oncology Physician	$637.1K	$0
Sara Robinson	CO	Hematology & Oncology Physician	$484.3K	$0
Kelly Casteel	CO	Hematology & Oncology Physician	$276.7K	$0
Rebekah Maymani	CO	Radiation Oncology Physician	$187.6K	$0
Shane Rowan	CO	Clinical Cardiac Electrophysiology Physician	$186.5K	$0
Walgreen Co	CO	Community/Retail Pharmacy	$110.8K	$40.9K

Inspiring Talkers — Billing Profile & Reimbursement Data

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Inspiring Talkers — 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

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References