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.

Kids For The Future Of Marion (NPI 1336336122)

Field	Value
Entity Type	Organization
Organization	Kids For The Future Of Marion
Address	383 Highway 77 North
City	Marion
State	AR
ZIP	72364
Taxonomy	Developmental Therapist
NPI Enumerated	September 26, 2007

Payer Source	Total Paid
Medicaid	$18.5M
Medicare	$0

Key Findings

KIDS FOR THE FUTURE OF MARION is effectively a single‑payer provider: there is no Medicare billing on file and the entity reported $18.5M in lifetime Medicaid revenue, indicating its operations are overwhelmingly Medicaid‑funded. This concentration on one public payer is central to understanding its revenue sensitivity and network positioning.

Revenue is highly concentrated in a few procedure lines: the precomputed top‑3 Medicaid codes account for 82.1% of the provider’s Medicaid revenue, driven by T1015 ($10M, 54.3%), 92507 ($3M, 16.3%), and 97530 ($2.1M, 11.5%). This level of concentration means a small set of service types dominate the organization’s topline.

The code mix points to a clinic‑based pediatric developmental therapy operation: T1015 (clinic visit/encounter, all‑inclusive), large volumes of speech services (92507 and 92508), and high counts of therapy codes used in short increments (97530, 97110) indicate repeated, session‑based treatment modalities typical of developmental/school‑age therapy providers. The presence of testing and evaluation codes (96112/96113, 92523) and cognitive training (G0515) further supports a multidisciplinary developmental services model.

Operationally this provider shows very high claim volumes for outpatient, per‑unit therapy activity: T1015 has 159.4K claims, 92507 has 56.8K claims, and 97530 has 52K claims, which is consistent with a high‑throughput ambulatory clinic delivering many short therapy encounters rather than low‑volume, high‑intensity inpatient care. These claim counts align with a capacity to deliver repeat, frequent therapy visits.

Against in‑state peers, the provider is a prominent performer for its top revenue codes: T1015 ranks #29 of 532 providers in‑state (95th percentile), 92507 ranks #28 of 567 (95th percentile and explicitly noted as "notably above typical state volume"), and 97530 ranks #25 of 581 (96th percentile). These ranks indicate the provider is a high‑volume statewide participant in clinic visits and speech/therapy service lines, even if not the single dominant provider across every code.

Secondary service lines generate meaningful supplemental revenue: 97110 reported $1.6M (8.7% of Medicaid revenue) with 32.3K claims, while transportation (A0120) shows 37.1K claims and $445.4K in revenue, suggesting the organization also provides or bills for non‑clinical supports and a broad set of therapy modalities beyond its top three codes. This breadth implies bundled care pathways around pediatric developmental needs.

There are notable high rankings within smaller peer groups for certain therapy evaluation and instruction codes: 97535 (16.8K claims, $470.9K) and 97532 (16.5K claims, $446.4K) each rank #4 in their respective in‑state peer pools (96th and 95th percentiles). While many additional codes are characterized as "typical, unremarkable volume," these high placements in smaller code cohorts suggest pockets of specialized strength in rehabilitative instruction and related services.

The provider has an established presence based on tenure: NPI enumerated (registered) 2007-09-26 (~19 years ago), which, combined with concentrated Medicaid revenue and sustained high claim counts, suggests a longstanding, Medicaid‑dependent clinical operation with mature workflows for repeated therapy delivery rather than a new market entrant.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	159,400	$60	$10M
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…	56,840	$50	$3M
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.	52,000	$40	$2.1M
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…	32,330	$50	$1.6M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	16,820	$30	$470.9K
97532	N/A	16,540	$30	$446.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	37,120	$10	$445.4K
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…	3,960	$20	$67.3K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	430	$100	$43.4K
99367	A physician joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	1,030	$30	$34.1K

Showing 1–10 of 25

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

Kids For The Future Of Marion — 3 of 25 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	29	530	4,960	$70	$2.6M
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…	28	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	15	100	10,500	$40	$791K
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.	25	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…	37	500	3,410	$60	$523.5K
97532	N/A	4	60	5,070	$30	$189.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	4	70	4,530	$30	$172.5K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	34	50	60	$60	$74.1K
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…	67	240	1,910	$10	$49.3K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	13	20	50	$170	$46.7K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Kids For The Future Of Marion, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kidspot Marion, Inc.	AR	Speech-Language Pathologist	$0	$7.9M
Marion Pediatric Dentistry, PLLC	AR	Dental Clinic/Center	$0	$6.2M
Faithful Healthcare & Supplies,llc	AR	Home Health Agency	$0	$5M
Life Strategies Counseling, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$2.5M
Little Voices, PLLC	AR	Speech-Language Pathologist	$0	$1.9M
Urology Group, PC	AR	Clinical Medical Laboratory	$1.7M	$0
Tlc Quality Home Care Services, LLC	AR	Home Health Agency	$0	$1.4M
Mitchell Family Medicine, LLC	AR	Family Medicine Physician	$0	$1.3M
Mid-south Personal Care Agency, LLC	AR	Attendant Care Provider	$0	$1.3M
Isd Renal Inc	AR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M

Kids For The Future Of Marion — Billing Profile & Reimbursement Data

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Kids For The Future Of Marion — 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