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

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

Steppin Up Physical Therapy, Inc. (NPI 1043296510)

Steppin Up Physical Therapy, Inc. is a physical therapist provider located in Fort Wayne, Indiana. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Steppin Up Physical Therapy, Inc.
Address	9823 Auburn Rd
City	Fort Wayne
State	IN
ZIP	46825
Taxonomy	Physical Therapist
NPI Enumerated	December 16, 2005

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	76,780	$20	$1.8M
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…	49,800	$30	$1.2M
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…	29,070	$20	$581.4K
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.	18,120	$20	$416.7K
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…	5,030	$50	$266.4K
97014	The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…	14,480	$10	$144.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	6,880	$20	$123.9K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	3,520	$20	$56.3K
97162	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…	210	$50	$10.4K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	660	$1	$1.3K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Steppin Up Physical Therapy, Inc. — 5 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

14 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.	24	400	1,100	$40	$382.2K
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…	5	490	1,080	$30	$162.7K
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…	4	210	640	$20	$74K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	6	60	190	$20	$62.8K
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…	4	320	760	$20	$61.7K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	2	20	610	$40	$57.3K
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…	2	80	50	$40	$24.6K
97012	Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…	108	160	890	$10	$24.3K
97014	The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…	3	170	1,110	$10	$23.6K
97162	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…	19	70	60	$40	$14.4K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Health System Inc	IN	Family Medicine Physician	$0	$88.7M
Parkview Health System, Inc.	IN	Internal Medicine Physician	$0	$22.5M
La Porte Clinic Company LLC	IN	Internal Medicine Physician	$0	$18.8M
Parkview Health System, Inc.	IN	Obstetrics & Gynecology Physician	$0	$7.3M
Parkview Health System, Inc.	IN	Cardiovascular Disease Physician	$0	$3M
Jody Neer	IN	Neurology Physician	$741.1K	$0
Ryan Gonzales	IN	Hematology & Oncology Physician	$675.2K	$0
Amritpal Anand	IL	Rheumatology Physician	$590.1K	$7K
Heather Roy	IN	Nurse Practitioner	$394.6K	$0
Sandra Herrington	OH	Radiation Oncology Physician	$392.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A.i.d. Residential Services, LLC	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.4M
Familia Dental Fort Wayne PLLC	IN	Dental Clinic/Center	$0	$8.7M
Lakewood Family Dental Inc	IN	Dentist	$0	$8.7M
Associated Surgeons And Physicians, LLC	IN	Obstetrics & Gynecology Physician	$0	$8.5M
Orthopaedics Northeast PC	IN	Orthopaedic Surgery Physician	$0	$6.6M
Hand In Hand Comprehensive Therapy Specialists Inc	IN	Occupational Therapist	$0	$6.4M
Kids.healthcare PC	IN	Pediatrics Physician	$0	$4.8M
Mobile Medical Maintenance, LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4.3M
Dupont Hospital LLC	IN	General Acute Care Hospital	$0	$3.8M
Ear, Nose & Throat Associates, PC	IN	Otolaryngology Physician	$0	$3.4M

Steppin Up Physical Therapy, Inc. — Billing Profile & Reimbursement Data

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Steppin Up Physical Therapy, 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

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