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

Why is the Medicaid comparison limited to North Dakota 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 Dakota (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.

Beyond Boundaries Occupational Therapy, Inc. (NPI 1245312388)

Field	Value
Entity Type	Organization
Organization	Beyond Boundaries Occupational Therapy, Inc.
Address	3244 51st St S
City	Fargo
State	ND
ZIP	58104
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	October 19, 2006

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Key Findings

This provider records no Medicare billing on file and instead reports $3.9M in lifetime Medicaid revenue, making its commercial/public payer footprint effectively single-payer (Medicaid) in scale. The precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, reinforcing that its billed activity is narrowly concentrated within Medicaid-funded services.

Code 97530 dominates the Medicaid portfolio: 97530 appears with 54K claims, $72 avg paid/claim, $3.9M revenue (100.0% of this provider's total Medicaid revenue). Given the code description (direct therapeutic activities to improve functional performance billed per 15 minutes) and the clinic’s name (Occupational Therapy), this pattern indicates the operation is primarily delivering high-volume therapy sessions rather than a broad multi-specialty procedure mix.

97530’s competitive standing is unusually strong in-state: it ranks #1 of 67 providers (100th percentile) and is described as an "extreme outlier, far above typical state volume for this code." This suggests BEYOND BOUNDARIES OCCUPATIONAL THERAPY, INC. is a dominant statewide provider of the specific therapy services captured by 97530.

Secondary Medicaid activity includes 99072 with 1.3K claims but $0 avg paid/claim and $0 revenue (0.0% of this provider's total Medicaid revenue). Although 99072 also ranks #1 of 4 providers in-state (100th percentile), its financial impact is negligible and the volume likely reflects administrative or pandemic-related supply/time billing rather than a material revenue stream.

The extreme concentration of revenue in a single CPT code (97530 accounting for $3.9M and 100.0% of Medicaid revenue) implies operational specialization: scheduling, staffing, and throughput are likely optimized for frequent, short-duration therapy sessions billed in 15-minute units. This business model heightens sensitivity to any Medicaid reimbursement changes or utilization edits targeting 97530.

With an NPI enumerated on 2006-10-19 (~20 years ago), the provider has long tenure in the market, which may indicate established referral patterns, payer relationships, and operational processes that support the high-volume therapy activity observed.

From a payer or competitor perspective, BEYOND BOUNDARIES represents a major in-state presence for occupational/therapeutic activity tied to 97530; payers should treat this entity as a significant source of Medicaid therapy volume in the market. Conversely, the absence of Medicare billing points to limited diversification and potential vulnerability if Medicaid policy shifts reduce reimbursement or allowable units for 97530.

Analysts should note the asymmetry between clinical volume and revenue diversity: very large claim volume for 97530 (54K claims) drives all recorded Medicaid revenue, while other codes contribute no measurable revenue. This pattern creates concentrated operational and reimbursement risk and may warrant monitoring for policy, utilization, or contract changes affecting high-frequency therapy billing.

Medicaid: Complete Services Breakdown

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

2 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.	54,000	$70	$3.9M
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	1,300	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Beyond Boundaries Occupational Therapy, Inc. — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	1	70	1,950	$60	$387K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	1	10	180	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Beyond Boundaries Occupational Therapy, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connie Adams	ND	Physical Therapist	$42K	$0

Nearby Providers

Other providers in the same ZIP code as Beyond Boundaries Occupational Therapy, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Therapy Partners, Inc.	ND	Early Intervention Provider Agency	$0	$7M
Marina Gilca	ND	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Fargo Maple View LLC	ND	Alzheimer Center (Dementia Center)	$0	$4M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
St. Sophie's, LLC	ND	Adolescent and Children Mental Health Clinic/Center	$0	$2.7M
Shangri-la Home Care	ND	Home Health Agency	$0	$2M
Beyond Boundaries Speech Language Therapy, Inc.	ND	Speech-Language Pathologist	$0	$2M
About Smiles Dental, LLC	ND	Dental Clinic/Center	$0	$1.7M
Center For Pain Medicine Surgery Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.2M	$0
Davita Dakota Dialysis Center LLC	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M

Beyond Boundaries Occupational Therapy, Inc. — Billing Profile & Reimbursement Data

Sign up for Beyond Boundaries Occupational Therapy, Inc. — Billing Profile & Reimbursement Data policy alerts

Beyond Boundaries Occupational Therapy, Inc. — Billing Profile & Reimbursement Data

Sign up for Beyond Boundaries Occupational Therapy, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References