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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Rehabauthority, LLC (NPI 1730159690)

Field	Value
Entity Type	Organization
Organization	Rehabauthority, LLC
Address	701 Demers Ave
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	January 24, 2006

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Key Findings

REHABAUTHORITY, LLC reports no Medicare billing on file and $3.5M in total Medicaid revenue, making it effectively a Medicaid-focused outpatient therapy provider rather than a dual-payer operation. The absence of Medicare activity means any strategic or utilization analysis should treat Medicaid as the primary revenue source for this entity.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 83.4% of the provider's Medicaid revenue, with 97110 generating $1.5M (43.6% of total Medicaid revenue), 97140 generating $727.9K (20.7%), and 97112 generating $670K (19.1%). This concentration indicates that a small cluster of procedure types drives the vast majority of billed value.

The code mix—dominated by 97110, 97140, and 97112—is consistent with an outpatient rehabilitation practice focused on therapeutic exercise, manual therapy, and neuromuscular reeducation. Average paid-per-claim values for these high-volume services are modest ($31 for 97110, $21 for 97140, $27 for 97112), which aligns with a high-throughput, low-unit-price service model typical of therapy clinics.

On statewide competitive standing, REHABAUTHORITY ranks at the top for its primary codes: 97110 is #1 of 32 providers in-state (100th percentile; extreme outlier), 97140 is #1 of 9 providers in-state (100th percentile; notably above typical state volume), and 97112 is #1 of 12 providers in-state (100th percentile; extreme outlier). These rankings indicate the provider is a dominant in-state participant for core physical therapy procedure lines.

Operational metrics show very large claim volumes for core services—97110: 49.5K claims, 97140: 34.7K claims, and 97112: 24.8K claims—suggesting frequent, repeated therapy encounters and a business model built around high visit volumes rather than infrequent high-acuity procedures. Such volumes imply established referral flows or a substantial local catchment for ongoing therapy regimens.

Secondary codes provide context to the service mix: 97530 contributes $500.8K (14.2% of Medicaid revenue) and ranks #6 of 67 in-state (92th percentile; typical, unremarkable volume), while G0283 is reported as 4K claims and $40.4K revenue and is the only in-state reporter for that code (#1 of 1; no peer volume comparison available). Smaller-ticket modalities such as 97014 ($28.5K) and 97010 (3.2K claims, $0 revenue) appear on the roster but do not materially change the revenue concentration.

The provider has a long tenure in national enrollment, with NPI enumerated 2006-01-24 (~20 years ago), which supports the plausibility of sustained relationships and established referral patterns that could underlie its high state rankings and volume. Longevity combined with dominant state positioning for core CPTs suggests durable operational scale in the local therapy market.

Given the tight revenue concentration in a few high-volume PT codes and extreme outlier rankings for those codes, analysts should prioritize utilization benchmarking and peer comparisons around 97110, 97140, and 97112 to understand unit counts, visit frequency, and payer mix dynamics. The neutral finding is that this provider is a major Medicaid therapy supplier in-state and merits targeted competitive and utilization monitoring rather than generalized Medicare/dual-payer analysis, since Medicare activity is absent.

Medicaid: Complete Services Breakdown

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

9 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…	49,480	$30	$1.5M
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…	34,660	$20	$727.9K
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…	24,820	$30	$670K
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.	19,260	$30	$500.8K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	4,040	$10	$40.4K
97014	The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…	2,370	$10	$28.5K
97161	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…	150	$70	$9.4K
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…	70	$70	$4.7K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	3,250	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Rehabauthority, LLC — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	6	70	1,950	$60	$387K
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	840	$30	$95.6K
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…	1	30	360	$30	$94.6K
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	10	190	$20	$87.5K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	1	10	4,040	$10	$40.9K
97161	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…	4	10	150	$50	$7.8K
97014	The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…	1	10	140	$10	$7.3K
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…	2	10	70	$50	$3.1K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	1	10	2,070	$1	$30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rehabauthority, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Evan Applegate	UT	Physical Therapist	$120K	$0
Justin Anderson	ND	Physical Therapist	$114.7K	$0
Jed Loertscher	ID	Physical Therapist	$97.9K	$0
Travis Beniak	MN	Physical Therapist	$93.4K	$0
Clayton Shaw	ID	Physical Therapist	$71.2K	$0
Douglas Winzenburg	ND	Physical Therapy Clinic/Center	$54.6K	$0
Amanda Gunkel	ND	Physical Therapist	$54K	$0
Christopher Kraemer	ND	Physical Therapist	$48.7K	$0
Mckenzie Chuppe	ND	Physical Therapist	$47.1K	$0
Isaiah Schwindt	ND	Physical Therapist	$46.7K	$0

Nearby Providers

Other providers in the same ZIP code as Rehabauthority, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Development Homes Inc	ND	Community/Behavioral Health Agency	$0	$53.9M
Altru Health System	ND	Clinic/Center	$0	$29.7M
Altru Health System	ND	General Acute Care Hospital	$0	$18.7M
L.i.s.t.e.n. Inc	ND	Community/Behavioral Health Agency	$0	$9.4M
Peterson Medical Clinics, LLC	ND	Multi-Specialty Clinic/Center	$0	$8.8M
Edgewood Sartell LLC	ND	Assisted Living Facility	$0	$7.1M
Northeast Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Little Miracles, Inc.	ND	Multi-Specialty Clinic/Center	$0	$5.5M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0

Rehabauthority, LLC — Billing Profile & Reimbursement Data

Sign up for Rehabauthority, LLC — Billing Profile & Reimbursement Data policy alerts

Rehabauthority, LLC — Billing Profile & Reimbursement Data

Sign up for Rehabauthority, LLC — 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