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

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

Speech Language & Learning Center Of Tn (NPI 1447883699)

Speech Language & Learning Center Of Tn is a speech-language pathologist provider located in Lawrenceburg, Tennessee. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Speech Language & Learning Center Of Tn
Address	1311 S Locust Ave Ste 101
City	Lawrenceburg
State	TN
ZIP	38464
Taxonomy	Speech-Language Pathologist
NPI Enumerated	February 17, 2020

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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

10 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…	24,940	$50	$1.2M
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.	20,750	$50	$996.1K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	2,400	$50	$110.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	310	$80	$23.9K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	570	$40	$21.8K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	400	$50	$19.4K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	80	$30	$2.5K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	80	$30	$2.5K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	10	$40	$620
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	50	$1	$150

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Speech Language & Learning Center Of Tn — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

10 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…	28	230	2,130	$40	$616.8K
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.	43	340	1,400	$40	$354.2K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	60	80	3,450	$20	$181.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	33	60	540	$50	$63K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	11	20	50	$60	$32.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	13	60	70	$110	$28.3K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	9	10	300	$30	$27.2K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	12	60	470	$10	$23.6K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	18	20	50	$30	$16.7K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	4	10	60	$50	$4.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Coverage Services, PC	TN	Nurse Practitioner	$0	$11.5M
One Stop Medical, LLC	TN	Rural Health Clinic/Center	$0	$10.3M
Amg-crockett, LLC	TN	Family Medicine Physician	$0	$4.8M
Crockett Hospital LLC	TN	Rural Acute Care Hospital	$0	$4.6M
The Speech Language & Learning Center LLC	TN	Occupational Therapist	$0	$3.5M
Express Med Of Tennessee, LLC	TN	Rural Health Clinic/Center	$0	$2.6M
County Of Lawrence	TN	Land Ambulance	$704K	$1.8M
Robert Chen	TN	Dermatology Physician	$544.5K	$103.3K
Air Evac Ems Inc	TN	Air Ambulance	$566.1K	$49.5K
Haley Kimbrell	TN	Family Nurse Practitioner	$247.7K	$0

Speech Language & Learning Center Of Tn — Billing Profile & Reimbursement Data

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Speech Language & Learning Center Of Tn — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

References