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

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

Therapy Specialist Services 1 Inc. (NPI 1740690460)

Field	Value
Entity Type	Organization
Organization	Therapy Specialist Services 1 Inc.
Address	18951 Sw 106th Ave Ste 105-106
City	Cutler Bay
State	FL
ZIP	33157
Taxonomy	Behavior Analyst
NPI Enumerated	May 2, 2014

Payer Source	Total Paid
Medicaid	$11.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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…	57,600	$90	$5.2M
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.	43,640	$100	$4.4M
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…	3,850	$140	$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…	3,410	$130	$436.4K
H2014	Skills training and development, per 15 minutes	2,670	$110	$298.6K
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…	1,550	$80	$119.6K
H2012	Behavioral health day treatment, per hour	540	$130	$71.1K
H2019	Therapeutic behavioral services, per 15 minutes	240	$150	$36.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Therapy Specialist Services 1 Inc. — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	193	360	3,270	$140	$1.1M
H2019	Therapeutic behavioral services, per 15 minutes	1,385	1,880	1,010	$70	$544.5K
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…	38	2,250	1,250	$50	$324.4K
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.	66	2,310	1,910	$40	$315.4K
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…	627	2,100	1,280	$40	$206.9K
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…	43	630	440	$140	$146K
H2012	Behavioral health day treatment, per hour	77	180	450	$90	$123.7K
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…	36	400	260	$110	$67.2K

Nearby Providers

Other providers in the same ZIP code as Therapy Specialist Services 1 Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$16.9M
Face To Face Mental Health Services, LLC	FL	Community/Behavioral Health Agency	$0	$13.7M
Florida Kids Therapy Associates LLC	FL	Pediatric Occupational Therapist	$0	$11.9M
Advance Community Services Corp	FL	Speech-Language Pathologist	$0	$10.4M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9M
Variety Childrens Hospital	FL	Children's Hospital	$0	$8.2M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.1M
Public Health Trust Of Miami Dade County Florida	FL	General Acute Care Hospital	$0	$8.1M
S.l.b Therapy, Inc.	FL	Behavior Analyst	$0	$7.8M
1st Jpa Behavior Management Clinic Inc	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M

Therapy Specialist Services 1 Inc. — Billing Profile & Reimbursement Data

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Therapy Specialist Services 1 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

Nearby Providers

Frequently Asked Questions

References