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

Why is the Medicaid comparison limited to New York 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. New York (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.

Theracare Of New York Inc (NPI 1528113974)

Theracare Of New York Inc is a early intervention provider agency provider located in New York, New York. This profile covers 0 Medicare and 22 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	Theracare Of New York Inc
Address	116 W 32nd St
City	New York
State	NY
ZIP	10001
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$43.6M
Medicare	$0

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

22 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…	239,010	$80	$18.6M
H2014	Skills training and development, per 15 minutes	116,540	$100	$11.3M
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.	43,800	$80	$3.4M
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…	29,400	$80	$2.3M
T1017	Targeted case management, each 15 minutes	59,760	$30	$2M
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	39,220	$30	$1.3M
G0177	Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)	11,950	$100	$1.2M
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…	3,090	$300	$926.4K
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…	10,370	$80	$808.5K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	6,870	$80	$529.2K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Theracare Of New York Inc — 6 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	6	160	3,210	$200	$4.5M
H2027	Psychoeducational service, per 15 minutes	30	70	2,430	$100	$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…	4	750	1,800	$80	$785.8K
97532	N/A	21	40	780	$30	$662.9K
T1017	Targeted case management, each 15 minutes	18	240	4,610	$30	$561.8K
G0177	Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)	1	10	4,880	$100	$502.6K
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.	26	2,060	1,300	$60	$322.2K
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…	14	150	230	$260	$312.4K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	22	160	530	$40	$267.3K
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…	92	2,430	1,310	$40	$257.8K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Management Partners LLC (ccmp)	NY	Case Management Agency	$0	$247M
Greatcare Inc	NY	Home Health Agency	$0	$231.6M
Xincon Home-healthcare Services, Inc.	NY	Home Health Agency	$0	$191.8M
Act On It Home Care Inc.	NY	Home Health Agency	$0	$57.4M
Young Adult Institute, Inc.	NY	Developmental Disabilities Clinic/Center	$0	$37.2M
Community Healthcare Network, Inc	NY	Federally Qualified Health Center (FQHC)	$0	$35.6M
West Midtown Management Group Inc	NY	Multi-Specialty Clinic/Center	$0	$34.9M
Services For The Underserved - Mental Health Programs Inc	NY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$34.6M
Greatcare Inc	NY	Home Health Agency	$0	$33.2M
The Association For Rehabilitative Case Management And Housing	NY	Mental Illness Community Based Residential Treatment Facility	$0	$23.2M

Theracare Of New York Inc — 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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References