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

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

Therapy One, PLLC (NPI 1316163884)

Field	Value
Entity Type	Organization
Organization	Therapy One, PLLC
Address	108 W University Dr
City	Mesa
State	AZ
ZIP	85201
Taxonomy	Speech-Language Pathologist
NPI Enumerated	April 17, 2007

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 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…	64,280	$120	$7.7M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	28,730	$120	$3.5M
92607	The provider evaluates the patient for prescription of a speech–generating device. This code represents the first or only hour. The provider interacts with the patient, conducts various tests, and…	3,070	$490	$1.5M
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.	6,670	$140	$947.3K
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.	2,580	$360	$922.5K
92608	The provider evaluates the patient for prescription of a speech–generating device for an additional 30 minutes after an initial hour at the same session. The provider interacts with the patient,…	2,480	$220	$545.6K
S9129	Occupational therapy, in the home, per diem	30	$100	$3.5K
S9128	Speech therapy, in the home, per diem	30	$110	$2.6K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	10	$180	$2.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Therapy One, PLLC — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92607	The provider evaluates the patient for prescription of a speech–generating device. This code represents the first or only hour. The provider interacts with the patient, conducts various tests, and…	2	10	1,180	$500	$816.7K
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…	16	400	2,110	$70	$800.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	27	310	960	$60	$705.5K
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.	4	10	1,680	$250	$505.1K
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.	108	510	1,320	$60	$454.9K
92608	The provider evaluates the patient for prescription of a speech–generating device for an additional 30 minutes after an initial hour at the same session. The provider interacts with the patient,…	2	10	1,340	$190	$278.7K
S9129	Occupational therapy, in the home, per diem	11	10	110	$110	$39.4K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	34	40	40	$60	$21.6K
S9128	Speech therapy, in the home, per diem	1	10	30	$100	$2.6K

Nearby Providers

Other providers in the same ZIP code as Therapy One, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Of Maricopa, LLC	AZ	Ambulance	$4.9M	$171.3M
Marc Community Resources, Inc	AZ	Preferred Provider Organization	$0	$80.4M
Partners In Recovery, LLC	AZ	Community/Behavioral Health Agency	$0	$55.8M
R M Arizona Holdings Inc	AZ	Land Ambulance	$1.5M	$51.1M
City Of Mesa	AZ	Ambulance	$1.5M	$21.6M
Mesa Unified School District No. 4	AZ	Local Education Agency (LEA)	$0	$20.5M
Brown Road Senior Housing, LLC	AZ	Assisted Living Facility	$0	$16.9M
Crossroads Extension Residential	AZ	Community/Behavioral Health Agency	$0	$15.6M
Avista Senior Living Vita Bella, LLC	AZ	Health Service Clinic/Center	$0	$12.9M
Supreme Positive Innovation Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M

Therapy One, PLLC — Billing Profile & Reimbursement Data

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Therapy One, PLLC — 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