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

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

Spot Rehabilitation Inc. (NPI 1013919448)

Field	Value
Entity Type	Organization
Organization	Spot Rehabilitation Inc.
Address	2835 W Saint Germain St
City	Saint Cloud
State	MN
ZIP	56301
Taxonomy	Physical Therapist
NPI Enumerated	August 15, 2005

Payer Source	Total Paid
Medicaid	$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.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	40,430	$50	$2M
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…	27,960	$50	$1.5M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	12,730	$40	$445.4K
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…	14,390	$30	$431.7K
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…	15,410	$30	$415.9K
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…	2,510	$70	$178.2K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	1,960	$20	$37.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Spot Rehabilitation Inc. — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

7 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…	14	110	1,880	$50	$564.6K
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.	12	260	890	$60	$405.3K
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…	5	10	1,620	$100	$202.8K
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…	24	300	700	$30	$135.4K
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…	9	140	820	$30	$115.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	2	100	290	$30	$49.5K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	2	40	260	$20	$11K

Nearby Providers

Other providers in the same ZIP code as Spot Rehabilitation Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Charities Of The Diocese Of St Cloud	MN	Community/Behavioral Health Agency	$0	$23.2M
Arise Ventures, Inc.	MN	Home Health Agency	$0	$12.8M
Central Minnesota Mental Health Center	MN	Mental Health Counselor	$0	$11.2M
Catholic Charities Of The Diocese Of St. Cloud	MN	Adolescent and Children Mental Health Clinic/Center	$0	$5.8M
Effective Living Center, Inc	MN	Addiction (Substance Use Disorder) Counselor	$0	$5.1M
Mitchell Gossman	MN	Ophthalmology Physician	$242.4K	$0
Bartley Mueller	MN	Family Medicine Physician	$83.8K	$0
Julie Anderson	MN	Family Medicine Physician	$78.5K	$0
Kenneth Shea	MN	Neurology Physician	$24.4K	$0
Kourtney Bradford Seubert	MN	Family Medicine Physician	$15.7K	$0

Spot Rehabilitation Inc. — Billing Profile & Reimbursement Data

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Spot Rehabilitation Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References