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

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

Regal Heights Healthcare & Rehab Center, LLC (NPI 1588609671)

Regal Heights Healthcare & Rehab Center, LLC is a skilled nursing facility provider located in Hockessin, Delaware. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Regal Heights Healthcare & Rehab Center, LLC
Address	6525 Lancaster Pike
City	Hockessin
State	DE
ZIP	19707
Taxonomy	Skilled Nursing Facility
NPI Enumerated	June 20, 2006

Payer Source	Total Paid
Medicaid	$410.3K
Medicare	$0

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

19 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…	15,300	$20	$229.5K
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.	20,510	$10	$102.5K
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…	4,440	$10	$31K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	4,790	$10	$23.9K
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…	5,060	$1	$20.2K
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	610	$1	$1.8K
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…	80	$10	$600
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	10	$30	$380
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	150	$1	$150
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…	40	$1	$90

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Regal Heights Healthcare & Rehab Center, LLC — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	10	90	2,360	$20	$181.1K
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.	8	80	2,590	$20	$181.1K
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	50	930	$20	$104.7K
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…	44	50	940	$10	$89K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	16	20	1,420	$20	$46.9K
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…	3	20	820	$10	$17.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	3	30	620	$10	$16.3K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	11	20	60	$50	$11.5K
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	5	10	550	$10	$7K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	9	20	60	$10	$2.5K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc	DE	Family Medicine Physician	$0	$5.1M
Matthews Dental Associates, PA	DE	Dentist	$0	$1.8M
Mac Physicians LLC	DE	General Practice Physician	$0	$391.6K
Shabbir Naqvi	DE	Body Imaging Physician	$348.3K	$0
Alessandro Bianchi	DE	Family Medicine Physician	$302.6K	$0
Guy Webster	DE	Dermatology Physician	$283.2K	$0
Performance Physical Therapy, Inc	DE	Physical Therapy Clinic/Center	$0	$262.9K
Walgreen Co.	DE	Pharmacy	$254.9K	$0
Hockessin Fire Company	DE	Ambulance	$244.1K	$7.3K
Family Practice Of Hockessin, P.A.	DE	Family Medicine Physician	$0	$232.7K

Regal Heights Healthcare & Rehab Center, LLC — Billing Profile & Reimbursement Data

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Regal Heights Healthcare & Rehab Center, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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References