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

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

The Charleston Center, Inc (NPI 1427150630)

Field	Value
Entity Type	Organization
Organization	The Charleston Center, Inc
Address	3040 Berkmar Dr Ste A1
City	Charlottesville
State	VA
ZIP	22901
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	September 1, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 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.	22,530	$90	$2M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	14,830	$130	$1.9M
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…	15,640	$60	$969.8K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	8,330	$120	$965.9K
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…	6,680	$70	$494.2K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	3,020	$130	$383.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,220	$210	$255.4K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	1,120	$110	$122.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	240	$50	$12.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	30	$120	$3.6K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

The Charleston Center, Inc — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

11 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…	41	260	3,950	$80	$769.6K
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…	121	400	1,910	$50	$412.6K
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.	26	400	2,060	$60	$407.3K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	4	90	630	$130	$358.9K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	22	200	1,330	$70	$236.3K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	12	50	470	$190	$207.4K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	34	120	680	$90	$188.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	47	60	120	$150	$86K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	8	30	230	$100	$77.3K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	66	110	430	$30	$46.9K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as The Charleston Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Addiction Allies, LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.4M
Alternative Healing Home Care Services Company	VA	Home Health Agency	$0	$9.8M
Angelcare LLC	VA	Non-emergency Medical Transport (VAN)	$0	$6.8M
Complete Home Care Services Company	VA	Home Health Agency	$0	$5.6M
University Pathology Associates, Plc	VA	Clinical Medical Laboratory	$2.8M	$715.7K
Monticello Community Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$2.8M	$328.5K
Costco Wholesale Corporation	VA	Community/Retail Pharmacy	$638.7K	$0
Archibald Lord	VA	Internal Medicine Physician	$388.9K	$0
Catherine Barry	VA	Anatomic Pathology Physician	$381.7K	$0
Renee Fischer	VA	Internal Medicine Physician	$286.8K	$0

The Charleston Center, Inc — Billing Profile & Reimbursement Data

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The Charleston Center, 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