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

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

Pediatric Therapy Professionals Inc (NPI 1528186152)

Field	Value
Entity Type	Organization
Organization	Pediatric Therapy Professionals Inc
Address	3023 Wilmington Rd
City	New Castle
State	PA
ZIP	16105
Taxonomy	Speech-Language Pathologist
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	28,440	$130	$3.7M
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.	25,500	$130	$3.3M
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…	14,970	$130	$2M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Pediatric Therapy Professionals Inc — 3 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

3 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…	18	410	1,130	$60	$455.4K
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.	9	710	320	$40	$241.4K
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…	12	1,280	390	$40	$104.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Upmc Jameson	PA	General Acute Care Hospital	$0	$6.8M
Noga Ambulance Service, Inc.	PA	Land Ambulance	$677.9K	$3.2M
Paul Wawrzynski	PA	Cardiovascular Disease Physician	$227.2K	$71.9K
David Shober	PA	Family Medicine Physician	$247.1K	$1.8K
Ali Amjad	PA	Hematology & Oncology Physician	$98K	$2.5K
Ahmad Al-turk	PA	Foot & Ankle Surgery Podiatrist	$73.8K	$17.8K
Melody Kniess	PA	Medical Physician Assistant	$91.6K	$0
Nora Flores-paras	PA	Internal Medicine Physician	$79K	$0
Anissa Perrin	PA	Physician Assistant	$45.5K	$0
Antonio Reino	PA	Acute Care Nurse Practitioner	$13.9K	$0

Pediatric Therapy Professionals Inc — Billing Profile & Reimbursement Data

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Pediatric Therapy Professionals 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

Nearby Providers

Frequently Asked Questions

References