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

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

Brighton Center (NPI 1598820425)

Field	Value
Entity Type	Organization
Organization	Brighton Center
Address	14207 Higgins Rd
City	San Antonio
State	TX
ZIP	78217
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	December 22, 2006

Payer Source	Total Paid
Medicaid	$25.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1027	Family training and counseling for child development, per 15 minutes	96,070	$120	$11.6M
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…	37,720	$110	$4.3M
T1017	Targeted case management, each 15 minutes	57,090	$60	$3.3M
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.	20,770	$120	$2.5M
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…	16,540	$130	$2.1M
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	4,700	$120	$577.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	3,030	$180	$553.8K
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…	1,220	$130	$155.1K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	990	$120	$120.2K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	300	$190	$56.6K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Brighton Center — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1027	Family training and counseling for child development, per 15 minutes	7	40	29,770	$110	$5.2M
T1017	Targeted case management, each 15 minutes	12	220	4,700	$90	$1.4M
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…	79	1,350	1,860	$80	$872.4K
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.	86	1,620	1,070	$70	$333.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	19	120	450	$100	$304.6K
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…	54	1,320	1,070	$60	$211.1K
S9152	Speech therapy, re-evaluation	138	270	120	$110	$62.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	15	360	100	$140	$62K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	154	180	90	$90	$29.4K
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…	5	60	40	$110	$29.2K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Brighton Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
True Mental Health Services, LLC	TX	Case Management Agency	$0	$45.7M
Colonial Home Health, Inc.	TX	Home Health Agency	$0	$13.7M
One Source Medical Group LLC	TX	Durable Medical Equipment & Medical Supplies	$0	$12.6M
North East Independent School District	TX	Local Education Agency (LEA)	$0	$11.1M
Jena Lalley	TX	Family Nurse Practitioner	$1.2M	$0
Kenneth Desrosier	TX	Rheumatology Physician	$982.7K	$0
Timothy Dziuk	TX	Radiation Oncology Physician	$577.6K	$0
Matthew Jendrusch	TX	Physical Therapist	$479.1K	$0
Narciso Gonzalez	TX	Interventional Pain Medicine Physician	$428K	$0
Edwin Whitney	TX	Cardiovascular Disease Physician	$312.2K	$0

Brighton Center — Billing Profile & Reimbursement Data

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Brighton Center — 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