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.

Msl Therapeutical Services, Psc (NPI 1881835635)

Key Findings

Field	Value
Entity Type	Organization
Organization	Msl Therapeutical Services, Psc
Address	B5 Calle Corchado
City	Caguas
State	PR
ZIP	00725
Taxonomy	Occupational Therapist
NPI Enumerated	March 8, 2009

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

MSL THERAPEUTICAL SERVICES, PSC is effectively a single-payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue is $12.8M, indicating its patient mix and reimbursement exposure are concentrated entirely in Medicaid programs rather than Medicare. This absence of Medicare activity suggests the provider’s business operations, referral networks, and patient population are likely pediatric or non-Medicare dominated populations that Medicaid covers.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 99.3% of the provider’s total Medicaid revenue, signaling that a very small set of services drives nearly all of its billed Medicaid dollars. Operationally, this creates dependence on the demand and reimbursement stability of those few codes and limits diversification across other therapy services.

The dominant revenue driver is 97533, which accounts for $11.1M or 86.3% of the provider’s Medicaid revenue and 158K claims at an average $70 paid/claim. In-state competitive metrics classify MSL THERAPEUTICAL SERVICES as an extreme outlier for 97533 (rank #1 of 46 providers, 100th percentile), indicating the provider has an unusually large specialization and volume in sensory integrative occupational therapy relative to peers in Puerto Rico.

Secondary revenue streams include speech/hearing and swallowing services: 92507 generated $842.9K (6.6% of Medicaid revenue) across 12.8K claims, and 92526 generated $830.4K (6.5% of Medicaid revenue) across 11.5K claims. Both codes rank within typical to strong in-state percentiles (92507 at the 80th percentile and 92526 at the 87th percentile), suggesting the provider also offers substantial speech-language pathology and dysphagia evaluation/treatment alongside its core occupational therapy practice.

Competitive standing by code varies: for 97533 the provider is a statewide leader and extreme volume outlier, whereas for 92507 it ranks #28 of 141 providers (80th percentile) and for 92526 it ranks #5 of 32 providers (87th percentile). These rank and percentile patterns indicate market dominance in sensory integration therapy specifically, with more typical but meaningful presence in related SLP and swallowing service lines.

The provider has a long tenure in the NPI registry, having been enumerated on 2009-03-08 (~17 years ago), which aligns with the scale and concentration of its Medicaid billing—longstanding operation likely allowed the practice to build the referral volume needed to reach extreme volumes in 97533. This duration supports the interpretation that the high 97533 volume is an established specialization rather than a short-term fluctuation.

Service mix and clinical focus are consistent with pediatric or neurologic sensory-processing populations: 97533’s description (sensory integrative techniques for sensory processing dysfunction, e.g., children with autism and brain injuries) combined with substantial volumes of 92507 and 92526 suggests day-to-day practice centers on patients with communication, sensory, and swallowing impairments who require repeated, time-based therapeutic interventions. This mix implies clinical workflows and staffing oriented to high-frequency, time-based therapy sessions.

Because nearly all Medicaid revenue is tied to a small set of time-based and evaluative therapy codes, the provider’s financial performance and capacity planning are sensitive to rate changes, utilization edits, or policy shifts affecting those specific CPTs. Payers and analysts should view MSL THERAPEUTICAL SERVICES as a highly specialized Medicaid therapy provider whose stability depends on continued demand and reimbursement for 97533, 92507, and 92526.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	157,990	$70	$11.1M
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…	12,770	$70	$842.9K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	11,530	$70	$830.4K
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…	780	$40	$31K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	1,310	$20	$22.3K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	1,310	$20	$20.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	40	$150	$6.3K
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…	270	$20	$6.1K
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…	90	$0	$0
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	90	$0	$0

Showing 1–10 of 11

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

Msl Therapeutical Services, Psc — 2 of 8 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

11 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…	1	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.	5	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…	28	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.	36	40	1,150	$40	$135.4K
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…	165	180	2,150	$20	$95.2K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	6	10	1,810	$20	$87.6K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	7	10	1,040	$20	$60.6K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	64	70	950	$20	$60.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	16	40	40	$100	$46.6K
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…	2	10	50	$50	$16.5K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Borinquen, Inc	PR	Clinical Medical Laboratory	$1.4M	$37.1M
Laboratorio Clinico Bairoa Inc	PR	Clinical Medical Laboratory	$271.3K	$11.3M
Centro Medico Del Turabo Inc	PR	Multi-Specialty Clinic/Center	$0	$10.8M
Mediko Imaging Inc.	PR	Radiology Clinic/Center	$0	$6.8M
Consolidated Radiology Complex Csp	PR	Radiology Clinic/Center	$0	$6.8M
Caribbean Heart Institute LLC	PR	Clinical Cardiac Electrophysiology Physician	$0	$5.7M
Nuscan Csp	PR	Nuclear Medicine Physician	$0	$5.5M
Conmed Laboratories Inc	PR	Clinical Medical Laboratory	$105.5K	$5.4M
Sps Specialty Pharmacy Services Inc	PR	Specialty Pharmacy	$0	$4.2M
Advanced Hematology And Oncology Of Puerto Rico	PR	Hematology & Oncology Physician	$0	$3.6M

Msl Therapeutical Services, Psc — Billing Profile & Reimbursement Data

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Msl Therapeutical Services, 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