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

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

Roxann Owen Speech Pathology, LLC (NPI 1912198730)

Field	Value
Entity Type	Organization
Organization	Roxann Owen Speech Pathology, LLC
Address	26 Huntington Rd
City	Little Rock
State	AR
ZIP	72227
Taxonomy	Speech-Language Pathologist
NPI Enumerated	August 6, 2007

Payer Source	Total Paid
Medicaid	$17.1M
Medicare	$0

Key Findings

Payer mix and scale: This provider reports no Medicare billing on file (none) while reporting $17.1M in lifetime Medicaid revenue, indicating an effectively single‑payer footprint concentrated in Medicaid. Analysts should treat the entity as a Medicaid-centric outpatient therapy provider rather than a mixed Medicare/Medicaid operator.

Extreme revenue concentration in three codes: The top three Medicaid codes (92507, 97530, 97110) together account for 98.2% of the provider's total Medicaid revenue, showing heavy dependence on a narrow service set. Specifically, 92507 accounts for $9.2M (54.0%), 97530 accounts for $6.7M (39.2%), and 97110 accounts for $861.5K (5.0%), per the precomputed shares.

Service-line profile: Code 92507 (direct treatment for communication and hearing difficulties) and related speech codes such as 92523 indicate core speech‑language pathology services are central to operations, while the prominence of 97530 (therapeutic activities) and 97110 (therapeutic exercise) suggests the practice delivers a high volume of functional therapy interventions often associated with OT/PT workflows. The mixed code set implies a blended service model focused on direct, high-frequency therapy encounters.

Throughput and unit economics: Claim volumes are very large for the top services—92507 reported 103.8K claims at an average paid/claim of $89, and 97530 reported 80.9K claims at $83 avg paid/claim—pointing to a high‑throughput, lower‑per‑encounter reimbursement profile typical of Medicaid fee schedules. These volumes imply operational scale that depends on large patient throughput rather than high per‑encounter revenue.

State competitive standing: For key codes the provider ranks as a dominant in‑state performer—92507 ranks #9 of 567 providers (99th percentile; labeled an extreme outlier) and 97530 ranks #11 of 581 providers (98th percentile; notably above typical state volume). By contrast, 97110 ranks #145 of 499 providers (71th percentile), indicating the provider is a modest participant on that specific therapeutic exercise code relative to peers.

Evaluation and higher‑complexity assessment activity: The provider also reports concentrated evaluation activity on several higher‑complexity codes despite smaller revenue shares; for example, 97166 generated $89.8K (0.5% of Medicaid revenue) and ranks #1 of 35 providers (100th percentile; extreme outlier), and 92523 produced $161.6K (0.9%) and ranks #5 of 106 providers (96th percentile). These rankings suggest the practice performs a disproportionate volume of more complex evaluations in certain niches even though they represent a small share of total revenue.

Tenure and market presence: The NPI was enumerated on 2007-08-06 (~19 years ago), indicating long tenure in the market that could explain the developed referral base and the ability to sustain very high claim volumes in select service lines. This longevity supports the interpretation of an established, high-volume Medicaid therapy provider.

Analyst implications and monitoring priorities: Given the concentrated revenue (98.2% from three codes), the absence of Medicare revenue, and extreme in‑state rankings on key codes, analysts should prioritize monitoring utilization patterns, claim volume trends, and payer authorization/coverage policies for 92507 and 97530 when assessing network value, contracting, or utilization‑management risk. The combination of high claim counts and low average paid/claim also warrants review of capacity, staffing model, and encounter documentation practices as part of routine oversight.

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…	103,800	$90	$9.2M
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.	80,920	$80	$6.7M
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…	9,170	$90	$861.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1,030	$160	$161.6K
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…	720	$120	$89.8K
97003	N/A	220	$160	$34.9K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	70	$130	$9.8K
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…	40	$120	$4.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Roxann Owen Speech Pathology, LLC — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	9	570	2,470	$70	$801.4K
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.	11	580	3,620	$60	$712.7K
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…	145	500	3,410	$60	$523.5K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	8	20	50	$170	$46.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	5	110	40	$100	$32.6K
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…	12	30	40	$150	$20.5K
97003	N/A	13	90	50	$70	$9.1K
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…	1	40	40	$80	$8.2K

Nearby Providers

Other providers in the same ZIP code as Roxann Owen Speech Pathology, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Cerebral Palsy Of Arkansas	AR	In Home Supportive Care Agency	$0	$108.5M
United Cerebral Palsy Of Arkansas	AR	Occupational Therapist	$0	$20.7M
Portable Audiometrics, Inc	AR	Hearing and Speech Clinic/Center	$0	$1.4M
Airways Medical LLC	AR	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Arpana Edala	AR	Internal Medicine Physician	$299.9K	$0
Oumitana Kajkenova	AR	Geriatric Medicine (Internal Medicine) Physician	$129K	$0
Dominic Maggio	AR	Neurological Surgery Physician	$125.9K	$0
Rx Moose Inc	AR	Community/Retail Pharmacy	$62.8K	$1.3K
Stuart Jones	AR	Physical Therapist	$33.4K	$0
William Ellis	AR	Surgical Physician Assistant	$31K	$0

Roxann Owen Speech Pathology, LLC — Billing Profile & Reimbursement Data

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Roxann Owen Speech Pathology, LLC — 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