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

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

Goldstar Rehabilitation Inc. (NPI 1417100116)

Field	Value
Entity Type	Organization
Organization	Goldstar Rehabilitation Inc.
Address	1080 Drew Dr
City	Yardley
State	PA
ZIP	19067
Taxonomy	Speech-Language Pathologist
NPI Enumerated	October 28, 2008

Payer Source	Total Paid
Medicaid	$19.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	92,880	$140	$13M
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.	34,920	$140	$4.9M
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…	5,760	$130	$771.7K
T1027	Family training and counseling for child development, per 15 minutes	2,940	$120	$352.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Goldstar Rehabilitation Inc. — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

4 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…	3	410	1,130	$60	$455.4K
T1027	Family training and counseling for child development, per 15 minutes	8	20	2,660	$100	$287K
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.	5	710	320	$40	$241.4K
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…	72	1,280	390	$40	$104.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milestone Behavioral Health LLC	PA	Community/Behavioral Health Agency	$0	$16.6M
Farhan Tahir	PA	Rheumatology Physician	$1M	$0
Carmen Campanelli	PA	MOHS-Micrographic Surgery Physician	$808.7K	$0
Christopher Schulze	PA	Clinical Cardiac Electrophysiology Physician	$625.3K	$0
Joel Berman	PA	Diagnostic Radiology Physician	$614.9K	$0
Adel Haque	PA	Dermatology Physician	$503.3K	$0
Thomas Maclennan	PA	Diagnostic Radiology Physician	$469.2K	$0
Adam Blechman	PA	MOHS-Micrographic Surgery Physician	$450.6K	$0
Paul Grena	PA	Cardiovascular Disease Physician	$433.4K	$0
Priya Dhanaraj	PA	Dermatology Physician	$373.3K	$0

Goldstar Rehabilitation Inc. — Billing Profile & Reimbursement Data

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Goldstar 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