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

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

Children's Rehab (NPI 1790015535)

Field	Value
Entity Type	Organization
Organization	Children's Rehab
Address	501 Highway 12 W Ste 150e
City	Starkville
State	MS
ZIP	39759
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	December 29, 2009

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	42,800	$90	$3.7M
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…	920	$50	$42.1K
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…	50	$20	$800

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Children's Rehab — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

3 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.	13	340	4,380	$20	$210.2K
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…	285	370	4,870	$20	$189.2K
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…	138	140	650	$10	$14.3K

Nearby Providers

Other providers in the same ZIP code as Children's Rehab, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Triangle Planning & Development District Inc	MS	Case Management Agency	$0	$25.9M
Oktibbeha County Hospital	MS	Rural Acute Care Hospital	$0	$19.8M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$16.1M
Starkville Pediatric Clinic	MS	Pediatrics Physician	$0	$6M
Golden Triangle Planning & Development District Inc	MS	Homemaker	$0	$5.1M
Hometown Healthcare Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Ot 4 Kidz, LLC	MS	Occupational Therapist	$0	$4.4M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$3.7M
Speech Therapy For Kids, LLC	MS	Speech-Language Pathologist	$0	$3.3M
Starkville Pediatric Dentistry	MS	Pediatric Dentistry	$0	$3.2M

Children's Rehab — Billing Profile & Reimbursement Data

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Children's Rehab — Billing Profile & Reimbursement Data

Sign up for Children's Rehab — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References