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    OpenPayerNPI Medicare & MedicaidSaco Bay Orthopaedic And Sports Physical Therapy, …
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    Saco Bay Orthopaedic And Sports Physical Therapy, Inc. — Billing Profile & Reimbursement Data

    NPI 1104412212 · Saco, ME · Rehabilitation Clinic/Center

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    Saco Bay Orthopaedic And Sports Physical Therapy, Inc. is a rehabilitation clinic/center provider located in Saco, Maine. This profile covers 0 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSaco Bay Orthopaedic And Sports Physical Therapy, Inc.
    Address895 Portland Rd
    CitySaco
    StateME
    ZIP04072
    TaxonomyRehabilitation Clinic/Center
    NPI EnumeratedDecember 14, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97530The 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.18,920$30$492K
    97112Neuromuscular 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…17,850$20$339.1K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.14,500$20$275.4K
    97110Therapeutic 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…8,730$20$148.4K
    97168The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…190$40$7.3K
    97164The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…100$40$3.8K
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…20$60$1.5K
    97129The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…40$10$200

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maine median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97129The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…6109,230$20$345.3K
    97530The 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.92001,410$30$150.6K
    97110Therapeutic 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…291501,160$20$82.7K
    97112Neuromuscular 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…2801,050$20$43.4K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.150300$20$26.1K
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…2230120$20$12.3K
    97168The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…410120$40$5.6K
    97164The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…31060$30$2.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Saco Bay Orthopaedic And Sports Physical Therapy, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Select Physical Therapy Holdings IncAKPhysical Therapy Clinic/Center$0$1.6M
    Select Physical Therapy Holdings IncMEPhysical Therapy Clinic/Center$0$741.5K
    Select Physical Therapy Holdings, Inc.AKPhysical Therapy Clinic/Center$0$467.1K
    Christopher RoyMEPhysical Therapist$85.4K$0
    Sarah GleesonMEPhysical Therapist$76.8K$0
    Robert CoughlinMEPhysical Therapist$74.3K$0
    Alexander WheelwrightMEPhysical Therapist$73.2K$0
    Parker NallyMEPhysical Therapist$68.7K$0
    Meaghan CartierMEPediatric Physical Therapist$68.3K$0
    Kristina BuckAKPhysical Therapist$68.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Saco Bay Orthopaedic And Sports Physical Therapy, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    SweetserMEMental Illness Community Based Residential Treatment Facility$0$98.1M
    SweetserMEMental Health Clinic/Center (Including Community Mental Health Center)$0$80.6M
    Mainehealth Care At HomeMEHome Health Agency$0$11.3M
    Qaisi Homecare IncMEIn Home Supportive Care Agency$0$9.2M
    SweetserMECommunity/Behavioral Health Agency$0$8.1M
    Everest Recovery Centers - MaineMESubstance Use Disorder Rehabilitation Clinic/Center$147K$7.9M
    SweetserMESubstance Use Disorder Rehabilitation Clinic/Center$0$2.5M
    Saco School DepartmentMELocal Education Agency (LEA)$0$1.7M
    Island Institute For Trauma Recovery LLCMECommunity/Behavioral Health Agency$0$1.7M
    City Of SacoMEAmbulance$269.2K$1.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Maine Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maine Distribution
    Saco Bay Orthopaedic And Sports Physical Therapy, Inc. — 3 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine