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

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

Acme Therapies Co (NPI 1417475898)

Field	Value
Entity Type	Organization
Organization	Acme Therapies Co
Address	101 Cleveland Ave Ste D
City	Martinsville
State	VA
ZIP	24112
Taxonomy	Speech-Language Pathologist
NPI Enumerated	September 6, 2017

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 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.	40,640	$90	$3.7M
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…	47,110	$60	$3M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	3,650	$150	$535.8K
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…	7,470	$60	$455.9K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	2,800	$150	$414.4K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	5,840	$60	$338.8K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	2,210	$140	$298.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	870	$160	$134.8K
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…	2,500	$40	$107.5K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	3,420	$30	$106K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Acme Therapies Co — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

15 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…	13	260	3,950	$80	$769.6K
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…	109	400	1,910	$50	$412.6K
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.	14	400	2,060	$60	$407.3K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	18	90	630	$130	$358.9K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	69	200	1,330	$70	$236.3K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	35	120	680	$90	$188.1K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	11	20	610	$70	$171.8K
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…	76	200	1,180	$30	$162.8K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	113	120	450	$100	$110.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	60	120	$150	$86K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Acme Therapies Co, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Piedmont Regional Community Services Board	VA	Community/Behavioral Health Agency	$0	$93.9M
New Heights Community Support, LLC	VA	Community/Behavioral Health Agency	$0	$24M
Danville Regional Medical Center LLC	VA	General Acute Care Hospital	$0	$21M
Resilient Health And Community Support Services, LLC	VA	Community/Behavioral Health Agency	$0	$17.8M
Life Stages Inc.	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16M
Trinity Support Services	VA	Community/Behavioral Health Agency	$0	$13.6M
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$10.1M
Spero Health Of Virginia, LLC	VA	Addiction Medicine (Family Medicine) Physician	$0	$9.8M
A Nurse's Touch	VA	In Home Supportive Care Agency	$0	$8.1M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$7.2M

Acme Therapies Co — Billing Profile & Reimbursement Data

Sign up for Acme Therapies Co — Billing Profile & Reimbursement Data policy alerts

Acme Therapies Co — Billing Profile & Reimbursement Data

Sign up for Acme Therapies Co — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References