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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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 Services Of St Croix (NPI 1699851881)

Field	Value
Entity Type	Organization
Organization	Rehabilitation Services Of St Croix
Address	Sunny Isle Professional Bldg
City	St Croix
State	VI
ZIP	00820
Taxonomy	Occupational Therapist
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$410.6K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid practice, reporting lifetime Medicaid revenue of $410.6K. The absence of Medicare volume means analyses of Medicare-facing competitiveness or diversification are not applicable for this entity.

Revenue is highly concentrated in a very small set of procedure codes: the precomputed top three Medicaid codes account for 93.8% of this provider's total Medicaid revenue. Those three codes are 97110 ($239.9K, 58.4% of Medicaid revenue), 97112 ($73.8K, 18.0%), and 97530 ($71.5K, 17.4%), indicating most revenue is tied to a narrow set of therapy services.

The code mix (97110, 97112, 97530) identifies the practice as focused on hands-on rehabilitation and functional restoration consistent with occupational therapy—therapeutic exercise, neuromuscular reeducation, and therapeutic activities. This mix suggests the operation primarily delivers repeated direct-treatment sessions aimed at improving mobility, neuromuscular control, and activities-of-daily-living function rather than one-off procedures or durable medical equipment.

Competitive standing within the state is mixed by code: 97112 ranks #1 of 5 providers in-state (100th percentile), indicating a leadership position for neuromuscular reeducation; 97110 ranks #2 of 9 (88th percentile), a strong but not dominant position for therapeutic exercise; and 97530 ranks #3 of 7 (67th percentile), reflecting modest, typical volume for therapeutic activities. These percentile ranks imply the provider is a regional leader for at least one core service line while remaining a mid-tier participant on other high-volume codes.

Payment-per-claim patterns show different economics across the top services: 97530 averages $71 paid/claim, 97110 averages $49 paid/claim, and 97112 averages $31 paid/claim. The combination of higher per-claim payment for 97530 with lower volume versus high-volume 97110 means revenue drivers reflect both session intensity and sheer claim counts, with 97110 producing the largest share of revenue through volume.

There is a notable claims/payment anomaly on 97010: 489 claims are reported with $0 avg paid/claim and $0 revenue. This pattern suggests those modalities are either bundled into other billable services, not reimbursed by the state Medicaid program in this context, or processed in a way that does not generate separate payments—an operational detail worth confirming during audits or contract reviews.

Dependence on Medicaid-only revenue and the extreme concentration in three codes (93.8% of revenue) represent business risk: any changes to Medicaid reimbursement, prior authorization policy, or utilization management for 97110, 97112, or 97530 could materially affect total revenue. For payers and partners evaluating network adequacy or rate negotiations, that concentration signals limited diversification in service mix and payer exposure.

The provider's NPI was enumerated on 2006-10-31 (~20 years ago), indicating long tenure in the market; this longevity supports the likelihood of established referral relationships and operational stability, which can be relevant when assessing continuity of care or potential capacity for scaling services.

Medicaid: Complete Services Breakdown

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

5 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…	4,900	$50	$239.9K
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…	2,380	$30	$73.8K
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.	1,010	$70	$71.5K
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…	1,150	$20	$25.4K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	490	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

Rehabilitation Services Of St Croix — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

5 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…	2	10	2,030	$50	$281.5K
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.	3	10	520	$100	$237.1K
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…	3	10	740	$30	$52.7K
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	10	660	$30	$36.4K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	2	10	890	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rehabilitation Services Of St Croix, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zandra Ramtahal	—	Physical Therapist	$123.5K	$0
Justyna Lukaszczyk	VI	Physical Therapist	$30.3K	$0
F. Joseph	CT	Orthopedic Physical Therapist	$28.7K	$0

Nearby Providers

Other providers in the same ZIP code as Rehabilitation Services Of St Croix, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M

Rehabilitation Services Of St Croix — Billing Profile & Reimbursement Data

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Rehabilitation Services Of St Croix — Billing Profile & Reimbursement Data

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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