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

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

Childrens Therapy Services Of Colorado, Inc. (NPI 1649513284)

Childrens Therapy Services Of Colorado, Inc. is a speech-language pathologist provider located in Northglenn, Colorado. This profile covers 0 Medicare and 12 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	Childrens Therapy Services Of Colorado, Inc.
Address	10701 Melody Dr Ste 100
City	Northglenn
State	CO
ZIP	80234
Taxonomy	Speech-Language Pathologist
NPI Enumerated	April 2, 2013

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

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

12 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…	49,430	$60	$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.	25,710	$90	$2.3M
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	29,620	$60	$1.7M
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…	5,140	$250	$1.3M
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…	3,410	$190	$644.5K
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…	19,640	$30	$550K
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…	3,660	$50	$193.7K
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.	1,500	$80	$123.3K
H0046	Mental health services, not otherwise specified	260	$270	$69.1K
92606	The provider gives therapeutic services to enable the patient to make use of his non–speech–generating device and also trains the patient’s caregiver.	490	$40	$17.5K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Childrens Therapy Services Of Colorado, Inc. — 4 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	48	150	2,450	$270	$1.5M
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…	30	150	800	$210	$457.9K
H0046	Mental health services, not otherwise specified	46	60	1,380	$140	$397.2K
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…	10	310	1,750	$40	$319.9K
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.	14	40	790	$60	$306.3K
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	680	1,160	$50	$223.5K
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…	14	70	670	$50	$132.8K
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	630	830	$30	$102.9K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	5	410	890	$40	$101.6K
92606	The provider gives therapeutic services to enable the patient to make use of his non–speech–generating device and also trains the patient’s caregiver.	6	10	1,430	$40	$68.1K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Metro Community Services, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$107.8M
Choice Home Care, LLC	CO	In Home Supportive Care Agency	$0	$34.3M
Evergreen Home Healthcare, LLC	CO	In Home Supportive Care Agency	$0	$28.6M
Trust Home Care, LLC	CO	Home Health Agency	$0	$14.4M
Vitalcare Corporation	CO	Home Health Agency	$0	$11M
C & D Choices, Inc	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.6M
Trust Home Care, LLC	CO	Home Health Agency	$0	$9.1M
North Metro Community Services, Inc	CO	Case Management Agency	$0	$7.6M
North Metro Community Services, Inc	CO	Developmentally Disabled Services Day Training Agency	$0	$6.5M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$6.5M

Childrens Therapy Services Of Colorado, 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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