SPRY is built for multi-location pediatric therapy groups running PT, OT, and SLP together that need dual-payer billing sequencing and IEP/IFSP-linked documentation handled consistently across every site — not just shared scheduling. Groups evaluating a switch are usually already feeling three specific failures: the private-insurance → Medicaid → Part C early-intervention billing waterfall applied differently office to office, IEP/IFSP documentation that doesn't hold up because a location's session notes read like standard SOAP notes instead of IFSP-functional-outcome language, and modifier consistency (GP for PT, GO for OT, GN for SLP) breaking down when the same child is seen by three disciplines across two locations. SPRY enforces the EI/Medicaid/private sequencing and school-based Agency Statement plus Medicaid School Program billing the same way at every site, keeps IEP/IFSP documentation and COTA/PTA supervision sign-off consistent across disciplines, and rolls multidisciplinary scheduling and reporting into one group-wide dashboard — at $79 per provider per month, with a migration built to preserve authorization and IEP-linked documentation continuity during the switch.

Why Multi-Location Pediatric Groups Are Switching to SPRY

Groups running pediatric PT, OT, and SLP across more than one site typically reach out after a specific failure: a Part C early-intervention claim denied because private insurance and Medicaid weren't billed in the correct sequence first, a school contract audit that surfaced IEP-linked notes written in standard clinical language instead of IEP-goal language, or a COTA co-signature gap that exposed the group to recoupment risk at more than one location at once. SPRY's multi-location clients see the same pattern of results regardless of discipline mix — Movement Physical Therapy & Wellness, a four-location practice across Chicago (Streeterville, River North, West Loop, and Ravenswood), grew revenue 20% with nearly 10x ROI and cut claim turnaround from 30 days to 5–7 days after standardizing on SPRY. Founder Sam Shah: "Integrating SPRY into our practice has been a game-changer. We've noticed decreased documentation time, fewer billing errors, and improved cash flow." (Movement PT is a multi-location physical therapy practice, not pediatric-specific — the closest verified multi-location analog SPRY currently has; the billing-consistency problem it solved applies directly to multi-site pediatric groups.) For SPRY's single-site pediatric PT capabilities, see our Pediatric Physical Therapy page, and for the full vendor-by-vendor breakdown across practice sizes, see our Pediatric Therapy Software comparison — this page is specifically for multidisciplinary groups evaluating a multi-location switch.

SPRY vs. Other Platforms for Multi-Location Pediatric Groups

Disclaimer: Figures below are self-reported (SPRY) or vendor-stated as of 2026, consistent with SPRY's published pediatric software comparisons. Verify current figures with each vendor.

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How SPRY Handles Dual-Payer Billing Sequencing Across Sites

Early intervention (IDEA Part C) billing follows a strict sequence: private insurance is billed first, Medicaid is billed second, and Part C public funds only cover a remaining balance after both have been billed — with denial documentation required at each stage before moving to the next payer. School-based (IDEA Part B) billing runs two parallel revenue streams at the same time: Agency Statement invoicing to the school district for bulk IEP minutes, and separate Medicaid School Program (MSP) billing that requires its own parental consent and state-specific HCPCS coding. A location whose biller learned this sequencing informally, rather than having it enforced by the system, will bill payers out of order or skip a required denial step — and in a multi-location group, that failure pattern repeats at every site with a less-experienced biller. SPRY enforces the EI waterfall and the dual school-billing streams the same way at every location, so sequencing doesn't depend on which office's team learned it correctly.

How SPRY Keeps IEP/IFSP Documentation Consistent Across Disciplines and Sites

Early intervention session notes need to align to IFSP functional outcomes, not standard SOAP progress-note language, and school-based services need to be documented as educationally necessary and explicitly linked to IEP goals — requirements that are easy to enforce at one flagship location and let drift at satellite offices or with newer hires. In a multidisciplinary group, this has to hold true across PT, OT, and SLP notes for the same child, often written by three different providers who may work at different locations. SPRY enforces IFSP- and IEP-linked documentation templates by service type at every site, so a compliance lead can audit documentation quality group-wide instead of location-by-location.

How SPRY Standardizes Modifier and Supervision Compliance Across Every Location

A multidisciplinary pediatric claim needs the correct discipline modifier every time — GP for PT, GO for OT, GN for SLP — applied consistently regardless of which site or which provider delivered the service. Supervision documentation adds another layer: COTA and PTA co-signature requirements have real audit exposure when they slip — one North Carolina case resulted in a $135,000 Medicaid recoupment tied specifically to missing COTA co-signatures. SPRY applies the correct modifier automatically by discipline and enforces co-signature logic at the point of documentation, so supervision compliance doesn't depend on one location's front-desk memory.

Tracking Developmental Outcomes Consistently Across Sites

Multidisciplinary pediatric groups report progress to families, school districts, and payers using standardized developmental measures — GMFM, PEDI-CAT, WeeFIM — and if one location tracks these consistently while another logs them inconsistently or skips re-administration windows, group-wide outcome reporting becomes unreliable exactly when a payer or school district asks for it. SPRY keeps developmental outcome tracking on one schedule and one format across every site and every discipline, so progress reporting doesn't depend on which office happened to stay on top of it.

Scheduling Multidisciplinary Pediatric Teams Across Sites

A child receiving PT, OT, and SLP in the same plan of care often needs coordinated appointments across three providers who may work at different locations within the same group — and front-desk staff without group-wide visibility can't route families efficiently or avoid the scheduling gaps that turn into missed-goal documentation at IEP review time. SPRY gives staff visibility across sites (with permission controls) and lets owners see utilization by location and by discipline in one view, rather than three separate calendars for three disciplines at every office.

What Switching to SPRY Costs

SPRY prices at $79 per provider per month, with $0 setup and migration. For context: Raintree runs $100–500/month on a custom, hospital-oriented model, Fusion (Ensora) starts at $49/month for a single user but doesn't support school group invoicing, and single-practice tools like TheraPlatform run around $39/month but aren't built for Medicaid-heavy, multi-payer pediatric caseloads at all. Pricing scales per provider, not per location — ask for a quote based on your group's actual provider count per site.

What Migrating to SPRY Actually Looks Like

The concern groups raise most before switching is losing IEP/IFSP documentation continuity or authorization history mid-migration — active plans of care, developmental outcome histories, and school-district billing arrangements for every child across every site. SPRY's migration is built around preserving exactly that data, with a phased rollout (one or two pilot locations first) rather than switching every site simultaneously. Groups above 8–10 locations, or those combining pediatric PT/OT/SLP under one multidisciplinary roof with school and EI contracts to migrate, get a longer, staged timeline specifically to protect that continuity during the move.

Is SPRY Right for Your Multi-Location Pediatric Group?

SPRY fits multi-location pediatric groups dealing with inconsistent EI/Medicaid/private billing sequencing across sites, IEP/IFSP documentation that drifts by location or provider, COTA/PTA supervision gaps, or multidisciplinary scheduling that's impossible to coordinate across offices. If your group is still tracking these on a spreadsheet per location, that's the sign it's time to talk to us.

Frequently Asked Questions

How long does implementation take for a multi-location pediatric group?

SPRY runs a phased, pilot-location-first rollout that explicitly preserves IEP/IFSP documentation and authorization continuity, rather than switching every location simultaneously — timelines extend for groups above 8–10 locations or those with active school-district and EI contracts to migrate. Book a demo for a timeline specific to your group.

What order should early intervention claims be billed in?

Private insurance first, Medicaid second, and IDEA Part C public funds only after both have been billed and a balance remains — SPRY enforces this sequence automatically at every location.

Does school-based billing use one revenue stream or two?

Two, running in parallel: Agency Statement invoicing to the school district for bulk IEP minutes, and separate Medicaid School Program billing with its own parental consent and state-specific coding — SPRY manages both consistently across sites.

What does SPRY cost for a multi-location pediatric group?

$79 per provider per month with $0 setup and migration, scaled per provider rather than per location — ask for a quote based on your group's actual provider count per site.

Get a Multi-Location Pediatric Pricing Estimate →