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

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

Associates In Pediatric Therapy, LLC (NPI 1396910840)

Field	Value
Entity Type	Organization
Organization	Associates In Pediatric Therapy, LLC
Address	90 Howard Dr
City	Shelbyville
State	KY
ZIP	40065
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	April 25, 2008

Payer Source	Total Paid
Medicaid	$30.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	127,560	$70	$8.3M
S9128	Speech therapy, in the home, per diem	105,750	$70	$7.1M
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.	81,150	$70	$5.8M
S9129	Occupational therapy, in the home, per diem	68,140	$70	$4.5M
S9131	Physical therapy; in the home, per diem	31,470	$70	$2.1M
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…	18,080	$60	$1.1M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	8,030	$80	$658.4K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	3,400	$120	$393.9K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	6,290	$50	$308.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1,340	$110	$142K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Associates In Pediatric Therapy, LLC — 7 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9128	Speech therapy, in the home, per diem	2	30	8,300	$70	$1.7M
S9129	Occupational therapy, in the home, per diem	2	30	7,220	$70	$1.1M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	8	40	1,770	$150	$567.9K
S9131	Physical therapy; in the home, per diem	1	20	3,100	$70	$480.2K
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…	2	340	2,730	$40	$328.2K
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.	2	540	1,500	$50	$235.7K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	6	30	910	$130	$217.1K
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…	39	780	1,950	$30	$157.8K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	18	40	780	$50	$86.1K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	35	280	750	$20	$59.8K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Associates In Pediatric Therapy, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uofl Health-shelbyville Inc	KY	General Acute Care Hospital	$0	$18.5M
Vcmy Ii Corporation	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$6.2M
Stephens Behavior Consulting, LLC	KY	Behavior Analyst	$0	$3.7M
Shelby County Emergency Medical Services	KY	Land Ambulance	$598.3K	$1.3M
Mhd Chaker	KY	Pulmonary Disease Physician	$262.6K	$1M
Alice Creque	KY	Physical Therapist	$167.8K	$0
Marie Hettinger	KY	Physical Therapist	$150.2K	$0
Kenneth Gravett	KY	Family Medicine Physician	$27.3K	$118K
Ron Creque	KY	Family Medicine Physician	$143.2K	$0
Ashton Hudson	KY	Emergency Medicine Physician	$120.7K	$0

Associates In Pediatric Therapy, LLC — Billing Profile & Reimbursement Data

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Associates In Pediatric 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