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.

Kid Success, Inc. (NPI 1609997311)

Field	Value
Entity Type	Organization
Organization	Kid Success, Inc.
Address	2740 College Avenue
City	Conway
State	AR
ZIP	72034
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$140.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $140.9M, indicating Medicaid is the dominant — and practically sole — source of billed federal program revenue for KID SUCCESS, INC.. Analysts should treat payer-mix and reimbursement risk through a Medicaid-only lens when modeling revenue exposure or contracting leverage.

Revenue is extremely concentrated in a small set of services: the top three Medicaid codes (T1015, 97530, 92507) together account for 87.5% of this provider’s total Medicaid revenue. Individually these codes generate $82.3M (58.4%), $21.7M (15.4%), and $19.2M (13.7%) respectively, so shifts in reimbursement or utilization for any of these three codes would have outsized impact on overall revenue.

The code mix and descriptions point to a rehabilitation-focused clinic model with high-volume clinic encounters plus intensive therapy services: T1015 (clinic visit/encounter, all-inclusive) is the single largest revenue driver, while 97530 (therapeutic activities) and 92507 (direct treatment for communication/hearing impairments) indicate heavy physical/occupational and speech therapy caseloads. Additional therapy codes such as 97110 and multiple evaluation codes further support that the operation is therapy- and development-oriented rather than acute medical care.

Utilization volumes are very large and suggest a high-throughput therapy operation: T1015 shows 1.3M claims, 97530 has 373.8K claims, 92507 has 287.2K claims, and 97110 contributes 191.6K claims. These claim counts imply substantial daily visit capacity and significant staffing or visit-frequency intensity; capacity and scheduling metrics will be key when benchmarking operational efficiency.

KID SUCCESS is a dominant statewide competitor for its core service lines: it ranks #1 in-state for T1015 (#1 of 532 providers), 97530 (#1 of 581 providers), 92507 (#1 of 567 providers) and 97110 (#1 of 499 providers), each listed at the 100th percentile and described as extreme outliers. That market position indicates this provider is far above typical state volume for those codes and functions as a leading provider of these rehabilitation services in Arkansas.

Multiple individual codes beyond the top three are also statistically elevated versus peers: examples include 97532, 97535, 96113, 97003 and T1002, each ranked at or near the top of state lists and labeled as extreme outlier or notably above typical state volume. These elevated ranks across a range of therapy and support-service codes suggest the provider’s high volume is broad-based across several reimbursement categories rather than isolated to a single line.

The practice offers a mix of treatment and diagnostic/evaluation services beyond direct therapy: assessment and testing codes such as 96112 ($394.3K revenue, ranks #2 of 92), 96113 ($384.6K revenue, ranks #1 of 38) and 92523 ($265.2K revenue, ranks #3 of 106) show the provider performs standardized testing and speech–language evaluations in addition to hands-on therapy. These evaluation services likely feed ongoing therapy episodes of care and contribute to both clinical workflow and revenue continuity.

The provider has an established NPI (enumerated 2007-04-02, ~19 years ago), indicating sustained presence in the market; however, its heavy reliance on a few Medicaid codes (top 3 = 87.5% of Medicaid revenue) creates concentration risk. For payers and contracting teams, negotiations, audits, or policy changes that affect T1015, 97530, or 92507 would materially affect the provider’s revenue profile and should be prioritized in risk assessments and contract scenarios.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	1,305,760	$60	$82.3M
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.	373,840	$60	$21.7M
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…	287,180	$70	$19.2M
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…	191,580	$60	$12.1M
97532	N/A	61,270	$30	$1.7M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	64,210	$30	$1.6M
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…	4,110	$100	$394.3K
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…	5,000	$80	$384.6K
T1002	Rn services, up to 15 minutes	21,970	$20	$329.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	3,270	$80	$265.2K

Showing 1–10 of 31

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

Kid Success, Inc. — 16 of 25 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	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…	1	570	2,470	$70	$801.4K
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.	1	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…	1	500	3,410	$60	$523.5K
97532	N/A	1	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.	1	70	4,530	$30	$172.5K
T1002	Rn services, up to 15 minutes	1	10	1,030	$20	$87.2K
T2020	Day habilitation, waiver; per diem	94	110	740	$40	$82.1K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	11	20	60	$70	$64.2K
T1027	Family training and counseling for child development, per 15 minutes	5	90	250	$40	$51.2K

Showing 1–10 of 31

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milestones Services, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$11.6M
Conway Regional Medical Center Inc	AR	General Acute Care Hospital	$0	$10.6M
Independent Living Services, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Counseling Associates, Inc	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.6M
Pediatrics Plus Therapy Services, LLC	AR	Developmental Disabilities Clinic/Center	$0	$7.1M
Central Arkansas Pediatrics, P.A.	AR	Pediatrics Physician	$0	$6.7M
Aaron K. Forrester Dds, PLLC	AR	Pediatric Dentistry	$0	$5.7M
Conway Childrens Clinic PA Corp	AR	Pediatrics Physician	$0	$4.8M
Arkansas Pediatrics Of Conway, PA	AR	Pediatrics Physician	$0	$3.9M
Noha Mohamed	AR	Rheumatology Physician	$3.8M	$0

Kid Success, 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