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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

National Rehabilitation Hospital Inc (NPI 1528061827)

Key Findings

Field	Value
Entity Type	Organization
Organization	National Rehabilitation Hospital Inc
Address	102 Irving St Nw
City	Washington
State	DC
ZIP	20010
Taxonomy	Rehabilitation Hospital
NPI Enumerated	May 31, 2005

Payer Source	Total Paid
Medicaid	$16.9M
Medicare	$0

NATIONAL REHABILITATION HOSPITAL INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $16.9M, indicating the organization’s billings and revenue stream in public payers are concentrated exclusively in Medicaid. This payer concentration shapes likely contracting, utilization management, and revenue-cycle priorities toward state Medicaid policies rather than Medicare fee schedules or audit priorities.

Revenue concentration within Medicaid is high and top-heavy: the precomputed top 3 Medicaid codes account for 55.6% of the provider’s total Medicaid revenue, demonstrating that a small set of therapy-related services generate the majority of billing value for this provider. That degree of concentration suggests operational focus and resource allocation are likely centered on those high-volume therapy lines.

The provider’s code mix and service footprint align with inpatient/outpatient rehabilitation and high-volume therapy delivery: the leading revenue codes are 97110, 97530, and 97112, all therapeutic and neuromuscular reeducation codes used in physical/occupational therapy and functional retraining. Together with other frequent CPTs (97140, 97535, 97162), the pattern indicates the entity operates as a high-throughput rehabilitation therapy provider delivering repeated, time-based therapy interventions.

NATIONAL REHABILITATION HOSPITAL is a dominant in-state provider for many therapy codes: for example, 97110 (20.9% of Medicaid revenue) ranks #1 of 27 providers in-state and is labeled an "extreme outlier," and 97530 (19.7% of Medicaid revenue) ranks #1 of 40 providers in-state and is also an "extreme outlier." Multiple other high-volume codes (97112, 97140, 97535, 97162) similarly rank #1 in-state and are described as "extreme outlier" or "notably above typical state volume," indicating market leadership in delivering these services within the state.

Volumes and unit-payment patterns point to a high-visit, low-unit-price model for core services: top codes show very large claim counts (e.g., 124.7K claims for 97530 at $26 avg paid/claim; 118.8K claims for 97110 at $29 avg paid/claim), which combined produce multi-million dollar revenue contributions. This suggests the provider’s operations prioritize high patient throughput and repeated therapy sessions rather than a small number of high-acuity, high-dollar procedures.

Clinical mix includes higher-complexity evaluations and therapy supervision in addition to repeated treatment units: codes such as 97162 ($999K, 6.1% of Medicaid revenue), 97163 ($320.9K), 97164 ($242.4K), and occupational therapy evaluations 97166/97167/97165 appear throughout the top lines, indicating an integrated model that includes initial and follow-up assessments alongside ongoing therapeutic treatment.

Competitive standing is uneven across ancillary services: while many therapy CPTs are extreme outliers at the state level, some codes—such as 92507 (speech therapy assessment) and common office visit E/Ms 99213 and 99214—show typical or unremarkable volumes relative to peers (81st and ~68–78th percentiles respectively). This suggests the provider’s dominance is strongest in physical/occupational therapy delivery, with more standard participation in speech and E/M services.

Long-tenure NPI suggests established operations: the provider’s NPI was enumerated around 2005-05-31 (approximately 21 years ago), consistent with an organization that has operated in-state long enough to scale high-volume therapy programs and achieve the dominant in-state ranks seen on multiple CPT lines. This tenure supports the observed market position and large cumulative Medicaid billing volumes.

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	118,820	$30	$3.4M
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.	124,690	$30	$3.2M
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…	80,060	$30	$2.5M
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	68,490	$20	$1.4M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	32,970	$40	$1.2M
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	13,320	$80	$999K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	22,940	$30	$711K
97016	In this procedure, the provider applies the vasopneumatic device to an extremity for the purpose of reducing edema, or swelling.	22,470	$20	$337K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	54,790	$10	$328.7K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	5,830	$60	$320.9K

Showing 1–10 of 58

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

National Rehabilitation Hospital Inc — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8	10	6,080	$100	$2M
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…	1	30	3,790	$110	$1.4M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	63	130	290	$140	$579.2K
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	40	1,100	$70	$527.5K
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…	7	30	1,170	$130	$489K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	1	20	1,760	$50	$433.4K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	2	20	2,420	$40	$415.3K
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…	1	20	2,330	$50	$372.3K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	1	10	530	$80	$359.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	99	310	750	$70	$321.6K

Showing 1–10 of 58

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nkiruka Arene	MD	Physical Medicine & Rehabilitation Physician	$624.1K	$0
Mandip Parmar	MD	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$422.7K	$0
National Rehabilitation Hospital Inc	DC	Physical Medicine & Rehabilitation Physician	$0	$407.6K
National Rehabilitation Hospital, Inc	DC	Rehabilitation Clinic/Center	$0	$405.7K
Patricia Ayd-boyd	MD	Physical Therapist	$290.7K	$0
Nabil Khawand	MD	Urology Physician	$177.6K	$23.3K
Robert Dawson	MD	Physical Therapist	$200.7K	$0
Edwin Numsuwan	DC	Physical Medicine & Rehabilitation Physician	$163.9K	$0
Thomas Heckman	MD	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$162.2K	$0
Patrick Martone	NY	Physical Medicine & Rehabilitation Physician	$139.1K	$1.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Medstar Washington Hospital Center	DC	General Acute Care Hospital	$0	$239M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Whc Physician Group LLC	DC	General Practice Physician	$0	$93.8M
Medstar Medical Group Radiology, LLC	DC	Diagnostic Radiology Physician	$0	$17.5M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$11.7M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Bio-medical Applications Of Columbia Heights, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Washington Hospital Center Corp	DC	General Practice Physician	$0	$3.7M
Capital Area Renal Associates, PC	DC	Internal Medicine Physician	$0	$3.6M

National Rehabilitation Hospital Inc — Billing Profile & Reimbursement Data

Sign up for National Rehabilitation Hospital Inc — Billing Profile & Reimbursement Data policy alerts

National Rehabilitation Hospital Inc — Billing Profile & Reimbursement Data

Sign up for National Rehabilitation Hospital 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