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

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

Fairview Therapy (NPI 1831774637)

Fairview Therapy is a early intervention provider agency provider located in Johnson City, Tennessee. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Fairview Therapy
Address	2214 E Fairview Ave
City	Johnson City
State	TN
ZIP	37601
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	March 12, 2021

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

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

12 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.	21,660	$50	$974.5K
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…	17,260	$40	$707.7K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	3,040	$160	$474.1K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	1,920	$160	$314.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,930	$50	$104K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	640	$160	$102.1K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	3,070	$30	$82.9K
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…	1,020	$40	$42.7K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	290	$40	$11.7K
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…	50	$50	$2.8K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Fairview Therapy — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	4	20	550	$100	$638.6K
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…	33	230	2,130	$40	$616.8K
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.	40	340	1,400	$40	$354.2K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	4	20	290	$110	$354.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	111	440	530	$70	$282.3K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	11	40	320	$80	$211.5K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	42	80	3,450	$20	$181.5K
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…	185	350	1,060	$30	$173.8K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	2	10	720	$140	$101.2K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	37	60	540	$50	$63K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aeroflow Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$40.9M
East Tennessee Recovery, PLLC	TN	Addiction Medicine (Internal Medicine) Physician	$0	$28.3M
Talkback, Inc.	TN	Speech-Language Pathologist	$0	$8.2M
Mini Miracles Pediatric Therapy, PLLC	TN	Early Intervention Provider Agency	$0	$7.2M
Washington County-johnson City Emergency Medical Services Inc	TN	Land Ambulance	$1.6M	$5.3M
Lincare Inc	TN	Durable Medical Equipment & Medical Supplies	$0	$4.6M
Dragonfly Medical And Behavioral Health Professsional Corporation	TN	Addiction Medicine (Family Medicine) Physician	$0	$4.5M
Dawn Of Hope, Inc	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.8M
Watauga Orthopaedics Plc	TN	Orthopaedic Surgery Physician	$0	$2.5M
Envision Inc	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.5M

Fairview Therapy — Billing Profile & Reimbursement Data

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Fairview Therapy — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

References