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

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

Advanced Pediatric Therapies, LLC (NPI 1629148200)

Field	Value
Entity Type	Organization
Organization	Advanced Pediatric Therapies, LLC
Address	1625 E Prater Way Ste 107
City	Sparks
State	NV
ZIP	89434
Taxonomy	Speech-Language Pathologist
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicaid	$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.

6 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.	23,990	$70	$1.6M
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…	25,150	$50	$1.4M
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…	550	$20	$8.8K
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…	240	$20	$4.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$160	$2.2K
T1017	Targeted case management, each 15 minutes	10	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Advanced Pediatric Therapies, LLC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	50	50	2,770	$150	$6.7M
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…	11	150	1,060	$50	$482K
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	310	680	$50	$373.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	34	40	50	$120	$57.6K
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…	4	10	360	$20	$27.7K
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…	9	20	1,040	$10	$20.7K

Nearby Providers

Other providers in the same ZIP code as Advanced Pediatric Therapies, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sound Physicians Emergency Medicine Of Nevada Bessler PLLC	NV	Emergency Medicine Physician	$0	$14.9M
Sparks Family Hospital Inc	NV	General Acute Care Hospital	$0	$7.6M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Northern Nevada Medical Group, LLC	NV	Family Medicine Physician	$0	$2.6M
Jessell Owens	NV	Orthopaedic Surgery Physician	$220.6K	$0
Letitia Anderson	NV	Cardiovascular Disease Physician	$145.7K	$460
Thomas Truong	NV	Interventional Cardiology Physician	$135K	$0
Kosta Arger	NV	Cardiovascular Disease Physician	$117.2K	$0
John Leogite	NV	Family Nurse Practitioner	$108.2K	$0
Todd Inman	NV	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$102.1K	$2.4K

Advanced Pediatric Therapies, LLC — Billing Profile & Reimbursement Data

Sign up for Advanced Pediatric Therapies, LLC — Billing Profile & Reimbursement Data policy alerts

Advanced Pediatric Therapies, LLC — Billing Profile & Reimbursement Data

Sign up for Advanced Pediatric Therapies, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References