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.

Stepping Stone School For Exceptional Children,inc (NPI 1942356993)

Field	Value
Entity Type	Organization
Organization	Stepping Stone School For Exceptional Children,inc
Address	123 Thicksten Drive
City	Alma
State	AR
ZIP	72956
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$28.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid accounts for $28.3M in lifetime revenue, so the organization’s scale and financial profile are driven entirely by Medicaid reimbursement. The absence of Medicare activity indicates operations are focused on services covered under state Medicaid programs rather than Medicare‑billable clinical care.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 88.9% of this provider’s total Medicaid revenue. That concentration is driven by T1015 ($19.8M, 69.8% of Medicaid revenue), 92507 ($3.6M, 12.7%), and 97530 ($1.8M, 6.4%), making those three codes the dominant sources of income.

The code mix and descriptions indicate a day‑habilitation and therapy‑centric operation aligned with the provider taxonomy (Developmentally Disabled Services Day Training Agency). T1015 (Clinic visit/encounter, all‑inclusive), large volumes of 92507 (speech/communication treatment), and substantial 97530 (therapeutic activity per 15 minutes) together show the organization delivers high volumes of clinic encounters, speech therapy, and functional therapy consistent with day training and habilitation services. Ancillary codes such as H2016 (comprehensive community support, per diem), T2020 (day habilitation, waiver; per diem), and A0120 (non‑emergency mini‑bus transportation) further support a program that combines on‑site therapeutic services with per‑diem community supports and participant transport.

T1015 is the clear operational driver by volume and revenue: 295K claims, $67 avg paid/claim, $19.8M revenue, and it ranks #10 of 532 providers in‑state (98th percentile; notably above typical state volume for this code). That combination of very high claim count and top‑decile state rank indicates the provider is a major in‑state delivery point for all‑inclusive clinic encounters tied to day‑services.

92507 (speech/communication services) is also a statewide leader: 77.9K claims, $46 avg paid/claim, $3.6M revenue, and it ranks #16 of 567 providers in‑state (97th percentile; notably above typical state volume for this code). This percentile and volume position the provider as a significant speech therapy provider in Arkansas Medicaid, reinforcing a therapy‑heavy service model.

Despite high percentiles for its top codes, the profile shows operational concentration risk: with 88.9% of Medicaid revenue coming from T1015, 92507, and 97530, changes to reimbursement rates, prior‑authorization rules, or program eligibility for those specific codes could materially affect revenue. The organization’s financial exposure is therefore tightly linked to policy and utilization dynamics for a small set of service categories.

The provider shows additional, smaller service lines that support a comprehensive day‑services model but do not drive revenue: H2016 (4.0% of Medicaid revenue; $1.1M, 4.5K claims; ranks #32 of 62, 49th percentile; typical, unremarkable volume), 97110 (3.8% of revenue; $1.1M, 29.2K claims; ranks #42 of 499, 92th percentile; typical, unremarkable volume), and A0120 (1.4% of revenue; $396.4K, 19.8K claims; ranks #32 of 103, 70th percentile; typical, unremarkable volume). These lines—therapeutic exercise, community supports, and transportation—appear as expected operational complements to the dominant clinic and therapy billing.

The provider has an established presence: the NPI was enumerated 2007-01-25 (~19 years ago), indicating long tenure in the market. A handful of specialty items (for example, T1003 Lpn/lvn services: $33.5K revenue, 2.4K claims, ranks #1 of 5 providers in‑state, 100th percentile; typical, unremarkable volume) suggest a limited but ranked nursing services component, likely supporting the broader day‑habilitation operations rather than representing a separate revenue center.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	294,960	$70	$19.8M
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…	77,870	$50	$3.6M
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.	49,190	$40	$1.8M
H2016	Comprehensive community support services, per diem	4,510	$250	$1.1M
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…	29,200	$40	$1.1M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	19,820	$20	$396.4K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	3,010	$60	$174.7K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	840	$100	$84.7K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	1,610	$50	$80.3K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	390	$100	$36.9K

Showing 1–10 of 19

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

Stepping Stone School For Exceptional Children,inc — 3 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	32	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	10	530	4,960	$70	$2.6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	105	140	18,150	$60	$2.5M
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…	16	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	32	100	10,500	$40	$791K
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.	30	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…	42	500	3,410	$60	$523.5K
T1002	Rn services, up to 15 minutes	4	10	1,030	$20	$87.2K
T2020	Day habilitation, waiver; per diem	95	110	740	$40	$82.1K
T1027	Family training and counseling for child development, per 15 minutes	16	90	250	$40	$51.2K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Stepping Stone School For Exceptional Children,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
In-sync Pediatric Therapy	AR	Clinic/Center	$0	$8.8M
Independence At Home Homecare, LLC	AR	In Home Supportive Care Agency	$0	$8.7M
Hope's Creek Inc.	AR	Assisted Living Facility	$0	$6.6M
Arkansas Pediatric Therapy	AR	Clinic/Center	$0	$3M
The Guidance Center - Van Buren Clinic	AR	Community/Behavioral Health Agency	$0	$3M
Baptist Health Regional Hospitals	AR	General Acute Care Hospital	$0	$2.5M
Adair Ya, LLC	AR	Speech-Language Pathologist	$0	$2.2M
Heather Hale	AR	Nurse Practitioner	$267.3K	$0
Laura Henson	AR	Nurse Practitioner	$43.7K	$0
Kristy Graham	AR	Orthopedic Chiropractor	$20.9K	$1.8K

Stepping Stone School For Exceptional Children,inc — Billing Profile & Reimbursement Data

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Stepping Stone School For Exceptional Children,inc — 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