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

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

Advance Rehabilitation For Kids Of Gordon County, Inc (NPI 1376513382)

Field	Value
Entity Type	Organization
Organization	Advance Rehabilitation For Kids Of Gordon County, Inc
Address	365 S Industrial Blvd
City	Calhoun
State	GA
ZIP	30701
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	January 23, 2006

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Key Findings

This provider is effectively single-payer in its billing profile: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based totaling $9.5M. The dataset explicitly notes the top three Medicaid codes account for 96.6% of the provider’s total Medicaid revenue, underscoring a concentrated revenue mix tied to a narrow set of services.

Revenue is heavily dominated by three codes: 97530 ($4.7M revenue, 49.6% of Medicaid revenue), 92507 ($3.9M revenue, 41.3% of Medicaid revenue), and 97110 ($536.4K revenue, 5.7% of Medicaid revenue). Those three codes together are the primary drivers of the $9.5M Medicaid total, so any changes to coverage or reimbursement for these codes would materially affect the provider’s revenue.

The code mix indicates core service lines are hands-on rehabilitation and speech-language services: 97530 (functional performance activities), 92507 (direct speech-language treatment), and 97110 (therapeutic exercise). Combined with the legal business name ADVANCE REHABILITATION FOR KIDS OF GORDON COUNTY, INC, the data point to a pediatric rehabilitation/therapy focus delivering high volumes of therapy visits rather than a broad multi-specialty practice.

Volume and payment patterns show intensive session-based delivery: 92507 has 66.5K claims at $59 avg paid/claim producing $3.9M revenue, while 97530 has 48.5K claims at $97 avg paid/claim producing $4.7M revenue. The large claim counts coupled with modest per-claim payments are consistent with frequent, short-duration therapy encounters and imply significant clinical staffing and scheduling throughput.

On competitive standing within the state, the provider is a clear outlier for its two highest-revenue codes — 97530 ranks #1 of 84 providers (100th percentile; extreme outlier) and 92507 ranks #1 of 70 providers (100th percentile; extreme outlier) — indicating dominant statewide volume for those services. By contrast, 97110 is more typical: it ranks #13 of 61 providers (80th percentile; typical, unremarkable volume), so the provider’s dominance is concentrated in a small number of targeted service lines.

The extreme concentration (96.6% of Medicaid revenue from the top three codes) creates both operational focus and financial concentration risk: business performance will be tightly linked to utilization and reimbursement dynamics for 97530 and 92507. Operationally, sustaining these volumes likely requires specialized therapy staff, high appointment throughput, and payer contracting tailored to high-frequency pediatric rehab services.

This provider has long-established enrollment in the NPI registry, enumerated on 2006-01-23 (~20 years ago), which supports that the observed high-volume therapy footprint is not new and likely reflects an established local specialty practice rather than a recent entrant or short-term anomaly. Combined with the statewide ranking data, the tenure strengthens the interpretation of a sustained, specialized Medicaid-focused therapy operation.

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.	48,550	$100	$4.7M
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…	66,490	$60	$3.9M
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…	6,240	$90	$536.4K
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…	3,460	$80	$290.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	150	$160	$23.8K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	120	$40	$5.1K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	80	$10	$830

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Advance Rehabilitation For Kids Of Gordon County, Inc — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia 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…	1	70	2,950	$60	$531.2K
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.	1	80	1,770	$60	$366K
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…	13	60	730	$60	$362.1K
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…	11	40	750	$50	$148.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	13	20	510	$80	$98.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	13	30	140	$220	$86.2K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	116	150	660	$10	$15.6K

Nearby Providers

Other providers in the same ZIP code as Advance Rehabilitation For Kids Of Gordon County, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adventist Health System Georgia Inc	GA	Multi-Specialty Clinic/Center	$0	$9.8M
Gordon Emergency Physicians, LLC	GA	Emergency Medicine Physician	$0	$3.4M
Agc Pediatrics, LLC	GA	Specialist	$0	$2M
Adventist Health System Georgia Inc	GA	Land Ambulance	$644.3K	$0
Med-trans Corporation	GA	Air Ambulance	$341.6K	$0
Hak Lee	GA	Urology Physician	$214.8K	$0
Daniel Ahn	GA	Ophthalmology Physician	$206.2K	$0
Ralph Bowers	GA	Family Medicine Physician	$193.1K	$0
Shawn Haggard	GA	Clinical Social Worker	$0	$160.5K
Crossroads Treatment Center Of Calhoun, PC	GA	Methadone Clinic	$125.2K	$0

Advance Rehabilitation For Kids Of Gordon County, Inc — Billing Profile & Reimbursement Data

Sign up for Advance Rehabilitation For Kids Of Gordon County, Inc — Billing Profile & Reimbursement Data policy alerts

Advance Rehabilitation For Kids Of Gordon County, Inc — Billing Profile & Reimbursement Data

Sign up for Advance Rehabilitation For Kids Of Gordon County, 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

Nearby Providers

Frequently Asked Questions

References