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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Direct Therapy Services, LLP (NPI 1386753010)

Field	Value
Entity Type	Organization
Organization	Direct Therapy Services, LLP
Address	1090 Med Park Dr
City	Las Cruces
State	NM
ZIP	88005
Taxonomy	Specialist
NPI Enumerated	August 29, 2006

Payer Source	Total Paid
Medicaid	$49.7M
Medicare	$0

Key Findings

DIRECT THERAPY SERVICES, LLP is effectively a Medicaid-focused provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $49.7M, indicating the organization operates almost exclusively in the Medicaid market rather than serving fee‑for‑service Medicare beneficiaries. This payer concentration suggests its operational footprint and reimbursement risk are tightly tied to state Medicaid policy and waiver program payment structures.

Revenue is heavily concentrated in a very small set of Medicaid codes: the top three Medicaid codes (G0153, G0152, G0151) together account for 71.3% of the provider's total Medicaid revenue. This concentration implies the business model centers on home‑health therapy services (speech, occupational, and physical therapy) provided on a per‑15‑minute basis, with ancillary revenue from related assistive and residential waiver services.

G0153 (speech‑language pathologist services in home health/hospice) is the single largest revenue driver, producing $24.4M or 49.1% of the provider's Medicaid revenue with 130.6K claims at an average paid/claim of $187. DIRECT THERAPY ranks #1 of 45 in the state for G0153 and is described as an extreme outlier, indicating it is the dominant statewide provider for billed speech‑language home health services by a very large margin.

G0152 (occupational therapy in home health/hospice) and G0151 (physical therapy in home health/hospice) are the next largest contributors at $6.8M (13.7%) and $4.2M (8.4%) respectively, and together with G0153 form the core service mix. The provider ranks #1 of 45 for G0152 (extreme outlier) and #2 of 59 for G0151 (98th percentile, notably above typical), reinforcing that DIRECT THERAPY is a major regional provider of multidisciplinary home‑based therapy services.

Beyond the top three, the provider also reports substantial volumes of assistant‑delivered therapy and waiver services: G0157 (physical therapist assistant) generated $3.4M and ranks #3 of 24 (notably above typical), and T2033 (residential care, waiver; per diem) contributed $2.9M while ranking in the middle of state peers (#15 of 39). This mix indicates a vertically integrated service offering that includes therapist and assistant visits in home or residential waiver settings rather than a broad set of outpatient clinic procedures.

Competitive standing in New Mexico is highly concentrated around home‑health therapy codes: multiple codes where DIRECT THERAPY ranks in the 90th–100th percentiles signal it is a dominant statewide operator in those service lines. For several other Medicaid codes (for example H2021, G0158, H2019, T2021) the provider’s volumes are described as typical or unremarkable, suggesting dominance is specific to home‑based therapy rather than across all Medicaid habilitation or wrap‑around services.

The provider’s NPI was enumerated on 2006-08-29, giving it roughly 20 years of registration history. That tenure combined with high volume in a narrow set of codes suggests an established local operation with sustained specialization in Medicaid home‑based therapy and waiver billing.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	130,560	$190	$24.4M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	41,380	$170	$6.8M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	26,910	$160	$4.2M
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	23,110	$150	$3.4M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	19,440	$150	$2.9M
H2021	Community-based wrap-around services, per 15 minutes	15,480	$180	$2.8M
G0158	Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes	11,300	$160	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	9,690	$160	$1.5M
T2021	Day habilitation, waiver; per 15 minutes	16,170	$70	$1.2M
T2028	Specialized supply, not otherwise specified, waiver	1,640	$340	$555.3K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Direct Therapy Services, LLP — 3 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	15	40	11,070	$280	$10.8M
H2021	Community-based wrap-around services, per 15 minutes	21	60	6,750	$340	$4.4M
T2021	Day habilitation, waiver; per 15 minutes	14	50	6,810	$120	$1.6M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	1	50	2,930	$150	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	17	40	5,650	$100	$1.1M
G0158	Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes	5	20	5,030	$110	$800.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	2	60	2,860	$120	$642K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1	50	1,370	$130	$633K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	3	20	2,160	$100	$623.5K
T1002	Rn services, up to 15 minutes	18	40	1,350	$150	$368.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Direct Therapy Services, LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kidskare P.C.	NM	General Practice Dentistry	$0	$59M
Aprendamos Intervention Team	NM	Speech-Language Pathologist	$0	$45.2M
Grace Requires Understanding Inc.	NM	Specialist	$0	$37.9M
Casa De Esperanza, Inc	NM	In Home Supportive Care Agency	$0	$27.4M
America's Best Care	NM	In Home Supportive Care Agency	$0	$25.6M
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$23.8M
Tresco, Inc.	NM	Early Intervention Provider Agency	$0	$21.2M
Campo Behavioral Health, LLC	NM	Developmentally Disabled Services Day Training Agency	$0	$18.7M
American Medical Response Ambulance Service Inc	NM	Ambulance	$1.5M	$16.9M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$18.2M

Direct Therapy Services, LLP — Billing Profile & Reimbursement Data

Sign up for Direct Therapy Services, LLP — Billing Profile & Reimbursement Data policy alerts

Direct Therapy Services, LLP — Billing Profile & Reimbursement Data

Sign up for Direct Therapy Services, LLP — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References