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.

Kidsource Therapy (NPI 1760443220)

Field	Value
Entity Type	Organization
Organization	Kidsource Therapy
Address	17706 I-30
City	Benton
State	AR
ZIP	72015
Taxonomy	Speech-Language Pathologist
NPI Enumerated	March 31, 2006

Payer Source	Total Paid
Medicaid	$27.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid billing totals $27.1M, so the practice’s entire documented public-payor revenue base in these data comes from Medicaid. Analysts should treat Medicaid trends as the primary driver of the business profile and competitive positioning.

Revenue is highly concentrated in a very small set of services: 92507 ($11.5M, 42.4%), 97530 ($10.2M, 37.6%), and 97110 ($3.1M, 11.5%) together account for 91.5% of the provider’s total Medicaid revenue. This concentration means changes in authorization, utilization, or reimbursement for these specific codes would materially affect the provider’s revenue.

The code mix indicates a high-volume, session‑based therapy operation focused on hands‑on child therapy and functional interventions: 92507 (direct speech/language treatment), 97530 (therapeutic activities, billed per 15 minutes), and 97110 (therapeutic exercise) are the dominant procedures. The presence of T1027 (family training and counseling) and standardized testing codes 96112/96113 further points to a pediatric developmental service line that combines direct child therapy with family training and diagnostic evaluation.

Competitive standing in-state is dominant for several core services: 92507 is ranked #6 of 567 providers in Arkansas (99th percentile, labeled an "extreme outlier") and 97530 is ranked #7 of 581 providers in-state (99th percentile, also an "extreme outlier"). 97110 also ranks well (#14 of 499, 97th percentile), so for its top therapy modalities this provider operates at a market-leading volume relative to peers.

Several codes are statistical outliers by state benchmarks: 92507 and 97530 are both described as "extreme outlier, far above typical state volume for this code," and T1027 and 96111 are ranked #1 in-state with 100th‑percentile designations. These labels indicate utilization patterns that are unusually high relative to other Arkansas providers and warrant attention when benchmarking utilization or assessing capacity.

Operational implications from claim counts and average paid-per-claim: 92507 shows 155.1K claims at $74 avg paid/claim, 97530 shows 145.4K claims at $70 avg paid/claim, and 97110 shows 48.1K claims at $65 avg paid/claim. The combination of very large claim volumes and per‑15‑minute session codes suggests a high-throughput delivery model (many short therapy sessions), which has implications for staffing models, scheduling practices, and billing workflows.

Although the provider’s taxonomy is Speech‑Language Pathologist, the heavy volume of 97530 and 97110 alongside speech codes suggests the entity bills across multiple therapy modalities (direct speech treatment, therapeutic activities, and exercise), which could reflect a multidisciplinary workforce or broad scope of pediatric therapy services. Analysts should verify staffing mix and service authorization patterns if assessing service-line capacity or competitor overlap.

The provider has been enumerated since 2006-03-31 (~20 years), indicating an established presence in the Arkansas market; this tenure combined with the large Medicaid footprint and top-code outlier status supports treating the provider as a long-standing, high-volume Medicaid therapy provider in state-level analyses.

Medicaid: Complete Services Breakdown

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

13 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…	155,140	$70	$11.5M
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.	145,410	$70	$10.2M
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…	48,080	$70	$3.1M
T1027	Family training and counseling for child development, per 15 minutes	30,810	$70	$2M
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	2,250	$60	$135.1K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	2,250	$50	$103.4K
96111	N/A	830	$40	$31.4K
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…	80	$120	$9.7K
97001	N/A	100	$80	$7.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	40	$110	$4.5K

Showing 1–10 of 13

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

Kidsource Therapy — 6 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	6	570	2,470	$70	$801.4K
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.	7	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…	14	500	3,410	$60	$523.5K
T1027	Family training and counseling for child development, per 15 minutes	1	90	250	$40	$51.2K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	6	90	90	$80	$36.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	48	110	40	$100	$32.6K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	2	40	150	$60	$31.9K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	40	60	100	$80	$31.2K
97001	N/A	39	100	60	$40	$13.1K
97003	N/A	55	90	50	$70	$9.1K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brogdon-prince Management Company, LLC	AR	Developmental Disabilities Clinic/Center	$0	$14.7M
Birch Tree Communities, Inc.	AR	Community/Behavioral Health Agency	$0	$13.6M
Birch Tree Communities, Inc.	AR	Community/Behavioral Health Agency	$0	$10.6M
Birch Tree Communities, Inc	AR	Community/Behavioral Health Agency	$0	$9M
Saline Hospital LLC	AR	General Acute Care Hospital	$0	$7.8M
Central Arkansas Pediatric Clinic	AR	Legal Medicine	$0	$7.6M
Birch Tree Communities, Inc.	AR	Community/Behavioral Health Agency	$0	$7.1M
Counseling Clinic, Inc	AR	Psychiatry Physician	$0	$6.7M
Bhc Pinnacle Pointe Hospital, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$6M
Birch Tree Communities, Inc.	AR	Community/Behavioral Health Agency	$0	$5.7M

Kidsource Therapy — Billing Profile & Reimbursement Data

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Kidsource Therapy — 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