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

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

Milestone Pediatrics LLC (NPI 1780828558)

Field	Value
Entity Type	Organization
Organization	Milestone Pediatrics LLC
Address	1830 S Alma School Rd
City	Mesa
State	AZ
ZIP	85210
Taxonomy	Speech-Language Pathologist
NPI Enumerated	April 23, 2009

Payer Source	Total Paid
Medicaid	$10.1M
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…	59,040	$80	$4.7M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	43,630	$70	$3.2M
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…	3,260	$440	$1.4M
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.	6,090	$90	$547.9K
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…	630	$130	$80.8K
S5150	Unskilled respite care, not hospice; per 15 minutes	630	$70	$43K
T2017	Habilitation, residential, waiver; 15 minutes	540	$60	$33.7K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	10	$160	$2.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Milestone Pediatrics LLC — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	56	60	32,290	$90	$9M
S5150	Unskilled respite care, not hospice; per 15 minutes	161	190	5,090	$100	$2.9M
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…	25	50	2,740	$190	$1.2M
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…	17	400	2,110	$70	$800.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	17	310	960	$60	$705.5K
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.	115	510	1,320	$60	$454.9K
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…	22	50	530	$70	$90.3K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	29	40	40	$60	$21.6K

Nearby Providers

Other providers in the same ZIP code as Milestone Pediatrics LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guthrie Mainstream Services LLC	AZ	Private Vehicle	$0	$81.8M
Nationwide Vision Center, LLC	AZ	Optician	$0	$42.6M
Rescare Residential Services Arizona, LLC	AZ	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$17.4M
Eclipse Psychiatry Outpatient Treatment Center PLLC	AZ	Community/Behavioral Health Agency	$0	$15.9M
Heritage Life Center LLC	AZ	Assisted Living Facility (Mental Illness)	$0	$12M
Harmony Family Services LLC	AZ	Mental Health Counselor	$0	$11.9M
American Behavioral Solutions	AZ	Behavior Analyst	$0	$11.9M
Demo Community Services, LLC	AZ	Community/Behavioral Health Agency	$0	$11M
Crossroads, Inc. Red Mountain	AZ	Substance Abuse Rehabilitation Facility	$0	$9.4M
Desert Kidney Associates Plc	AZ	Nephrology Physician	$0	$9.1M

Milestone Pediatrics LLC — Billing Profile & Reimbursement Data

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Milestone Pediatrics 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