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

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

Procare3, Inc. (NPI 1942266945)

Field	Value
Entity Type	Organization
Organization	Procare3, Inc.
Address	4614 S 132nd St
City	Omaha
State	NE
ZIP	68137
Taxonomy	Rehabilitation Practitioner
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

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
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.	33,260	$40	$1.2M
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…	37,340	$30	$1.1M
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…	35,360	$20	$848.7K
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…	33,040	$20	$726.8K
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…	6,030	$20	$102.5K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	1,800	$20	$39.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$160	$2.3K
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…	120	$20	$1.8K
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	20	$20	$390

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Procare3, Inc. — 4 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2	40	2,880	$40	$386.7K
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	130	650	$40	$179.6K
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	210	660	$40	$122.6K
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	70	480	$30	$89.8K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	2	10	730	$50	$84K
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…	10	80	190	$30	$47.9K
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…	17	30	150	$20	$15.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	14	20	40	$120	$15.9K
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	6	10	60	$10	$3.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Procare3, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alex Wagner	NE	Physical Therapist	$123.8K	$0
Robert Peterson	NE	Physical Therapist	$89K	$0
Erin Bryant	NE	Physical Therapist	$66.6K	$0
Rebecca Hogan	NE	Physical Therapist	$66.6K	$0
Jackson Hofmeister	NE	Physical Therapist	$61.8K	$0
Matthew Gnuse	NE	Physical Therapist	$51K	$0
Mary Hofmeister	NE	Physical Therapist	$37.6K	$0

Nearby Providers

Other providers in the same ZIP code as Procare3, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sakrx, LLC	NE	Durable Medical Equipment & Medical Supplies	$554.5K	$9.6M
Connected Roots Care Center	NE	Medically Fragile Infants and Children Day Care	$0	$7.7M
Kohlls Pharmacy & Homecare Inc	NE	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Omaha Treatment Center, LLC	NE	Methadone Clinic	$66.3K	$2.1M
Oneworld Community Health Centers, Inc.	NE	Community Health Clinic/Center	$0	$1.7M
Vance Thompson Vision Surgery Center Ne, LLC	NE	Ambulatory Surgical Clinic/Center	$1.7M	$0
Option Care Enterprises, Inc.	NE	Home Infusion Therapy Pharmacy	$0	$1.5M
Total Respiratory And Rehab Inc	NE	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Adultspan PC	NE	Mental Health Counselor	$0	$705.2K
Corr Medical Solutions Inc.	NE	Durable Medical Equipment & Medical Supplies	$0	$631K

Procare3, Inc. — Billing Profile & Reimbursement Data

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Procare3, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References