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

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

Highline Physical Therapy Group (NPI 1093876898)

Highline Physical Therapy Group is a multi-specialty clinic/center provider located in Burien, Washington. This profile covers 0 Medicare and 13 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	Highline Physical Therapy Group
Address	16259 Sylvester Rd Sw
City	Burien
State	WA
ZIP	98166
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

13 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.	42,580	$20	$1M
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…	51,920	$20	$986.4K
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…	41,250	$20	$907.6K
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…	24,780	$10	$346.9K
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…	520	$50	$24.2K
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…	220	$50	$10.5K
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…	1,180	$10	$8.2K
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…	60	$40	$2.6K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	170	$10	$1.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	240	$1	$710

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Highline Physical Therapy Group — 4 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

13 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…	264	280	1,920	$40	$262.1K
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.	11	590	1,280	$50	$244.5K
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…	7	480	1,160	$30	$180.9K
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	340	1,240	$20	$96.8K
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	280	570	$30	$87.5K
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…	70	150	190	$40	$36.1K
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…	61	190	160	$50	$34.2K
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…	28	80	730	$10	$28.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	69	130	310	$20	$22.6K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	65	70	150	$40	$18.3K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caitlin Dutrow	DE	Physical Therapist	$93.6K	$0
Michael Kim	ID	Physical Therapist	$34.5K	$0
Dlana Joyner	WA	Occupational Therapist	$32K	$0
Elizabeth Jenson	WA	Occupational Therapist	$18.4K	$0
Christy Green	WA	Hand Occupational Therapist	$15.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Highline Medical Center	WA	General Acute Care Hospital	$0	$29.8M
Tyler Shawcroft Dds PLLC	WA	Dental Clinic/Center	$0	$7.7M
Highline Emergency Physicians PLLC	WA	Emergency Medicine Physician	$0	$6.2M
Manoj Agarwal	WA	Medical Oncology Physician	$1M	$0
Daniel Gottlieb	WA	Cardiovascular Disease Physician	$204K	$13.3K
Chatchawan Piyaskulkaew	WA	Interventional Cardiology Physician	$163.9K	$0
Taylor Sann	WA	Foot & Ankle Surgery Podiatrist	$71K	$220
Carmen Hudson	WA	Surgery Physician	$68.8K	$0
Brian Jones	WA	Orthopaedic Surgery Physician	$56.1K	$0
Mohammed Nayeemuddin	WA	Pulmonary Disease Physician	$55.9K	$0

Highline Physical Therapy Group — Billing Profile & Reimbursement Data

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Highline Physical Therapy Group — 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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