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.

Sunshine School & Development Center (NPI 1649307398)

Field	Value
Entity Type	Organization
Organization	Sunshine School & Development Center
Address	3400 Woods Lane
City	Rogers
State	AR
ZIP	72756
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$20.3M
Medicare	$0

Key Findings

SUNSHINE SCHOOL & DEVELOPMENT CENTER is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $20.3M in lifetime Medicaid revenue, indicating operations are almost entirely supported by Medicaid reimbursements. This concentration in one public payer shapes its exposure to state policy and Medicaid rate/coverage changes.

Revenue is highly concentrated in a short list of service codes: the precomputed top 3 Medicaid codes account for 74.6% of the provider's total Medicaid revenue. Specifically, T1015 generates $9.5M (46.6% of Medicaid revenue), while both 92507 and 97530 generate $2.8M each (14.0% each), making these three codes the primary revenue drivers for the organization.

The provider’s code mix and descriptions map closely to its taxonomy as a Developmentally Disabled Services Day Training Agency: high-volume T1015 (clinic visit/encounter), 92507 (direct speech/language services), and 97530 (therapeutic activities per 15 minutes) indicate a day-program model centered on clinic-based encounters plus intensive therapy sessions. Additional codes such as H2016 (comprehensive community support, per diem) and A0120 (non-emergency mini-bus transport) further support a community-based, day-support and transportation service footprint rather than a medical acute-care model.

Several therapy codes show above-typical in-state volume and suggest market strength in specific service lines: 92507 ranks #26 of 567 providers in-state (96th percentile) and 97530 ranks #19 of 581 (97th percentile), both labeled as "notably above typical" state volume. Similarly, 97110 ranks #22 of 499 (96th percentile) and is also characterized as "notably above typical," indicating SUNSHINE SCHOOL is a leading regional provider of speech and therapeutic exercise services relative to in-state peers.

T1015, while the single largest revenue source at $9.5M (46.6%), is described in the benchmarking as a "typical, unremarkable volume" item despite ranking #36 of 532 providers in-state (93th percentile). In practice this means the provider derives a large share of its Medicaid revenue from routine clinic/encounter billing, which is common among peers and not necessarily a unique competitive advantage even though it drives nearly half of Medicaid revenue.

Other service lines are present but represent smaller shares of revenue and mixed competitive positions: H2016 contributes $2.8M (13.9%) and ranks #22 of 62 providers in-state (66th percentile, typical), A0120 transport accounts for $497.1K (2.4%) at #25 of 103 (76th percentile), and ABA-related technician/clinical codes (97153, 97155) appear with modest revenue and middle-to-lower percentile ranks. This mix signals breadth of community supports but with much lower revenue concentration outside the top three codes.

Given the $20.3M Medicaid footprint and NPI tenure (enumerated 2007-02-28, ~19 years ago), SUNSHINE SCHOOL demonstrates an established presence in Arkansas’ developmental disability services market. The long-standing NPI, paired with concentrated high-volume therapy and encounter billing, indicates sustained operations focused on outpatient/day habilitation services.

The high concentration in a few revenue categories creates operational and reimbursement exposure: with 74.6% of Medicaid revenue tied to T1015, 92507, and 97530, changes in utilization patterns, state coverage policy, or reimbursement for these specific codes could materially affect the provider’s revenue. At the same time, the provider’s top therapy codes rank at very high state percentiles (96th–97th), suggesting both an opportunity and a reliance on speech/therapeutic services that distinguish it from many in-state peers.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	135,120	$70	$9.5M
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…	58,020	$50	$2.8M
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.	56,640	$50	$2.8M
H2016	Comprehensive community support services, per diem	12,170	$230	$2.8M
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…	39,500	$40	$1.6M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	24,850	$20	$497.1K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1,330	$130	$175.4K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	260	$80	$21.5K
T2028	Specialized supply, not otherwise specified, waiver	110	$130	$13.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	70	$80	$5.3K

Showing 1–10 of 17

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

Sunshine School & Development Center — 3 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	22	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	36	530	4,960	$70	$2.6M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	13	20	1,430	$190	$1.2M
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…	26	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	25	100	10,500	$40	$791K
T2028	Specialized supply, not otherwise specified, waiver	10	10	390	$240	$751.5K
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.	19	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…	22	500	3,410	$60	$523.5K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	12	20	340	$110	$135.6K
T1002	Rn services, up to 15 minutes	7	10	1,030	$20	$87.2K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Sunshine School & Development Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Post 0218, Plc	AR	Physical Therapy Clinic/Center	$0	$14.9M
Regional Therapy Services, Inc.	AR	Speech-Language Pathologist	$0	$13.8M
Kids For The Future Rogers, Inc.	AR	Developmental Disabilities Clinic/Center	$0	$12.8M
St. Francis House Nwa, Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$11.7M
Gates Therapy Group, Inc.	AR	Physical Therapy Clinic/Center	$0	$5.9M
Genesis Partners LLC	AR	Home Health Agency	$0	$5.7M
Adult Development Center Of Benton Co., Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$2.3M
City Of Rogers	AR	Ambulance	$355.2K	$1.2M
Life Strategies Counseling, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$1.4M
Rogers Ar Ophthalmology Asc LLC	AR	Ambulatory Surgical Clinic/Center	$1.3M	$41.9K

Sunshine School & Development Center — Billing Profile & Reimbursement Data

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Sunshine School & Development Center — 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