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

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

Houston Isd (NPI 1366511800)

Field	Value
Entity Type	Organization
Organization	Houston Isd
Address	4400 W 18th St
City	Houston
State	TX
ZIP	77092
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	November 7, 2006

Payer Source	Total Paid
Medicaid	$88.7M
Medicare	$0

Key Findings

HOUSTON ISD is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports $88.7M in lifetime Medicaid revenue, with an NPI enumerated on 2006-11-07 (~20 years ago), indicating long-standing enrollment in the federal provider registry. This concentrated payer mix means analytic and contracting attention should focus on Medicaid activity rather than Medicare relationships.

Revenue is extremely concentrated in a handful of services: the precomputed top three Medicaid codes account for 97.2% of the provider's total Medicaid revenue, led by T1019 ($81.6M, 92.0% of total), followed by T2003 ($3.4M, 3.9%) and 92508 ($1.1M, 1.3%). This level of concentration signals that the provider’s financial performance is highly dependent on a small set of Medicaid-covered service lines.

The service mix (dominant T1019 personal care services, large T2003 non‑emergency transportation volumes, and substantial 92508 group communication/hearing services) aligns with school-based health operations and in‑school supportive care typical of a Local Education Agency. High volumes of T1019 and T2003 in particular suggest day‑to‑day delivery of personal assistance and student transport rather than episodic clinic care, while codes like 92508 and 92507 reflect ongoing speech/language group and individual therapy caseloads.

HOUSTON ISD is a statewide outlier on its top codes: T1019 ranks #1 of 1050 providers in‑state (100th percentile; extreme outlier), T2003 ranks #1 of 435 providers in‑state (100th percentile; extreme outlier), and 92508 ranks #1 of 700 providers in‑state (100th percentile; extreme outlier). These rank/percentile positions indicate dominance for those service lines compared with other Texas providers and imply a scale and market position that is far above typical state volume for these codes.

Operational scale is reflected in claim counts as well as dollars: T1019 shows 2.6M claims, T2003 shows 571K claims, 92508 shows 284.6K claims, and the related nursing code T1002 appears with 45.3K claims and $1.1M revenue. Such high claim volumes point to substantial service throughput and administrative processing requirements—important considerations for payers when estimating encounter volumes, payment flow, and vendor support needs.

Beyond the top three, several ancillary codes are reported at notably above‑typical or high percentiles for the state: T1002 (45.3K claims, $1.1M revenue) ranks #3 of 433 providers (100th percentile; extreme outlier), and T1502 (45.6K claims, $273.4K revenue) ranks #7 of 202 providers (97th percentile; notably above typical). Other therapy and assessment codes such as 92507 ($676.2K, rank #64 of 1354, 95th percentile; typical, unremarkable volume) and 92523 ($103.4K, rank #11 of 364, 97th percentile; notably above typical) further characterize a broad school‑based therapy footprint.

Given the extreme revenue concentration in a few Medicaid codes and outsized statewide ranks, payers and provider analysts should prioritize contract alignment, utilization management, and capacity assessment for these services. The profile warrants focused review of coding and payment models for T1019/T2003/92508 and associated nursing and therapy lines to ensure reimbursement terms and operational capacity match the provider’s uniquely large service volumes.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	2,550,990	$30	$81.6M
T2003	Non-emergency transportation; encounter/trip	571,040	$10	$3.4M
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…	284,560	$1	$1.1M
T1002	Rn services, up to 15 minutes	45,340	$20	$1.1M
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…	45,080	$20	$676.2K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	45,570	$10	$273.4K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,580	$70	$107.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	3,340	$30	$103.4K
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…	4,160	$20	$70.7K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2,550	$30	$66.2K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Houston Isd — 7 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1	1,050	23,280	$30	$1.8M
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	1,350	1,860	$80	$872.4K
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.	468	1,620	1,070	$70	$333.5K
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…	308	1,320	1,070	$60	$211.1K
T2003	Non-emergency transportation; encounter/trip	1	440	12,510	$10	$203K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	27	200	220	$160	$145.1K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	10	30	220	$70	$108.4K
T1002	Rn services, up to 15 minutes	3	430	980	$30	$94.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	22	260	240	$70	$67.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	11	360	100	$140	$62K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Houston Isd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Crescent Home Health, Inc.	TX	Home Health Agency	$0	$23.9M
Ixi Wellness Dallas LLC	TX	Clinical Medical Laboratory	$7.6M	$1.6K
American Specialty Labs	TX	Clinical Medical Laboratory	$3.5M	$0
Howard Martin	TX	Dermatopathology (Pathology) Physician	$3M	$0
Sagis PLLC	TX	Clinical Medical Laboratory	$2.2M	$8.5K
Keagan Lee	TX	Anatomic Pathology & Clinical Pathology Physician	$1M	$0
Jason Gregorio	TX	Anatomic Pathology & Clinical Pathology Physician	$480.8K	$0
Mark Matthews	TX	Anatomic Pathology Physician	$439K	$0
Gabriel Oaxaca	TX	Anatomic Pathology & Clinical Pathology Physician	$432K	$0
John Cangelosi	TX	Anatomic Pathology & Clinical Pathology Physician	$100.4K	$0

Houston Isd — 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