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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Matthew Madrid (NPI 1033166087)

Field	Value
Entity Type	Individual
Organization	Matthew Madrid
Address	2a Cherry Tree Dr
City	Nutter Fort
State	WV
ZIP	26301
Taxonomy	Physical Therapist
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicare	$61.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	910	$20	$20K
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…	720	$20	$13.7K
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…	620	$20	$9.9K
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.	210	$30	$5.3K
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…	210	$20	$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…	50	$80	$3.8K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	420	$10	$2.9K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	60	$10	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Matthew Madrid — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	149	330	650	$20	$14.1K
97530	195	290	350	$20	$12.1K
97112	197	290	350	$20	$10.2K
97113	3	30	380	$20	$8.8K
97140	54	270	300	$10	$6K
97161	54	180	30	$70	$2.9K
G0283	26	180	160	$10	$1.5K
97150	22	50	50	$10	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karyn Plotz	WV	Physical Therapist	$172.8K	$0
Andrew Costaras	OH	Physical Therapist	$121K	$0
Frank Baker	OH	Physical Therapist	$116K	$0
Trevor Shamblin	WV	Physical Therapist	$110.6K	$0
Amanda Mcdonald	WV	Physical Therapist	$109.1K	$0
Elizabeth Langlois	WV	Physical Therapist	$103.6K	$0
Thomas Billingsley	WV	Physical Therapist	$102.9K	$0
Lyndsey Schlieper	WV	Physical Therapist	$79.6K	$0
Tyler Shamblin	WV	Physical Therapist	$78.9K	$0
Dylan Stansberry	WV	Physical Therapist	$77.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Harrison County	WV	Community/Behavioral Health Agency	$0	$32.8M
United Summit Center Inc- Rehab	WV	Community/Behavioral Health Agency	$0	$32.8M
United Summit Center Inc-wavier	WV	Developmental Disabilities Clinic/Center	$0	$25.6M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$11M
Harrison County Emergency Squad	WV	Ambulance	$839K	$8M
Genesis Youth Crisis Center	WV	Community/Behavioral Health Agency	$0	$7.4M
Clarksburg Treatment Center, LLC	WV	Methadone Clinic	$67.1K	$6.3M
Dr. Robert Martino, PLLC	WV	Dentist	$0	$5.8M
Clarksburg Treatment Center, LLC	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.7M
Genesis Youth Crisis Center, Inc.	WV	Community/Behavioral Health Agency	$0	$2.4M

Matthew Madrid — Billing Profile & Reimbursement Data

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Matthew Madrid — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References