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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Speech N Play Therapy Group (NPI 1578200408)

Field	Value
Entity Type	Organization
Organization	Speech N Play Therapy Group
Address	Bo. Carrizales
City	Hatillo
State	PR
ZIP	00659
Taxonomy	Speech-Language Pathologist
NPI Enumerated	May 12, 2022

Payer Source	Total Paid
Medicaid	$716.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	6,650	$60	$412.3K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	3,480	$70	$236.6K
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…	560	$120	$66.4K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	20	$40	$720
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	20	$20	$380

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

Speech N Play Therapy Group — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	32	50	1,850	$70	$843.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	8	30	1,520	$50	$509.8K
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…	40	140	2,620	$50	$505.7K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	10	10	1,810	$20	$87.6K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	14	10	1,040	$20	$60.6K

Nearby Providers

Other providers in the same ZIP code as Speech N Play Therapy Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dauilmar Franco Ginoro	PR	Clinical Medical Laboratory	$0	$3.6M
Corporacion Servicios Medicos Primarios Y Prevencion De Hatillo	PR	Federally Qualified Health Center (FQHC)	$0	$2.9M
Lj Health Group Inc	PR	Clinical Medical Laboratory	$0	$2M
Rr Laboratory Services, Inc	PR	Clinical Medical Laboratory	$3.6K	$1.1M
Juan Nieves-rivera	PR	Cardiovascular Disease Physician	$23.2K	$651.8K
Jeannette Toledo Rodriguez	PR	Clinical Medical Laboratory	$1.8K	$635K
Gretchen Martinez Alayon	PR	Internal Medicine Physician	$59.5K	$0
Kathy Caraballo Rivera	PR	Family Medicine Physician	$6.6K	$23.7K
Dawilmar Franco Ginorio	PR	Clinical Medical Laboratory	$27.9K	$0
Wal-mart Puerto Rico Inc	PR	Community/Retail Pharmacy	$13.7K	$0

Speech N Play Therapy Group — Billing Profile & Reimbursement Data

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Speech N Play Therapy Group — 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