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.

Miracle Kids Success Academy, Inc. (NPI 1568799658)

Field	Value
Entity Type	Organization
Organization	Miracle Kids Success Academy, Inc.
Address	1900 Stillwater Dr
City	Jonesboro
State	AR
ZIP	72404
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	November 10, 2009

Payer Source	Total Paid
Medicaid	$21.9M
Medicare	$0

Key Findings

This provider bills exclusively to Medicaid at scale: lifetime Medicaid revenue is $21.9M and there is no Medicare billing on file, so the organization functions effectively as a single-payer (Medicaid) provider rather than a mixed Medicare/Medicaid operation. That concentration means Medicare market comparisons are not available and Medicaid policy and rate changes will have outsized impact on overall revenue.

Revenue is highly concentrated in a small number of service codes: the top three Medicaid codes (T1015, 92507, 97530) together account for 84.9% of the provider’s total Medicaid revenue. Those three codes are individually large contributors: T1015 generates $10.3M (47.1% of Medicaid revenue), 92507 generates $4.7M (21.6%), and 97530 generates $3.6M (16.2%), highlighting dependency on a narrow set of service lines.

The facility’s code mix and volumes indicate a rehabilitation/therapy-focused operation with high-volume clinic encounters and intensive therapy delivery. T1015 (clinic visit/encounter, all-inclusive) shows 169.6K claims at $61 avg paid/claim, 92507 (speech/communication therapy) shows 69.7K claims at $68 avg paid/claim, and 97530 (therapeutic activity per 15 minutes) shows 64.6K claims at $55 avg paid/claim, consistent with an outpatient rehabilitation center providing frequent, timed therapy sessions.

Competitive standing by code shows state-level strength in therapy services: 97530 ranks #14 of 581 providers in-state (98th percentile; noted as notably above typical state volume) and 92507 ranks #21 of 567 (96th percentile; noted as notably above typical state volume), indicating the provider is a major participant in those therapy categories within Arkansas. By contrast, T1015 ranks #28 of 532 (95th percentile) but is characterized in the data as a typical, unremarkable volume for that code, suggesting many peers also report high aggregated encounter volumes.

Beyond the top three, the provider bills meaningful additional therapy and support services that align with pediatric and developmental rehabilitation workflows. 97110 (therapeutic exercise) contributes $1.9M (8.5% of Medicaid revenue) with 27.8K claims at $67 avg paid/claim; transportation A0120 appears as a support service with 25.1K claims and $801.7K revenue (3.7%), indicating bundled operational components such as non-emergency transportation are part of the service mix.

Several lower-revenue codes reflect ancillary developmental services and testing consistent with a child-focused program: codes such as 96112 (64 claims, $4.2K), 96101 (191 claims, $11.7K), and T1027 (377 claims, $3K) appear on the profile and support the interpretation that assessment, family training, and developmental screening are part of care pathways, even though each contributes a small share of revenue.

Operational profile and unit economics point to high-frequency, relatively low-to-mid unit reimbursement per encounter: the largest codes show very large claim counts (e.g., T1015 169.6K claims, 92507 69.7K claims, 97530 64.6K claims) with avg paid/claim values in the $55–$68 range. This pattern is typical of outpatient therapy models that rely on volume of timed sessions rather than high single-claim reimbursement levels.

The provider has long-term presence in the registry, with NPI enumeration on 2009-11-10 (~17 years ago), suggesting organizational stability and an established referral footprint in-state. Combined with the heavy Medicaid concentration and the fact that the top three codes represent 84.9% of Medicaid revenue, the profile implies both operational maturity and sensitivity to Medicaid rate, coverage, and utilization policy shifts that could materially affect revenue.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	169,580	$60	$10.3M
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…	69,750	$70	$4.7M
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.	64,560	$60	$3.6M
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…	27,830	$70	$1.9M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	25,050	$30	$801.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	11,410	$30	$296.6K
97532	N/A	11,110	$30	$288.9K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	480	$40	$18.2K
96101	N/A	190	$60	$11.7K
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.	280	$20	$4.4K

Showing 1–10 of 19

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

Miracle Kids Success Academy, Inc. — 2 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	28	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…	21	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	24	100	10,500	$40	$791K
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.	14	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…	44	500	3,410	$60	$523.5K
97532	N/A	7	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.	8	70	4,530	$30	$172.5K
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…	23	50	60	$60	$74.1K
T1027	Family training and counseling for child development, per 15 minutes	33	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…	55	90	90	$80	$36.8K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Miracle Kids Success Academy, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Learning Center Of Northeast Arkansas, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$27.4M
Medic One, LLC	AR	Land Ambulance	$3.5M	$18.8M
Medic One, LLC	AR	Land Ambulance	$1.9M	$9.8M
Arknasas Mae Complete Services LLC	AR	In Home Supportive Care Agency	$0	$4.5M
Lincare Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$3M
Arkansas Dental Clinic	AR	General Practice Dentistry	$0	$2.6M
Thera-play Pediatric Therapy Associates	AR	Occupational Therapist	$0	$1.9M
Valley View School District	AR	Local Education Agency (LEA)	$0	$1.5M
Brannon Treece	AR	Internal Medicine Physician	$263.7K	$0
Timothy Mcnamara	AR	Family Medicine Physician	$232.1K	$0

Miracle Kids Success Academy, Inc. — Billing Profile & Reimbursement Data

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Miracle Kids Success Academy, 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