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

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

Speech Therapy Services, LLC (NPI 1669798971)

Field	Value
Entity Type	Organization
Organization	Speech Therapy Services, LLC
Address	1110 Call Creek Dr
City	Pocatello
State	ID
ZIP	83201
Taxonomy	Speech-Language Pathologist
NPI Enumerated	April 12, 2010

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and lifetime Medicaid revenue is $8.5M, so all documented public payer activity is concentrated in Medicaid. The absence of Medicare claims means competitive and policy analysis should focus on Medicaid program dynamics rather than dual‑payer interactions.

Revenue is highly concentrated in a very small set of codes: the precomputed top‑3 Medicaid codes account for 99.6% of the provider’s Medicaid revenue. The three codes driving that share are 92507, 97530, and 97110, making this an operation whose finances are dominated by a narrow procedural mix.

92507 (81.6K claims, $61 avg paid/claim, $5M revenue; 58.7% of this provider's total Medicaid revenue; ranks #3 of 210 providers in‑state, 99th percentile; extreme outlier) is the single largest revenue driver, indicating core activity is direct assessment and treatment of communication/hearing impairments consistent with a speech‑language pathology practice. The code’s very high claim volume and $5M revenue share show the business model is delivery‑heavy and volume‑dependent for this clinical service.

97530 (56.5K claims, $59 avg paid/claim, $3.3M revenue; 39.3% of this provider's total Medicaid revenue; ranks #5 of 282 providers in‑state, 99th percentile; extreme outlier) is the second dominant code, reflecting substantial billing for timed therapeutic activity (15‑minute units). Together with 92507, this indicates an operational focus on hands‑on therapy sessions billed in frequent, short increments rather than a diversified set of higher‑value procedures.

The code mix and average payments ($61 and $59 avg paid/claim for 92507 and 97530 respectively) imply a low unit‑rate, high‑throughput model where revenue is generated by large claim volumes rather than high per‑claim reimbursement. The provider’s top two codes are labeled “extreme outlier” in volume and rank at the 99th percentile, reinforcing that scale rather than price drives revenue.

Smaller codes contribute negligible revenue and offer little diversification: 97110 (3.3K claims, $41 avg paid/claim, $133.4K revenue; 1.6% of this provider's total Medicaid revenue; ranks #69 of 234 providers in‑state, 71th percentile; typical, unremarkable volume), 92526 (508 claims, $64 avg paid/claim, $32.5K revenue; 0.4% of total), and 97166 (13 claims, $75 avg paid/claim, $975 revenue) together make up the remaining share and do not materially dilute concentration risk. This profile signals limited service‑line diversification beyond core speech and therapeutic activity codes.

Competitive standing in Idaho is strong for the core services: ranking #3 of 210 for 92507 and #5 of 282 for 97530 (both 99th percentile; extreme outlier) positions the provider among the very largest in‑state operators for those therapy categories. For ancillary codes the provider is a more typical participant (for example 97110 at the 71th percentile), so market dominance appears concentrated in a few specific procedure lines.

The NPI was enumerated on 2010‑04‑12 (~16 years ago), indicating an established presence in the market. That tenure, combined with the extreme outlier volumes on the two principal codes, suggests a stable, high‑volume service operation whose financial health and competitive posture will be especially sensitive to Medicaid reimbursement policy, coding edits, or changes in program eligibility that affect these specific therapy codes.

Medicaid: Complete Services Breakdown

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

5 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…	81,550	$60	$5M
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.	56,480	$60	$3.3M
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…	3,250	$40	$133.4K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	510	$60	$32.5K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	10	$80	$980

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Speech Therapy Services, LLC — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	5	280	1,480	$70	$389.4K
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…	3	210	3,020	$50	$389K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	14	20	850	$60	$149.5K
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…	69	230	1,390	$40	$134.8K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	17	20	20	$60	$12.7K

Nearby Providers

Other providers in the same ZIP code as Speech Therapy Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moonlight Mountain Recovery, Inc	ID	Substance Abuse Rehabilitation Facility	$0	$17.7M
Pocatello Children & Adolescent Clinic	ID	Pediatrics Physician	$0	$11M
Pocatello Chubbuck School District #25	ID	Local Education Agency (LEA)	$0	$7.9M
Facial & Oral Surgery Associates, Inc.	ID	Oral and Maxillofacial Surgery (Dentist)	$0	$6.3M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$6.2M
Pocatello Hospital LLC	ID	General Acute Care Hospital	$0	$6.1M
Health West, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$5.9M
Rocky Mountain Physician Group LLC	ID	Emergency Medicine Physician	$0	$5.5M
Community Mental Health	ID	Community/Behavioral Health Agency	$0	$4.3M
Medical Imaging Associates Of Idaho Falls, Inc	ID	Diagnostic Radiology Physician	$0	$4.2M

Speech Therapy Services, LLC — Billing Profile & Reimbursement Data

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Speech Therapy Services, LLC — 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