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

Why is the Medicaid comparison limited to North 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. North 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.

Carolina Rehabilitation Specialists, Inc. (NPI 1053409367)

Carolina Rehabilitation Specialists, Inc. is a speech-language pathologist provider located in Asheville, North Carolina. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Carolina Rehabilitation Specialists, Inc.
Address	9 W Summit Ave
City	Asheville
State	NC
ZIP	28803
Taxonomy	Speech-Language Pathologist
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

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

22 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…	189,510	$60	$11.2M
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.	125,590	$80	$10.3M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	40,570	$80	$3.2M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	12,850	$70	$861K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3,050	$60	$189.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1,100	$140	$148.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	730	$90	$66.2K
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…	270	$70	$19.2K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	340	$60	$18.6K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	150	$80	$12.4K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Carolina Rehabilitation Specialists, Inc. — 4 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

22 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…	4	640	4,280	$60	$983.2K
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.	4	520	2,870	$70	$721.7K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	68	170	1,880	$90	$481.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	19	1,710	810	$80	$274.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,520	4,400	960	$60	$271.3K
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…	184	290	470	$30	$81.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	663	1,130	160	$80	$75.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	3	380	250	$80	$66.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	583	620	210	$50	$63.1K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	72	100	140	$170	$61.2K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$17.5M
The Bair Foundation	NC	Foster Care Agency	$0	$17.3M
The Arc Of North Carolina	NC	Community/Behavioral Health Agency	$0	$14.6M
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$14.3M
Tender Loving Care Homes, Inc.	NC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.1M
Asheville Pediatric Associates	NC	Pediatrics Physician	$0	$10.9M
Asheville Children's Medical Center, P.A.	NC	Pediatrics Physician	$0	$9.4M
Crossroads Treatment Centers Of Asheville, PC	NC	Multi-Specialty Clinic/Center	$81.2K	$6.5M
Orthopaedic Surgery Center Of Asheville, LP	NC	Ambulatory Surgical Clinic/Center	$5.1M	$11.7K
William Bridges	NC	Retina Specialist (Ophthalmology) Physician	$4.1M	$0

Carolina Rehabilitation Specialists, Inc. — Billing Profile & Reimbursement Data

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Carolina Rehabilitation Specialists, 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

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