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

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

Moore Autism Center, P.C. (NPI 1518319276)

Moore Autism Center, P.C. is a clinical child & adolescent psychologist provider located in Moore, Oklahoma. This profile covers 0 Medicare and 14 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	Moore Autism Center, P.C.
Address	1044 Sw 4th St
City	Moore
State	OK
ZIP	73160
Taxonomy	Clinical Child & Adolescent Psychologist
NPI Enumerated	July 6, 2016

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

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

14 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.	10,250	$110	$1.1M
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…	16,080	$70	$1.1M
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…	390	$550	$216.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,370	$120	$157.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	440	$130	$57.1K
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…	470	$120	$54.9K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	3,750	$10	$37.5K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	200	$110	$21.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	110	$170	$19.4K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	80	$100	$7.6K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Moore Autism Center, P.C. — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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	200	1,720	$80	$645.7K
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…	30	210	1,850	$70	$560.1K
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…	1,415	1,750	870	$70	$254.4K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	29	30	70	$340	$115.7K
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…	5	20	130	$240	$72.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	50	270	350	$60	$57.4K
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…	8	20	70	$140	$51.8K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	20	40	130	$110	$47.5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	28	40	170	$100	$44.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	32	130	60	$120	$41.3K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aky Md, LLC	OK	Pediatrics Physician	$0	$42.2M
Innovative Medical Supply, LLC	OK	Durable Medical Equipment & Medical Supplies	$0	$13.6M
Integrated Therapy Solutions Of Oklahoma, LLC	OK	Community/Behavioral Health Agency	$0	$4.6M
Physicians Surgical Center LLC	OK	Ambulatory Surgical Clinic/Center	$1.9M	$2.7M
David Roberts Consulting, LLC	OK	Secured Medical Transport (VAN)	$0	$4.3M
Pkl Orthodontics, PC	OK	Dental Clinic/Center	$0	$3.7M
Today's Therapy Solutions	OK	Speech-Language Pathologist	$0	$3.7M
Quick Urgent Care LLC	OK	Urgent Care Clinic/Center	$0	$3.5M
Moore Family Therapy	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Mercy Oklahoma Ambulatory Services LLC	OK	Urgent Care Clinic/Center	$0	$2.9M

Moore Autism Center, P.C. — Billing Profile & Reimbursement Data

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Moore Autism Center, P.C. — 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