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

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

Pediatric Partners LLC (NPI 1639245277)

Pediatric Partners LLC is a speech-language pathologist provider located in Peoria, Arizona. This profile covers 0 Medicare and 11 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	Pediatric Partners LLC
Address	8765 W Kelton Ln Ste 116
City	Peoria
State	AZ
ZIP	85382
Taxonomy	Speech-Language Pathologist
NPI Enumerated	November 27, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	34,130	$70	$2.5M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	25,520	$80	$2.1M
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.	18,570	$80	$1.5M
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…	6,760	$40	$290.5K
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…	3,610	$70	$252.8K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	4,360	$60	$248.7K
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…	6,950	$20	$104.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	100	$120	$11.8K
98981	The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…	120	$60	$7.1K
98980	The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…	140	$30	$3.9K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Pediatric Partners LLC — 3 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	400	2,110	$70	$800.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	30	310	960	$60	$705.5K
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.	46	510	1,320	$60	$454.9K
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…	144	480	960	$40	$308.1K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	8	40	650	$70	$280.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	31	70	80	$120	$112.1K
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…	1	10	850	$40	$82.9K
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…	1	10	230	$20	$29.7K
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…	28	40	40	$60	$21.6K
98980	The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…	2	10	100	$30	$11K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Partners	AZ	Home Health Agency	$0	$77.6M
Pleasant Pediatrics Plc	AZ	Pediatrics Physician	$1.2K	$33.2M
Elisabeth Balken	AZ	Nurse Practitioner	$23.3M	$0
Pacifica Senior Living Peoria	AZ	Alzheimer Center (Dementia Center)	$0	$11.1M
Southwest Network	AZ	Community/Behavioral Health Agency	$0	$6.6M
Brea Peoria, LLC	AZ	Assisted Living Facility	$0	$6.2M
Grant Fankhauser	AZ	Vascular Surgery Physician	$1.4M	$0
David Nye	AZ	Vascular Surgery Physician	$905.8K	$0
Dane Hill	AZ	Dermatology Physician	$882.4K	$0
Han Choi	AZ	Dentist	$521.6K	$0

Pediatric Partners LLC — Billing Profile & Reimbursement Data

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Pediatric Partners 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

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