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.

Little Miracles, Inc. (NPI 1821110982)

Field	Value
Entity Type	Organization
Organization	Little Miracles, Inc.
Address	2951 S 34th St
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 6, 2007

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Key Findings

LITTLE MIRACLES, INC. has no Medicare billing on file and reports $5.5M in lifetime Medicaid revenue, making its commercial/payer footprint effectively single-payer in scale for the datasets shown. Analysts should treat this profile as Medicaid-dominant rather than balanced between Medicare and Medicaid when assessing reimbursement exposure and payer contracting strategy.

Revenue is extremely concentrated: the top three Medicaid codes (97530, 92507, 97110) account for 97.1% of the provider’s total Medicaid revenue. The largest single revenue line is 97530 with $3.4M (61.3% of Medicaid revenue), followed by 92507 with $1.7M (30.8%), and 97110 with $271.2K (5.0%), indicating most revenue is driven by a narrow mix of therapy services.

The code mix signals a therapy-centered operation: 97530 (therapeutic activities), 97110 (therapeutic exercise) and 97112 (neuromuscular reeducation) point to a heavy physical/occupational therapy workload, while 92507 (speech/hearing treatment) shows a substantial speech-language/audiology component. This combination is consistent with a multi-specialty clinic focused on high-volume rehabilitative and communication services rather than procedure-driven medical specialties.

Claim volumes and unit payments indicate high throughput of short-session therapy visits: 97530 shows 53.2K claims at $63 avg paid/claim and 92507 shows 28.5K claims at $59 avg paid/claim, whereas 97110 and 97112 have lower claim counts (7.3K and 4.4K) with $37 and $36 avg paid/claim respectively. The high claim counts for the top two codes imply routine, repeat-session delivery models (e.g., serial therapy visits) rather than one-off episodic procedures.

In-state competitive standing is strong for the top therapy lines: 97530 ranks #2 of 67 providers in the state (98th percentile; labeled an "extreme outlier"), and 92507 ranks #3 of 61 (97th percentile; "notably above typical" state volume). These rankings indicate the provider is a major-volume player in the state for those specific therapy services.

For other therapy codes, volumes are less dominant but still above typical peers: 97110 ranks #3 of 32 providers (94th percentile) and 97112 ranks #3 of 12 providers (82th percentile); both are described as typical or unremarkable to modestly elevated relative to state peers. This suggests breadth across multiple therapy modalities but with pronounced concentration in the top two codes.

The provider’s billing profile creates concentration risk: with 97.1% of Medicaid revenue coming from three codes and over 90% of Medicaid revenue coming from the two top codes alone (97530 and 92507 together represent 61.3% + 30.8% as reported), any changes in reimbursement policy, utilization limits, or prior authorization for these therapy services could materially affect overall revenue. Analysts should prioritize review of contracts and utilization controls for these specific codes.

LITTLE MIRACLES has an established presence with an NPI enumerated on 2007-04-06 (~19 years ago), indicating long-term operation in the market. Combined with the high-volume therapy footprint and strong in-state rankings, this tenure supports the interpretation of a mature, therapy-focused clinic with entrenched Medicaid workflows.

Medicaid: Complete Services Breakdown

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

4 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.	53,200	$60	$3.4M
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…	28,510	$60	$1.7M
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…	7,330	$40	$271.2K
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…	4,420	$40	$159.2K

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

Little Miracles, Inc. — 2 of 4 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

4 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.	2	70	1,950	$60	$387K
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…	3	60	1,860	$60	$348.7K
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…	3	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…	3	30	360	$30	$94.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarah Schumacher	ND	Occupational Therapist	$17.8K	$0

Nearby Providers

Other providers in the same ZIP code as Little Miracles, Inc., 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
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Valley Oral & Facial Surgery PC	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$4.5M

Little Miracles, Inc. — Billing Profile & Reimbursement Data

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Little Miracles, Inc. — 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