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

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

Child's Play Therapy LLC (NPI 1396344347)

Field	Value
Entity Type	Organization
Organization	Child's Play Therapy LLC
Address	3057 Lorna Rd Ste 220
City	Hoover
State	AL
ZIP	35216
Taxonomy	Rehabilitation Hospital Unit
NPI Enumerated	October 21, 2020

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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.	7,800	$80	$639.8K
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…	9,360	$60	$580.6K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	120	$80	$10K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$200	$2.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Child's Play Therapy LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

4 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…	50	180	1,490	$50	$404.5K
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.	45	320	1,170	$40	$182.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	71	80	60	$110	$27.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	20	30	180	$30	$24.2K

Nearby Providers

Other providers in the same ZIP code as Child's Play Therapy LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Family Care, LLC	AL	Primary Care Clinic/Center	$0	$12.9M
The Children's Hospital Of Alabama	AL	Pediatrics Physician	$0	$2.7M
Surgical Clinic Solutions, LLC	AL	Ambulatory Surgical Clinic/Center	$2.2M	$0
Alacare Home Health Services, Inc.	AL	Community Based Hospice Care Agency	$0	$1.6M
Upperline Healthcare, PC	AL	Foot & Ankle Surgery Podiatrist	$0	$1.4M
Drs. Koslin & Kahn, P.C.	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.3M
Nephrology Vascular Lab Of Central Alabama Asc LLC	AL	Ambulatory Surgical Clinic/Center	$706.8K	$0
Scott Rooney	AL	Interventional Pain Medicine Physician	$333.4K	$0
Donald Walters	AL	Dermatology Physician	$289.8K	$0
Daniel Bergman	AL	MOHS-Micrographic Surgery Physician	$274.6K	$0

Child's Play Therapy LLC — Billing Profile & Reimbursement Data

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Child's Play Therapy LLC — 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