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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Advance Therapy Group Psc (NPI 1811150774)

Key Findings

Field	Value
Entity Type	Organization
Organization	Advance Therapy Group Psc
Address	Street 189 Marina Plaza
City	Gurabo
State	PR
ZIP	00778
Taxonomy	Speech-Language Pathologist
NPI Enumerated	July 9, 2008

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

This provider has no Medicare billing on file and is effectively single‑payer: reported Total Medicaid revenue is $7.4M and there is explicitly "no Medicare billing on file." This makes the practice highly dependent on state Medicaid enrollment and reimbursements for its revenue stream.

Revenue is highly concentrated in a small set of services: the top 3 Medicaid codes by revenue account for 84.2% of this provider's total Medicaid revenue. Those top codes are 92507 ($2.9M, 38.6% of Medicaid revenue, 68.4K claims), 92526 ($2.4M, 32.2% of Medicaid revenue, 58.4K claims), and 97530 ($1M, 13.5% of Medicaid revenue, 17.9K claims).

The code mix is consistent with a speech–language pathology practice focused on high-volume therapy for communication and swallowing disorders: 92507 centers on direct treatment for communication/hearing difficulties and 92526 targets swallowing disorders, while 97530 captures functional performance activities delivered in 15‑minute increments. Claim volumes (68.4K for 92507 and 58.4K for 92526) indicate a large therapy caseload rather than primarily sporadic evaluations.

On competitive standing within Puerto Rico the provider is a major statewide player for its highest-revenue services: 92507 ranks #4 of 141 providers in-state (98th percentile; notably above typical state volume), 92526 ranks #2 of 32 providers (97th percentile; notably above typical state volume), and 97530 ranks #2 of 42 providers (98th percentile; notably above typical state volume). These ranks and percentiles signal above-typical volume and prominence in those treatment lines.

The provider offers sensory integration and evaluation services but with more typical relative volumes: 97533 contributes $745.5K (10.0% of Medicaid revenue) and ranks #6 of 46 providers in-state (89th percentile; typical, unremarkable volume), while evaluation codes such as 92523 ($188.3K, 2.5%) and 92521 ($121.3K, 1.6%) indicate ongoing diagnostic activity but at far lower revenue shares. This suggests a primary revenue model built on repeat therapy visits supplemented by evaluations and specialized sensory work.

There are examples of niche dominance in low‑revenue codes: 92522 ranks #1 of 6 providers in-state (100th percentile; typical, unremarkable volume) but accounts for only $14.8K (0.2% of Medicaid revenue), and 92610 contributes $3.3K (0.0%). These small-dollar, high-rank observations imply focused use of select ancillary or diagnostic procedures that do not drive the practice's overall revenue.

The NPI tenure (enumerated 2008-07-09, ~18 years ago) indicates an established presence in the market. Coupled with the heavy Medicaid volume and high ranks on key therapy codes, this longevity supports the interpretation of a mature, Medicaid‑oriented SLP operation with entrenched referral or utilization patterns.

Because virtually all reported revenue is Medicaid-based (Total Medicaid revenue $7.4M and explicitly "no Medicare billing on file"), the provider faces concentrated payer risk: any changes in Medicaid coverage, authorization requirements, or reimbursement for high-volume codes such as 92507, 92526, and 97530 could materially affect revenue. That concentration also means payers and analysts should prioritize Medicaid policy and utilization controls when evaluating this entity.

Medicaid: Complete Services Breakdown

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

10 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…	68,430	$40	$2.9M
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	58,350	$40	$2.4M
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.	17,890	$60	$1M
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	16,940	$40	$745.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1,320	$140	$188.3K
92521	A speech–language pathologist (SLP) evaluates the patient's speech fluency for issues such as stuttering or cluttering.	1,330	$90	$121.3K
92524	The provider, typically a speech language pathologist, evaluates a patient for the quality of voice, nasality, and vocal behavior of the patient.	950	$80	$71.9K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	400	$70	$26.9K
92522	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns. The jaw, lips, and tongue are examined for proper…	1,340	$10	$14.8K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	60	$50	$3.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

Advance Therapy Group Psc — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	6	50	1,850	$70	$843.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	2	30	1,520	$50	$509.8K
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…	4	140	2,620	$50	$505.7K
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.	2	40	1,150	$40	$135.4K
92521	A speech–language pathologist (SLP) evaluates the patient's speech fluency for issues such as stuttering or cluttering.	2	10	110	$90	$77.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	4	40	40	$100	$46.6K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	4	10	200	$50	$46.1K
92524	The provider, typically a speech language pathologist, evaluates a patient for the quality of voice, nasality, and vocal behavior of the patient.	2	10	140	$70	$41.5K
92522	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns. The jaw, lips, and tongue are examined for proper…	1	10	90	$60	$30.6K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	2	10	30	$50	$17K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Danet	PR	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$2.7M
Neomed Center, Inc	PR	Federally Qualified Health Center (FQHC)	$0	$2.7M
Tesla Radiology LLC	PR	Diagnostic Radiology Physician	$0	$1.7M
Neomed Center, Inc	PR	Clinical Medical Laboratory	$0	$1.7M
Jose Berdecia	PR	Specialist	$0	$207K

Advance Therapy Group Psc — Billing Profile & Reimbursement Data

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Advance Therapy Group Psc — 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