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

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

Easter Seals Rio Grande Valley (NPI 1427172782)

Field	Value
Entity Type	Organization
Organization	Easter Seals Rio Grande Valley
Address	1217 W Houston Ave
City	Mcallen
State	TX
ZIP	78501
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$25.1M
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
T1027	Family training and counseling for child development, per 15 minutes	89,040	$90	$8.3M
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…	62,400	$120	$7.6M
T1017	Targeted case management, each 15 minutes	69,130	$50	$3.4M
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.	25,930	$100	$2.5M
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…	15,040	$100	$1.4M
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…	7,520	$90	$706.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	3,620	$180	$659K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	2,290	$130	$286.8K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	810	$130	$102.6K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	570	$130	$74.6K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Easter Seals Rio Grande Valley — 6 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1027	Family training and counseling for child development, per 15 minutes	8	40	29,770	$110	$5.2M
T1017	Targeted case management, each 15 minutes	9	220	4,700	$90	$1.4M
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…	42	1,350	1,860	$80	$872.4K
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.	62	1,620	1,070	$70	$333.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	57	120	450	$100	$304.6K
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…	65	1,320	1,070	$60	$211.1K
S9152	Speech therapy, re-evaluation	113	270	120	$110	$62.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	7	360	100	$140	$62K
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…	43	660	720	$20	$47K
S9470	Nutritional counseling, dietitian visit	17	60	380	$20	$40.5K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Easter Seals Rio Grande Valley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Care Unlimited, Inc	TX	Home Health Agency	$0	$67.8M
Hjc Home Health Care Services, Inc.	TX	Home Health Agency	$0	$36.8M
Legacy Home Care Services, Inc.	TX	Home Health Agency	$0	$30.6M
El Jardin Provider Services, LLC.	TX	Personal Care Attendant	$0	$28M
Iph Primary Home Care, Inc.	TX	Home Health Agency	$0	$23.8M
Cielo Azul Provider Services, LLC.	TX	Personal Care Attendant	$0	$22M
With Open Arms Healthcare, LLC	TX	Home Health Agency	$0	$20.2M
Fuera Investment Group LLC	TX	Personal Care Attendant	$0	$19.4M
Regency Ihs Hospice Services LLC	TX	Community Based Hospice Care Agency	$0	$15.9M
One Lac, Inc.	TX	Home Health Agency	$0	$13.6M

Easter Seals Rio Grande Valley — Billing Profile & Reimbursement Data

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Easter Seals Rio Grande Valley — 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