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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Rainbow Road Therapies, Inc. (NPI 1639214059)

Rainbow Road Therapies, Inc. is a developmentally disabled services day training agency provider located in Las Vegas, New Mexico. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Rainbow Road Therapies, Inc.
Address	615 E Lincoln St
City	Las Vegas
State	NM
ZIP	87701
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 21, 2007

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	21,490	$130	$2.8M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	14,670	$140	$2M
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.	3,530	$160	$557.6K
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…	7,080	$70	$510K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	2,700	$90	$248.4K
H2019	Therapeutic behavioral services, per 15 minutes	2,350	$100	$225.7K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	910	$110	$102.4K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	150	$120	$17.4K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	80	$100	$8K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	20	$130	$2.4K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Rainbow Road Therapies, Inc. — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	6	50	2,930	$150	$1.4M
H2019	Therapeutic behavioral services, per 15 minutes	30	40	5,650	$100	$1.1M
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…	36	130	2,280	$50	$363.9K
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…	23	920	860	$120	$361.9K
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.	74	220	1,570	$70	$340.6K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	6	20	770	$70	$168.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	133	180	300	$100	$134.2K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	60	70	180	$100	$121.1K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	3	10	320	$50	$74.3K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	4	10	150	$90	$46.7K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Linde Schuster	NM	Speech-Language Pathologist	$5.9K	$0
Marian Girmus	NM	Occupational Therapist	$4.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Care, LLC.	NM	In Home Supportive Care Agency	$0	$52.8M
Victory Personal Care Inc.	NM	Home Health Agency	$0	$26.9M
Direct Healthcare	NM	In Home Supportive Care Agency	$0	$15.2M
Heritage Healthcare Of Northern New Mexico, Inc.	NM	Home Health Agency	$0	$14.8M
An Angels Touch LLC	NM	In Home Supportive Care Agency	$0	$13.4M
San Miguel Hospital Corporation	NM	General Acute Care Hospital	$0	$13.2M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$7.3M
State Of New Mexico	NM	Nursing Facility/Intermediate Care Facility	$0	$4.2M
Summit Emergency Medicine LLC	NM	Emergency Medicine Physician	$0	$3.1M
San Miguel Hospital Corporation	NM	Critical Access Hospital	$0	$3M

Rainbow Road Therapies, Inc. — Billing Profile & Reimbursement Data

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Rainbow Road 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

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