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.

Children's Therapy Services, Inc. (NPI 1326008863)

Field	Value
Entity Type	Organization
Organization	Children's Therapy Services, Inc.
Address	2474 E Joyce Blvd
City	Fayetteville
State	AR
ZIP	72703
Taxonomy	Pediatric Physical Therapist
NPI Enumerated	March 27, 2006

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

Key Findings

CHILDREN'S THERAPY SERVICES, INC. is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and the provider reports $29.2M in lifetime Medicaid revenue, indicating Medicaid is the dominant and sole reported public payer in this data set. This concentration means analyses of volume, reimbursement trends, and policy exposure should focus on Medicaid fee schedules and state program changes.

Revenue is extremely concentrated in three procedure codes: 92507 ($10.7M, 36.6% of this provider's total Medicaid revenue), 97530 ($10.2M, 34.9%), and 97110 ($8.3M, 28.5%); the precomputed top‑3 codes together account for 100.0% of the provider's Medicaid revenue. This profile indicates nearly all reported Medicaid dollars flow through a tight set of therapy services rather than a broad mix of billable procedures.

The code mix signals a pediatric therapy operation delivering high volumes of hands‑on rehabilitation and communication services: 92507 corresponds to direct treatment for communication/hearing impairments, 97530 to therapeutic activities (per 15 minutes), and 97110 to therapeutic exercise. Combined with the provider taxonomy of Pediatric Physical Therapist, these codes align with an organization focused on frequent, direct-contact therapy sessions for children rather than primarily diagnostic or durable medical equipment services.

CHILDREN'S THERAPY SERVICES is a statewide volume leader for its top codes: 92507 ranks #5 of 567 providers in-state (99th percentile, extreme outlier), 97530 ranks #4 of 581 providers (99th percentile, extreme outlier), and 97110 ranks #3 of 499 providers (100th percentile, extreme outlier). These high ranks and percentile placements indicate the provider is far above typical state volume for these codes and functions as a dominant in-state provider for pediatric therapy services by claim count and revenue.

Operational scale is very large on a unit basis: the provider reported 164.3K claims for 92507 (avg $65 paid/claim), 161.9K claims for 97530 (avg $63 paid/claim), and 134K claims for 97110 (avg $62 paid/claim). These claim volumes suggest high throughput with many short, billable therapy units (consistent with time‑based codes) and imply substantial clinical staff capacity and scheduling intensity to support repeated 15‑minute service units.

Telehealth plays a negligible role in this provider's Medicaid mix: T1014 appears only 32 times for a total of $512 in revenue (0.0% of total Medicaid revenue) and ranks modestly in-state. This indicates the provider’s revenue and clinical model remain overwhelmingly rooted in in-person therapy encounters rather than remote services.

The provider has long tenure in the NPI registry, enumerated on 2006-03-27 (~20 years ago), which supports the interpretation of an established local operation with sustained Medicaid billing patterns over time. Longevity combined with the high-volume therapy footprint suggests entrenched referral relationships or contracts within pediatric care networks or educational settings.

From a business risk and strategic perspective, the combination of single‑payer dependence (Medicaid only) and extreme revenue concentration in three therapy codes creates sensitivity to state Medicaid rate changes, prior authorization policy shifts, or code‑specific audits. Analysts should flag this provider for monitoring of state Medicaid policy updates and consider whether diversification of payer mix or service offerings is occurring outside the Medicaid claims captured here.

Medicaid: Complete Services Breakdown

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

4 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…	164,290	$70	$10.7M
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.	161,890	$60	$10.2M
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…	133,960	$60	$8.3M
T1014	Telehealth transmission, per minute, professional services bill separately	30	$20	$510

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

Children's Therapy Services, Inc. — 3 of 4 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

4 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…	5	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.	4	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…	3	500	3,410	$60	$523.5K
T1014	Telehealth transmission, per minute, professional services bill separately	19	30	30	$1	$170

Nearby Providers

Other providers in the same ZIP code as Children's Therapy Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanders, Tompkins, Schiro, Landers And Sanders PLLC	AR	Pediatric Dentistry	$0	$30.4M
Life Styles Inc.	AR	Case Management Agency	$0	$19.6M
Washington Regional Medical Center	AR	General Acute Care Hospital	$0	$10.9M
Cross Therapy Services, Ltd	AR	Pediatric Occupational Therapist	$0	$5.8M
Medical Associates Of Northwest Arkansas PA	AR	Pediatrics Physician	$0	$5.8M
Oral & Facial Surgery Center PA	AR	Oral and Maxillofacial Surgery (Dentist)	$0	$4.8M
Matthew Lockwood	AR	Hematology & Oncology Physician	$4.2M	$0
Thomas A. Sarna, Dds PLLC	AR	Oral and Maxillofacial Surgery Clinic/Center	$0	$3.4M
Washington Regional Medical System	AR	Hospitalist Physician	$0	$3.4M
The Therapy Spot,llc	AR	Speech-Language Pathologist	$0	$3.2M

Children's Therapy Services, Inc. — Billing Profile & Reimbursement Data

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Children's Therapy Services, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References