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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

For The Children (por Los Ninos), LLC (NPI 1962925917)

Field	Value
Entity Type	Organization
Organization	For The Children (por Los Ninos), LLC
Address	13 Harrill Ct
City	Charleston
State	SC
ZIP	29412
Taxonomy	Speech-Language Pathologist
NPI Enumerated	July 21, 2017

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 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…	26,350	$90	$2.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

For The Children (por Los Ninos), LLC — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

1 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…	36	340	2,970	$80	$711.1K

Nearby Providers

Other providers in the same ZIP code as For The Children (por Los Ninos), LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pelican Pediatrics LLC	SC	Pediatrics Physician	$0	$3.5M
Palmetto Care Services Of S.c.	SC	In Home Supportive Care Agency	$0	$1.9M
Richard Pierce	SC	Dermatology Physician	$483K	$0
Hugh Durrence	SC	Family Medicine Physician	$281.7K	$0
Kathy Bolus	SC	Internal Medicine Physician	$238.3K	$0
Shanon Honney	SC	Internal Medicine Physician	$131.9K	$0
Jared Mills	SC	Diagnostic Radiology Physician	$103.2K	$0
Gary Cianci	SC	Family Medicine Physician	$82.5K	$1.2K
Shannon Long	SC	Family Medicine Physician	$81.9K	$0
Thomas Perham	SC	Physical Therapist	$62.7K	$0

For The Children (por Los Ninos), LLC — Billing Profile & Reimbursement Data

Sign up for For The Children (por Los Ninos), LLC — Billing Profile & Reimbursement Data policy alerts

For The Children (por Los Ninos), LLC — Billing Profile & Reimbursement Data

Sign up for For The Children (por Los Ninos), LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References