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.

Deborah L Curlee Communication Consultants Inc (NPI 1568470599)

Key Findings

Field	Value
Entity Type	Organization
Organization	Deborah L Curlee Communication Consultants Inc
Address	310 Corporate Dr Ste 101
City	Knoxville
State	TN
ZIP	37923
Taxonomy	Speech-Language Pathologist
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicaid	$54.5M
Medicare	$0

This provider has no Medicare billing on file and all reported federal claims are through Medicaid, with total Medicaid revenue of $54.5M. With an NPI enumerated on 2006-08-04 (~20 years ago), the practice has an established presence but appears effectively single-payer in the federal claims dataset, making Medicaid policy and reimbursement levels the primary drivers of its revenue performance.

Revenue is highly concentrated in a very small set of procedure codes: the precomputed top 3 Medicaid codes by revenue account for 99.3% of this provider's total Medicaid revenue. In particular, 92507 alone generated $52.4M (96.1% of Medicaid revenue), 97530 generated $1.5M (2.7%), and 92523 generated $327.5K (0.6%), indicating extreme dependence on these few billing lines.

The code mix indicates a core business focused on speech-language pathology delivered via high-volume, one-on-one evaluation and therapy: 92507 (direct patient communication/hearing/communication assessment) dominates both revenue and claims volume. Secondary services include therapeutic/functional activities billed under 97530 and targeted speech evaluations under 92523, which together suggest the organization operates intensive, therapy-oriented programs rather than diverse multispecialty services.

Competitive standing within Tennessee is pronounced for the dominant speech codes: 92507 ranks #1 of 234 providers in-state (100th percentile; labeled an "extreme outlier"), and 92523 ranks #2 of 60 providers (98th percentile; also labeled an "extreme outlier"). These ranks indicate the provider is an outlier and a dominant statewide player for core speech-language procedure billing volumes.

Operational scale is reflected in very large claim counts and modest per-claim payments: 92507 shows 1M claims at $52 avg paid/claim yielding $52.4M, while 97530 shows 32.4K claims at $45 avg paid/claim yielding $1.5M. The combination of massive claim volume for a single code and modest per-claim reimbursement implies a high-throughput operational model and back-end billing capacity to process large Medicaid claim volumes efficiently.

The portfolio beyond the top three codes contributes only minor revenue slices: for example, 97110 produced $267.2K (0.5% of total Medicaid revenue) from 6.5K claims and 92522 produced $64K (0.1%) from 1.1K claims. These smaller lines appear ancillary to the core SLP service offering and do not materially diversify the provider’s Medicaid revenue base.

Concentration and payer mix create identifiable business risk: absence of Medicare revenue combined with 96.1% of Medicaid revenue tied to a single code (92507) means reimbursement or coverage changes targeting that code or related service definitions could materially affect overall revenue. For analysts, this pattern flags sensitivity to Medicaid rate adjustments, audit focus on high-volume codes, and the importance of monitoring state program rule changes for speech-language services.

Medicaid: Complete Services Breakdown

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

11 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…	1,007,480	$50	$52.4M
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.	32,430	$50	$1.5M
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	2,660	$120	$327.5K
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…	6,520	$40	$267.2K
92522	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns. The jaw, lips, and tongue are examined for proper…	1,090	$60	$64K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	160	$60	$8.8K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	320	$30	$8.1K
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…	260	$30	$7.2K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	130	$50	$6.3K
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…	160	$30	$4.4K

Showing 1–10 of 11

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

Deborah L Curlee Communication Consultants Inc — 2 of 11 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

11 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…	1	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.	22	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…	71	80	3,450	$20	$181.5K
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…	65	350	1,060	$30	$173.8K
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…	83	120	610	$10	$81K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	45	60	540	$50	$63K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	2	60	70	$110	$28.3K
92522	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns. The jaw, lips, and tongue are examined for proper…	2	10	100	$30	$22.8K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	21	40	380	$10	$11.3K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	14	20	30	$50	$6.8K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rha Health Services Tn LLC	TN	Developmentally Disabled Services Day Training Agency	$0	$31.7M
Parkwest Medical Center	TN	General Acute Care Hospital	$0	$30M
Preferred Care At Home	TN	In Home Supportive Care Agency	$0	$19M
Tennessee Ear, Nose & Throat Consultants, PC	TN	Otolaryngology Physician	$0	$9.2M
Nurturing Independence Inc	TN	In Home Supportive Care Agency	$0	$5.9M
Special Care Inc.	TN	Community Based Hospice Care Agency	$0	$5.1M
Childhelp, Inc.	TN	Community/Behavioral Health Agency	$0	$4.8M
Family Home Care Services, LLC	TN	In Home Supportive Care Agency	$0	$4.7M
East Tn Human Resource Agency	TN	Non-emergency Medical Transport (VAN)	$0	$3.9M
Helping Hands Home Assistance, Inc	TN	Home Health Agency	$0	$3.3M

Deborah L Curlee Communication Consultants Inc — Billing Profile & Reimbursement Data

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Deborah L Curlee Communication Consultants 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