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

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

Bay State Physical Therapy Of Randolph Inc (NPI 1164474334)

Bay State Physical Therapy Of Randolph Inc is a physical therapist provider located in Fall River, Massachusetts. This profile covers 0 Medicare and 9 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	Bay State Physical Therapy Of Randolph Inc
Address	450 William S Canning Blvd Unit 3
City	Fall River
State	MA
ZIP	02721
Taxonomy	Physical Therapist
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$14.7M
Medicare	$0

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

9 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…	291,030	$20	$6.7M
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…	191,240	$20	$3.6M
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.	108,100	$20	$2.1M
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…	128,640	$20	$1.9M
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…	4,200	$50	$209.9K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	2,060	$40	$82.4K
97164	The 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…	1,380	$30	$41.5K
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…	640	$40	$27.9K
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…	100	$10	$1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Bay State Physical Therapy Of Randolph Inc — 5 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	1	750	930	$40	$231.2K
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	340	560	$20	$124.9K
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…	22	150	300	$60	$112.3K
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…	46	130	120	$60	$95.1K
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.	1	490	730	$30	$93.3K
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	330	410	$20	$63.4K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	3	20	470	$60	$59.2K
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…	33	60	170	$10	$18.1K
97164	The 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…	3	50	170	$40	$16.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steward St. Annes Hospital Corporation	MA	General Acute Care Hospital	$0	$82.8M
Mass Care Link, Inc.	MA	Foster Care Agency	$0	$43.3M
Prima Care, PC	MA	Clinic/Center	$0	$32.2M
Bay Coast Behavioral, LLC	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.9M
People, Incorporated	MA	Early Intervention Provider Agency	$0	$14.6M
Dental Dreams LLC	MA	General Practice Dentistry	$0	$6.6M
Raju Singla	MA	Internal Medicine Physician	$632.7K	$0
Mary Goncalo	MA	Psychiatric/Mental Health Registered Nurse	$81.6K	$538.5K
Linsey Philip	MA	Infectious Disease Physician	$450.9K	$0
Aamir Ahmad	MA	Diagnostic Radiology Physician	$342.4K	$33.1K

Bay State Physical Therapy Of Randolph Inc — Billing Profile & Reimbursement Data

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Bay State Physical Therapy Of Randolph 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

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Fleischman	MA	Physical Therapist	$147K	$0
Patricia Balascik	CO	Physical Therapist	$128.1K	$0
Morgan Lempke	MA	Physical Therapist	$111K	$0
Michael Bove	MA	Physical Therapist	$95K	$0
Justine O'hara	RI	Physical Therapist	$89K	$0
David Thomas	MA	Physical Therapist	$80.1K	$0
Melanie Snyder	MA	Physical Therapist	$62.3K	$0
Teresa Rettman	MA	Hand Occupational Therapist	$62.2K	$0
Mark Leboeuf	MA	Physical Therapist	$52.2K	$0
Alexander Cobb	NH	Physical Therapist	$51.1K	$0