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

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

Spectrum Academy (NPI 1841682978)

Field	Value
Entity Type	Organization
Organization	Spectrum Academy
Address	867 S 800 W
City	Pleasant Grove
State	UT
ZIP	84062
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	February 26, 2015

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1018	School-based individualized education program (iep) services, bundled	6,020	$230	$1.4M
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…	660	$0	$0
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…	1,580	$0	$0
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	610	$0	$0
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	220	$0	$0
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…	290	$0	$0
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	1,330	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Spectrum Academy — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1018	School-based individualized education program (iep) services, bundled	22	30	13,980	$30	$2.2M
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…	125	210	590	$50	$77.6K
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…	39	70	1,030	$10	$27.1K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	17	20	1,110	$1	$3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	2	30	150	$1	$530
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	8	10	510	$1	$90
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…	16	30	1,150	$1	$10

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Green House Center For Growth And Learning	UT	Clinical Social Worker	$0	$3.2M
Alpine Pediatrics, PC	UT	Pediatrics Physician	$0	$2.4M
Premier Family Medical	UT	Family Medicine Physician	$0	$1.8M
Welcome Home Assisted Living Of American Fork	UT	Assisted Living Facility	$0	$1.7M
Trumobility Inc.	UT	Durable Medical Equipment & Medical Supplies	$0	$981.6K
Intermountain Orthopedic Care, LLC	UT	Customized Equipment (DME)	$0	$841.6K
Surgery Center At Grove Creek, LLC	UT	Ambulatory Surgical Clinic/Center	$768.7K	$0
4 The Youth	UT	Social Worker	$0	$691.7K
R. Bruce Howell D.d.s., M.s.	UT	Pediatric Dentistry	$0	$575.3K
Cataract & Lasik Center Of Utah PC	UT	Ambulatory Surgical Clinic/Center	$440.9K	$0

Spectrum Academy — Billing Profile & Reimbursement Data

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Spectrum Academy — 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