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

Why is the Medicaid comparison limited to South 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. South 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.

Big Stone Therapies Watertown, LLC (NPI 1063717411)

Field	Value
Entity Type	Organization
Organization	Big Stone Therapies Watertown, LLC
Address	8 5th St Se
City	Watertown
State	SD
ZIP	57201
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	January 17, 2011

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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.	15,830	$20	$332.5K
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…	16,320	$20	$326.4K
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…	6,820	$30	$218.3K
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…	9,970	$10	$139.6K
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…	5,350	$10	$69.5K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	80	$30	$2.3K
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…	70	$30	$2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Big Stone Therapies Watertown, LLC — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

7 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…	9	60	1,050	$20	$108.2K
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.	1	50	400	$30	$76.4K
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	60	640	$20	$72K
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…	1	50	380	$30	$52K
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…	5	40	410	$10	$24.2K
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…	9	10	120	$30	$12.3K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	3	10	80	$20	$1.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Big Stone Therapies Watertown, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wade Fligge	SD	Physical Therapist	$51.6K	$0
Chad Lauseng	SD	Physical Therapist	$47.2K	$0
Kayla Geffre	SD	Physical Therapist	$26.6K	$0

Nearby Providers

Other providers in the same ZIP code as Big Stone Therapies Watertown, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Service Agency	SD	Addiction (Substance Use Disorder) Counselor	$0	$39M
Brown Clinic Pllp	SD	Family Medicine Physician	$0	$3.1M
Thane Evans Crump Dds PC	SD	Endodontics	$0	$2.3M
Human Service Agency	SD	Case Management Agency	$0	$2.3M
Sanford Clinic	SD	Family Medicine Physician	$0	$2M
Prairie Lakes Health Care System Inc	SD	Rural Acute Care Hospital	$0	$2M
Prairie Lakes Home Connections	SD	Supports Brokerage Agency	$0	$1.2M
City Of Watertown	SD	Land Ambulance	$475.4K	$390.4K
Bridgeway Counseling Center Inc.	SD	Psychologist	$0	$813.1K
Prairie Lakes Health Care System Inc	SD	Rural Acute Care Hospital	$0	$703.4K

Big Stone Therapies Watertown, LLC — Billing Profile & Reimbursement Data

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Big Stone Therapies Watertown, LLC — 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