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.

Rehabilitation Associates, P.A. (NPI 1679509160)

Rehabilitation Associates, P.A. is a physical medicine & rehabilitation physician provider located in Wilmington, Delaware. This profile covers 0 Medicare and 12 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	Rehabilitation Associates, P.A.
Address	2006 Foulk Rd
City	Wilmington
State	DE
ZIP	19810
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$852.8K
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	5,830	$40	$221.5K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	2,980	$70	$202.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,840	$40	$138.2K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	6,740	$20	$134.8K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	680	$120	$81.4K
95909	In this procedure, the provider performs five or six nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…	810	$70	$58.8K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	340	$20	$7.8K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	60	$80	$4.2K
98943	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one or more extraspinal regions.	100	$10	$1.4K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	180	$10	$1.4K

Showing 1–10 of 12

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

Rehabilitation Associates, P.A. — 3 of 11 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	110	500	1,130	$50	$235.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	143	540	1,100	$40	$185.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	71	190	240	$60	$90.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	48	50	1,240	$20	$57.8K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	1	10	240	$80	$55.7K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	8	70	1,470	$20	$48.1K
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,…	164	180	180	$20	$24.4K
95909	In this procedure, the provider performs five or six nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…	1	10	20	$70	$14.4K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	1	10	30	$100	$13.3K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	2	10	30	$110	$12.2K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachael Smith	DE	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$106.3K	$0
Kartik Swaminathan	DE	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$104.3K	$0
Patrick Foster	DE	Family Nurse Practitioner	$63.6K	$12.1K
Craig Sternberg	DE	Sports Medicine (Physical Medicine & Rehabilitation) Physician	$54.5K	$0
Stephen Beneck	DE	Physical Medicine & Rehabilitation Physician	$51.1K	$0
Crystal Dimauro	DE	Physician Assistant	$14.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel A Maher,dmd, PA	DE	Dentist	$0	$4.5M
Brandywine Pediatric Dentistry, P.A.	DE	Pediatric Dentistry	$0	$4M
Jason Kaplan	DE	Ophthalmology Physician	$2.7M	$0
Brandywine Pediatrics, P.A.	DE	Pediatrics Physician	$0	$1.6M
Harry Lebowitz	DE	Ophthalmology Physician	$1.1M	$0
David Cozzolino	DE	Urology Physician	$786.9K	$0
Andrew Barrett	DE	Ophthalmology Physician	$671.1K	$0
Chloe Payne	DE	Dermatology Physician	$541.5K	$11.7K
James Fierro	DE	Family Medicine Physician	$530.7K	$0
Clifford L. Anzilotti, D.m.d., P.A.	DE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$510.8K

Rehabilitation Associates, P.A. — Billing Profile & Reimbursement Data

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Rehabilitation Associates, P.A. — 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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