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

Why is the Medicaid comparison limited to Nevada 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. Nevada (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 Blocks L.L.C. (NPI 1346739562)

Key Findings

Field	Value
Entity Type	Organization
Organization	Therapy Blocks L.L.C.
Address	9260 W Sunset Rd Ste 204
City	Las Vegas
State	NV
ZIP	89148
Taxonomy	Occupational Therapist
NPI Enumerated	May 3, 2018

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

This provider is effectively single‑payer: there is no Medicare billing on file (none) while lifetime Medicaid revenue is $15.2M, indicating the business is built almost entirely on Medicaid volume. The NPI was enumerated on 2018-05-03 (~8 years ago), so this operating footprint has developed over multiple benefit years under a Medicaid-centric model.

Revenue is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes account for 95.1% of the provider's Medicaid revenue. Those three codes are 97530 ($12.1M; 79.1%), 92507 ($1.4M; 9.0%), and 92526 ($1.1M; 6.9%), showing that the vast majority of receipts flow from these specific therapy codes.

Business and service‑line mix is OT‑dominated with a meaningful SLP component: the largest single revenue driver is 97530 (therapeutic activities), consistent with the provider taxonomy of Occupational Therapist, while the next two largest codes, 92507 and 92526, are speech–language pathology services. The presence of high revenues in both 97530 and SLP codes suggests the operation delivers high volumes of direct therapy sessions across OT and SLP modalities rather than being limited to evaluations or low‑volume specialty services.

97530 is an extreme outlier in Nevada for this provider: the line shows 125.7K claims, $96 avg paid/claim, and $12.1M revenue (79.1% of Medicaid revenue), and it ranks #3 of 309 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). This combination of very high claim count and very large revenue share signals a dominant statewide position for 97530 that will materially affect any payer contracting or utilization-management strategies around therapeutic activities.

The two SLP codes that round out the revenue concentration show high but more typical statewide standing: 92507 has 25K claims, $55 avg paid/claim, $1.4M revenue (9.0% of Medicaid revenue) and ranks #12 of 153 providers in-state (93th percentile; typical, unremarkable volume for this code), while 92526 has 17.9K claims, $59 avg paid/claim, $1.1M revenue (6.9% of Medicaid revenue) and ranks #3 of 44 providers in-state (95th percentile; typical, unremarkable volume for this code). Together these SLP lines indicate substantial throughput but are characterized in the data as within typical bounds for SLP services statewide.

There is additional, smaller SLP/service‑training activity that supports a broader therapy offering: 92609 reports $497.7K revenue (3.3% of Medicaid revenue) and ranks #2 of 9 providers in-state (88th percentile), and 92606 reports $165.5K revenue (1.1% of Medicaid revenue) and ranks #3 of 7 providers in-state (67th percentile). These device‑training and therapeutic device use codes show the provider also bills for assistive‑technology training and device use, complementing the high-volume direct therapy represented by 97530 and the SLP treatment codes.

From a payer perspective the combination of extreme concentration (95.1% of Medicaid revenue in three codes), very large claim counts (e.g., 125.7K claims for 97530), and sole reliance on Medicaid ($15.2M vs. none for Medicare) creates both leverage and risk: the provider is an important statewide source of therapeutic activity but is also highly exposed to any utilization-management, rate, or policy changes affecting those specific codes. Contracting, network adequacy reviews, and targeted utilization monitoring should prioritize 97530 and the two leading SLP codes given their outsized impact on the provider's financials and service footprint.

Medicaid: Complete Services Breakdown

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

13 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.	125,660	$100	$12.1M
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…	24,980	$60	$1.4M
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	17,920	$60	$1.1M
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.	6,730	$70	$497.6K
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.	2,900	$60	$165.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	370	$130	$48.5K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	310	$50	$16.6K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	140	$60	$8.4K
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…	130	$60	$7.6K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	120	$40	$5K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Therapy Blocks L.L.C. — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

13 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…	12	150	1,060	$50	$482K
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.	3	310	680	$50	$373.3K
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	10	3,220	$70	$314.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	3	40	740	$60	$251.8K
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.	3	10	2,340	$60	$232.6K
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…	313	310	800	$20	$122.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	40	50	$120	$57.6K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	51	60	160	$20	$19.6K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	10	30	80	$40	$18.8K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	24	30	260	$20	$12K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women's Health Associates Of Southern Nevada- Martin, PLLC	NV	Obstetrics & Gynecology Physician	$0	$22.7M
Southern Hills Medical Center, LLC	NV	General Acute Care Hospital	$0	$19.8M
Adashek And Wilkes LLP	NV	Maternal & Fetal Medicine Physician	$0	$16.7M
Eid Nevada Critical Care PLLC	NV	Critical Care Medicine (Internal Medicine) Physician	$0	$16.2M
Kevin Bernstein Md LLC	NV	Geriatric Psychiatry Physician	$0	$7.5M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$4.8M
Innovative Care Physicians	NV	Internal Medicine Physician	$0	$4.5M
Dmytro Bond	NV	Pediatrics Physician	$0	$3.7M
The Speech House LLC	NV	Speech-Language Pathologist	$0	$3.7M
The Aac Speech Clinic, LLC	NV	Speech-Language Pathologist	$0	$3.4M

Therapy Blocks L.L.C. — Billing Profile & Reimbursement Data

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Therapy Blocks L.L.C. — 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