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

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

Tlc Pediatric Therapies Inc. (NPI 1366698532)

Field	Value
Entity Type	Organization
Organization	Tlc Pediatric Therapies Inc.
Address	4705 S Apopka Vineland Rd Ste 100
City	Orlando
State	FL
ZIP	32819
Taxonomy	Clinic/Center
NPI Enumerated	August 7, 2008

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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.	75,520	$60	$4.5M
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…	67,990	$60	$4.1M
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…	54,400	$60	$3.3M
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…	110	$70	$8.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	110	$50	$5.6K
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…	70	$50	$3.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Tlc Pediatric Therapies Inc. — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

6 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…	25	2,250	1,250	$50	$324.4K
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.	21	2,310	1,910	$40	$315.4K
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…	21	2,100	1,280	$40	$206.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	199	560	50	$100	$35.1K
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…	33	80	60	$110	$20.2K
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…	56	200	50	$90	$14.8K

Nearby Providers

Other providers in the same ZIP code as Tlc Pediatric Therapies Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
At Home Care Solutions Inc.	FL	Home Health Agency	$0	$31.7M
Growing Together Pediatrics, LLC	FL	Primary Care Clinic/Center	$0	$10.4M
Wound Technology Network Inc	FL	Infectious Disease Physician	$0	$10.1M
Advanced Surgery Center Of Orlando LLC	FL	Ambulatory Surgical Clinic/Center	$3.8M	$0
Erica Mailler	FL	MOHS-Micrographic Surgery Physician	$919.8K	$0
Charles Garnette	FL	Vascular Surgery Physician	$867.7K	$0
John Meisenheimer	FL	MOHS-Micrographic Surgery Physician	$857.7K	$0
Sand Lake Surgicenter LLC	FL	Ambulatory Surgical Clinic/Center	$713.3K	$0
Nam Dinh	FL	Orthopaedic Surgery Physician	$550.6K	$0
Amr El Toukhy	FL	Nephrology Physician	$415.6K	$0

Tlc Pediatric Therapies Inc. — Billing Profile & Reimbursement Data

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Tlc Pediatric Therapies Inc. — 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