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

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

Sprout Pediatric Occupational Therapy, LLC (NPI 1588098412)

Field	Value
Entity Type	Organization
Organization	Sprout Pediatric Occupational Therapy, LLC
Address	3500 N Rock Rd, Bldg 2200, Ste 101
City	Wichita
State	KS
ZIP	67226
Taxonomy	Occupational Therapist
NPI Enumerated	August 28, 2013

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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.	18,120	$80	$1.4M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	570	$90	$48.4K
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…	350	$70	$22.8K
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…	280	$70	$19.5K
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…	70	$60	$4.1K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	30	$60	$1.6K
96111	N/A	10	$110	$1.5K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	1,110	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Sprout Pediatric Occupational Therapy, LLC — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	11	310	770	$30	$77.7K
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…	54	110	330	$20	$18.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	18	40	380	$20	$18.5K
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…	2	10	140	$60	$13.4K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	3	10	50	$80	$7K
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…	2	10	70	$60	$4.9K
96111	N/A	2	10	10	$60	$1.6K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	7	20	300	$1	$80

Nearby Providers

Other providers in the same ZIP code as Sprout Pediatric Occupational Therapy, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc.	KS	Home Health Agency	$0	$22.3M
Hospice Care Of Kansas, LLC	KS	Community Based Hospice Care Agency	$0	$21.3M
Proactive Associates, LLC	KS	Home Health Agency	$0	$19.6M
Cypress Surgery Center LLC	KS	Ambulatory Surgical Clinic/Center	$1.1M	$6.8M
Serenity Hospice Care, LLC	KS	Community Based Hospice Care Agency	$0	$6.9M
Proactive Home Care, LLC	KS	Home Health Agency	$0	$5.9M
Surgicare Of Wichita, LLC	KS	Ambulatory Surgical Clinic/Center	$860.8K	$4.7M
Wichita Asc LP	KS	Ambulatory Surgical Clinic/Center	$5.2M	$0
Promises Kept, LLC	KS	Community Based Hospice Care Agency	$0	$3.4M
Redbud Pediatrics LLC	KS	Pediatrics Physician	$0	$3.4M

Sprout Pediatric Occupational Therapy, LLC — Billing Profile & Reimbursement Data

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Sprout Pediatric Occupational Therapy, LLC — 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