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

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

Crawl Walk Jump Run Therapy Clinic LLC (NPI 1730363573)

Field	Value
Entity Type	Organization
Organization	Crawl Walk Jump Run Therapy Clinic LLC
Address	43239 Schoenherr Rd
City	Sterling Heights
State	MI
ZIP	48313
Taxonomy	Physical Therapist
NPI Enumerated	December 27, 2007

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	21,220	$130	$2.7M
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…	13,470	$120	$1.7M
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…	12,330	$130	$1.6M
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…	6,100	$130	$810.9K
0365T	Adaptive behavior tx addl	6,240	$80	$492.9K
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…	2,020	$130	$252.9K
0369T	Duodenal mucosal resurfacing, endoscopic	1,460	$90	$131.3K
0368T	Behavior treatment modified additional	1,570	$60	$86.2K
0364T	Behavior treatment	2,690	$30	$75.3K
0370T	Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)	580	$110	$61.9K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Crawl Walk Jump Run Therapy Clinic LLC — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

14 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…	87	130	11,590	$190	$7.6M
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…	79	130	3,170	$180	$2.2M
0365T	Adaptive behavior tx addl	18	70	3,180	$170	$1.5M
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…	23	160	2,030	$60	$407.6K
0369T	Duodenal mucosal resurfacing, endoscopic	19	70	740	$160	$299.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	57	100	910	$90	$283.6K
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.	30	390	1,660	$40	$281.8K
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…	103	550	2,350	$30	$240.6K
0364T	Behavior treatment	40	70	2,990	$30	$231.4K
0368T	Behavior treatment modified additional	19	70	900	$60	$131K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Crawl Walk Jump Run Therapy Clinic LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M & R Home Assistance LLC	MI	In Home Supportive Care Agency	$0	$19.5M
Umbrellex Behavioral Health Services	MI	Clinical Social Worker	$0	$8.4M
Bhadresh Nayak	MI	Hematology & Oncology Physician	$411.7K	$0
Kuldip Deogun	MI	Interventional Pain Medicine Physician	$370.7K	$0
William Kole	MI	Interventional Pain Medicine Physician	$172.8K	$0
Frank Diponio	MI	Family Medicine Physician	$161.9K	$0
Steven Shepherd	MI	Family Medicine Physician	$145.3K	$0
Uzma Rehman	MI	Orthopaedic Surgery Physician	$73.8K	$0
Eleanor Kulis	MI	Psychiatry Physician	$72K	$0
Fredric Neumann	MI	Family Medicine Physician	$69.8K	$0

Crawl Walk Jump Run Therapy Clinic LLC — Billing Profile & Reimbursement Data

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Crawl Walk Jump Run Therapy Clinic 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

Nearby Providers

Frequently Asked Questions

References