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.

Abilitations Children's Therapy & Wellness Center (NPI 1356510945)

Field	Value
Entity Type	Organization
Organization	Abilitations Children's Therapy & Wellness Center
Address	11030 Raven Ridge Rd
City	Raleigh
State	NC
ZIP	27614
Taxonomy	Physical Therapist
NPI Enumerated	February 27, 2008

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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.	66,800	$70	$4.4M
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…	46,850	$60	$2.9M
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	90	$130	$11.3K

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

Abilitations Children's Therapy & Wellness Center — 1 of 3 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

3 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…	61	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.	16	520	2,870	$70	$721.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	140	240	120	$130	$51.7K

Nearby Providers

Other providers in the same ZIP code as Abilitations Children's Therapy & Wellness Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johnson & Morris PLLC	NC	Pediatric Dentistry	$0	$15M
Touchstone Residential Services	NC	Community/Behavioral Health Agency	$0	$14.9M
Rex Surgery Center Of Wakefield, LLC	NC	Ambulatory Surgical Clinic/Center	$545.5K	$141.3K
Michelle Fegeley	NC	Physician Assistant	$396.1K	$0
David Michel	NC	Rheumatology Physician	$332.4K	$0
Orthonc Asc, LLC	NC	Ambulatory Surgical Clinic/Center	$301.3K	$0
Lavinia Reyes	NC	Internal Medicine Physician	$231.4K	$0
Derek Watson	NC	Physical Medicine & Rehabilitation Physician	$220.7K	$0
Clifford Wheeless	NC	Orthopaedic Surgery Physician	$210.7K	$0
Carl Smith	NC	Physical Medicine & Rehabilitation Physician	$189.1K	$0

Abilitations Children's Therapy & Wellness Center — Billing Profile & Reimbursement Data

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Abilitations Children's Therapy & Wellness Center — Billing Profile & Reimbursement Data

Sign up for Abilitations Children's Therapy & Wellness Center — 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