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

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

Kidspiration Pediatric Therapy Services, Inc. (NPI 1497048185)

Field	Value
Entity Type	Organization
Organization	Kidspiration Pediatric Therapy Services, Inc.
Address	1310 Bradley Dr
City	Mountain Home
State	AR
ZIP	72653
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	May 27, 2011

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and lifetime Medicaid revenue is $16.5M, so the organization’s financial footprint in these datasets is concentrated entirely in Medicaid rather than a mixed Medicare/Medicaid practice. That concentration makes state Medicaid policy and reimbursement rates the primary commercial drivers for this entity’s operations.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 84.4% of the provider’s total Medicaid revenue, indicating reliance on a very small set of service codes for the majority of billing. A shift in reimbursement or utilization for any of those leading codes would materially affect overall revenue.

T1015 is the single largest revenue driver by a wide margin: T1015 shows 135.7K claims, $64 avg paid/claim and $8.7M revenue (52.6% of this provider's total Medicaid revenue), and it ranks #35 of 532 providers in-state (94th percentile; typical, unremarkable volume for this code). This dominance suggests the practice bills a high volume of comprehensive clinic visit/encounter services and likely organizes care around bundled or all‑inclusive outpatient encounters.

Therapy services form the rest of the core business: 92507 (38.1K claims, $73 avg paid/claim, $2.8M revenue; 16.8% of Medicaid revenue; ranks #44 of 567, 92th percentile; typical, unremarkable volume) and 97110 (32.8K claims, $75 avg paid/claim, $2.5M revenue; 14.9% of Medicaid revenue; ranks #35 of 499, 93th percentile; typical, unremarkable volume) are the second and third largest codes. The presence of these codes indicates substantial speech/communication therapy and therapeutic exercise activity, consistent with a pediatric therapy clinic model.

The broader CPT mix reinforces a multidisciplinary rehab focus: 97530 appears with $2.1M revenue (12.9% of Medicaid revenue) and other therapy codes such as 97535 and 97532 also appear on the roster, showing a portfolio of functional activity, instruction, and rehabilitative services rather than primary care E/M visits. By contrast, traditional office E/M billing is minimal (99213 shows 15 claims, $29 avg paid/claim, $435 revenue and ranks #1637 of 1735, 4th percentile), highlighting an operational emphasis on therapy encounters over standard physician E/M workflows.

State competitive standing is notable but characterized as routine: the provider ranks in high percentiles for its top therapy and clinic codes (for example, T1015 at the 94th percentile, 92507 at the 92th percentile, 97110 at the 93th percentile), which places it among the higher‑volume Medicaid providers in Arkansas for those services. However, the dataset’s plain‑English labels for these codes are consistently “typical, unremarkable volume,” suggesting the provider is a sizable, established participant in common pediatric therapy lines rather than an unusual outlier.

Specific specialized services and assessments are limited: codes tied to formal developmental testing and reporting (e.g., 96112 with 26 claims, $104 avg paid/claim, $2.7K revenue; ranks #71 of 92, 20th percentile) and team‑based coordinated care encounters (T1024 with 171 claims, $11 avg paid/claim, $1.9K revenue; ranks #4 of 15, 79th percentile) account for very small revenue slices. This pattern indicates the clinic focuses operationally on direct therapy encounters and clinic visits, with only modest activity in higher‑complexity testing or multidisciplinary billing lines.

The provider has an established tenure in the system, with NPI enumeration on 2011‑05‑27 (~15 years ago), which aligns with its substantial Medicaid billing history and suggests sustained operations in the pediatric therapy market. That longevity, combined with concentrated Medicaid revenue and the therapy‑heavy code mix, frames the organization as a long‑standing, Medicaid‑focused pediatric therapy clinic serving a steady volume of outpatient encounters.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	135,740	$60	$8.7M
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…	38,060	$70	$2.8M
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…	32,800	$80	$2.5M
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.	34,890	$60	$2.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	6,910	$30	$207.4K
97532	N/A	7,140	$30	$207.1K
99367	A physician joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	540	$40	$22.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	70	$110	$7.1K
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…	30	$100	$2.7K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	170	$10	$1.9K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Kidspiration Pediatric Therapy Services, Inc. — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	35	530	4,960	$70	$2.6M
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…	44	570	2,470	$70	$801.4K
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.	47	580	3,620	$60	$712.7K
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…	35	500	3,410	$60	$523.5K
97532	N/A	17	60	5,070	$30	$189.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	20	70	4,530	$30	$172.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,637	1,740	550	$30	$88.8K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	48	50	60	$60	$74.1K
T1027	Family training and counseling for child development, per 15 minutes	62	90	250	$40	$51.2K
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…	71	90	90	$80	$36.8K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Kidspiration Pediatric Therapy Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gracon, Inc.	AR	Home Health Agency	$0	$23.1M
Baxter County Regional Hospital, Inc	AR	General Acute Care Hospital	$0	$15.2M
Developmental Discoveries, Inc.	AR	In Home Supportive Care Agency	$0	$8M
River Lodge Assisted Living LLC	AR	Assisted Living Facility	$0	$5.1M
Bradley Wayne Coleman,d.d.s.	AR	Dentist	$0	$3.6M
Hometown Behavioral Health Services Of Ak Inc.	AR	Mental Health Counselor	$0	$3.5M
Baxter Day Service Center, Inc.	AR	Preferred Provider Organization	$0	$3.4M
Baxter County Regional Hospital Inc	AR	General Acute Care Hospital	$0	$3M
Twin River Community Living Facility	AR	In Home Supportive Care Agency	$0	$2.5M
Richard White	AR	Hematology & Oncology Physician	$2.2M	$0

Kidspiration Pediatric Therapy Services, Inc. — Billing Profile & Reimbursement Data

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Kidspiration Pediatric Therapy Services, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References