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

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

Rehab Early Intervention (NPI 1811043649)

Field	Value
Entity Type	Organization
Organization	Rehab Early Intervention
Address	2129 E South Blvd
City	Montgomery
State	AL
ZIP	36116
Taxonomy	Speech-Language Pathologist
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$39.3M
Medicare	$0

Key Findings

REHAB EARLY INTERVENTION is effectively a single-payer Medicaid provider: it reports no Medicare billing on file and $39.3M in lifetime Medicaid revenue, concentrating its entire reported public-payer activity with Medicaid rather than a mixed Medicare/Medicaid footprint. This payer concentration shapes both revenue risk and contracting dynamics because Medicare-driven diversification is absent.

Revenue is highly concentrated in a small set of Medicaid procedure codes: the precomputed top three codes account for 83.4% of the provider’s total Medicaid revenue. Those top codes are H2027 ($19M, 48.4%), 97530 ($8.5M, 21.7%), and 92507 ($5.2M, 13.2%), indicating a narrow set of services drive most cashflow.

The code mix indicates an operation focused on intensive psychoeducational and rehabilitation services with a strong speech– and function-oriented clinical profile. H2027 (psychoeducational service) is the largest single revenue driver, while 92507 (direct speech–language treatment) and 97530 (functional therapeutic activities) together show concurrent high-volume speech and functional-rehab service delivery consistent with an early-intervention/rehabilitation practice.

REHAB EARLY INTERVENTION is a dominant in-state performer for several high-value codes: 92507 ranks #1 of 182 providers in-state and is a 100th percentile, extreme outlier; 97530 ranks #2 of 320 providers and is a 100th percentile, extreme outlier; and H2027 ranks #2 of 19 providers at the 94th percentile, notably above typical state volume. These rankings collectively describe a provider that is a major statewide player for core service lines rather than a modest participant.

T1023 screening encounters represent a material and unusual revenue stream: T1023 generated $3.9M (9.8% of the provider’s Medicaid revenue) and ranks #1 of 1 providers in-state, with no state peer volume comparison available. The presence of a single in-state biller for this code suggests REHAB EARLY INTERVENTION occupies a unique niche in screening/eligibility services within Alabama Medicaid.

Secondary therapy codes reinforce a broader rehabilitation footprint beyond speech alone: 97110 generated $2.5M (6.2%) and ranks #6 of 316 providers in-state at the 98th percentile (notably above typical state volume), while 97112 and other exercise/neuromuscular codes appear at smaller but measurable volumes. This pattern points to multidisciplinary therapeutic activity—therapeutic exercise and neuromuscular reeducation—running alongside speech services.

The provider’s billing profile is long-established: the NPI was enumerated on 2007-01-26 (~19 years ago), indicating sustained market presence and operational continuity that align with the large cumulative Medicaid revenue reported. Longevity combined with concentrated high-volume coding suggests deep operational experience in the specific service lines it bills.

From a payer/contracting perspective, the profile presents both leverage and concentration risk: the provider’s dominance on several high-revenue codes (H2027, 97530, 92507) gives it negotiating importance for those service categories, but because top codes account for 83.4% of Medicaid revenue and there is no Medicare revenue, changes to Medicaid policy or reimbursement for those codes could materially affect the provider’s revenue base. Analysts should treat both the strength in key codes and the revenue concentration as central factors in competitive and risk assessments.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2027	Psychoeducational service, per 15 minutes	284,280	$70	$19M
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.	67,840	$130	$8.5M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	78,510	$70	$5.2M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	21,790	$180	$3.9M
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…	25,550	$100	$2.5M
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…	4,900	$30	$142.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	430	$120	$52.5K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	1,080	$40	$38.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Rehab Early Intervention — 3 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1	10	21,790	$180	$3.9M
H2027	Psychoeducational service, per 15 minutes	2	20	500	$40	$2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1	180	1,490	$50	$404.5K
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.	2	320	1,170	$40	$182.3K
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…	6	320	670	$20	$69.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	11	80	60	$110	$27.5K
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…	15	160	420	$10	$26.3K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	119	280	600	$1	$11.6K

Nearby Providers

Other providers in the same ZIP code as Rehab Early Intervention, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alabama Dept. Of Rehabilitation Services	AL	Case Management Agency	$0	$58.2M
Health Care Authority For Baptist Health, An Affiliate Of Uabhs	AL	General Acute Care Hospital	$0	$16.7M
Partners In Pediatrics, LLC	AL	Primary Care Clinic/Center	$0	$14M
The Center For Pain Of Montgomery LLC	AL	Interventional Pain Medicine Physician	$0	$5.9M
Behavioral Medicine LLC	AL	Mental Health Counselor	$0	$5.9M
Alabama Smiles	AL	General Practice Dentistry	$0	$5.5M
Alabama Department Of Rehabilitation Services	AL	Multi-Specialty Clinic/Center	$0	$3.9M
Easter Seals Central Alabama	AL	Speech-Language Pathologist	$0	$2.2M
Excel Rehabilitation, LLC.	AL	Pediatric Occupational Therapist	$0	$1.9M
Farragut Dialysis, LLC	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M

Rehab Early Intervention — Billing Profile & Reimbursement Data

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Rehab Early Intervention — 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

Nearby Providers

Frequently Asked Questions

References