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.

Pain & Movement Solutions, LLC (NPI 1073860144)

Field	Value
Entity Type	Organization
Organization	Pain & Movement Solutions, LLC
Address	511 National St
City	Belle Fourche
State	SD
ZIP	57717
Taxonomy	Physical Therapist
NPI Enumerated	August 8, 2012

Payer Source	Total Paid
Medicaid	$188.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,070	$20	$65.1K
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.	2,720	$20	$57.1K
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…	3,430	$10	$41.2K
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…	1,370	$10	$19.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	230	$20	$5.3K
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…	40	$30	$950

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

Pain & Movement Solutions, LLC — 1 of 6 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

6 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.	14	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…	15	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…	8	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…	9	40	410	$10	$24.2K
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…	8	10	110	$30	$5.6K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	1	10	80	$20	$1.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pain & Movement Solutions, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Julie Wingen	SD	Physical Therapist	$65.8K	$0
Cailey Iverson	SD	Physical Therapist	$59.5K	$0
Macie Harris	SD	Physical Therapist	$43.5K	$0
Lindsey Kozel	SD	Physical Therapist	$39.8K	$0
Kendra Webster	SD	Physical Therapist	$29.2K	$0
Kimberly Van Loan	SD	Occupational Therapist	$28.5K	$0
Carey Poehls	SD	Physical Therapist	$23.6K	$0

Nearby Providers

Other providers in the same ZIP code as Pain & Movement Solutions, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monument Health Network, Inc.	SD	Rural Health Clinic/Center	$0	$876.4K
Heartland Home Health LLC	SD	Home Health Agency	$0	$654.3K
Belle Fourche Counseling - LLC	SD	Community/Behavioral Health Agency	$0	$481.1K
Black Hills Optical LLP	SD	Durable Medical Equipment & Medical Supplies	$0	$245.5K
Belle Fourche School District 9-1	SD	Local Education Agency (LEA)	$0	$199K
Judy's Assisted Living	SD	Assisted Living Facility	$0	$170.3K
Butte County Ambulance Service	SD	Land Ambulance	$139.8K	$23.7K
Black Hills Vision Care Prof LLC	SD	Optometrist	$0	$133.1K
Jennifer Karp	SD	Family Nurse Practitioner	$99.8K	$0
Tri-state Chiropractic, PC	SD	Chiropractor	$0	$91.6K

Pain & Movement Solutions, LLC — Billing Profile & Reimbursement Data

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Pain & Movement Solutions, 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