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

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

Center For Pediatric Therapies, Inc. (NPI 1578524278)

Field	Value
Entity Type	Organization
Organization	Center For Pediatric Therapies, Inc.
Address	175 Deer Run Road
City	Danville
State	VA
ZIP	24540
Taxonomy	Pediatric Occupational Therapist
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$3.8M
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…	64,680	$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…	33,050	$60	$1.9M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	8,310	$100	$864.2K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	6,130	$110	$649.6K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1,890	$110	$198.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1,680	$110	$181.4K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	700	$160	$109.1K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	660	$100	$68.2K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	880	$70	$59.6K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Center For Pediatric Therapies, Inc. — 2 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

17 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…	7	260	3,950	$80	$769.6K
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	400	1,910	$50	$412.6K
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.	6	400	2,060	$60	$407.3K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	9	90	630	$130	$358.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	924	1,340	710	$90	$245K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	31	200	1,330	$70	$236.3K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	21	50	470	$190	$207.4K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	45	120	680	$90	$188.1K
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…	8	10	150	$300	$177.2K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	9	20	610	$70	$171.8K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Center For Pediatric Therapies, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Partners, LLC	VA	Exclusive Provider Organization	$0	$45.3M
Danville-pittsylvania Community Services	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$42.5M
Negril, Inc-r C Right Group Homes	VA	Lodging Provider	$0	$35M
Therapeutic Intervention Services, Inc.	VA	Community/Behavioral Health Agency	$0	$21.3M
The Right Choice Mwm, Inc	VA	Case Management Agency	$0	$13.8M
Negril, Inc	VA	Mental Health Counselor	$0	$11.6M
Life Support Mh Community Support Services	VA	Community/Behavioral Health Agency	$0	$11.4M
A Better Tomorrow Support Services, LLC.	VA	Community/Behavioral Health Agency	$0	$10M
Vista Clinical Diagnostics LLC	VA	Clinical Medical Laboratory	$4.3M	$3.3M
Turning Point Family Services	VA	Community/Behavioral Health Agency	$0	$7M

Center For Pediatric Therapies, Inc. — Billing Profile & Reimbursement Data

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Center For Pediatric Therapies, 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