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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Southwest Sport And Spine Center Inc (NPI 1164475208)

Southwest Sport And Spine Center Inc is a physical therapist provider located in Las Cruces, New Mexico. 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	Southwest Sport And Spine Center Inc
Address	2404 S Locust St
City	Las Cruces
State	NM
ZIP	88001
Taxonomy	Physical Therapist
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$11.7M
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
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…	84,560	$80	$6.3M
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.	56,330	$60	$3.2M
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…	14,230	$40	$597.5K
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.	4,840	$120	$556.7K
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…	13,210	$30	$449.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	7,470	$40	$306.1K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	1,950	$80	$149.9K
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…	2,490	$50	$121.8K
S9999	Sales tax	4,000	$10	$36K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	80	$140	$11.2K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Southwest Sport And Spine Center Inc — 3 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

13 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.	1	220	1,570	$70	$340.6K
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	290	2,790	$50	$325.7K
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	20	640	$100	$166.4K
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…	13	150	1,710	$30	$149.9K
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…	7	150	520	$40	$119.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	6	70	260	$40	$81.6K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	15	20	250	$90	$40.1K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	2	20	110	$70	$29.7K
S9999	Sales tax	23	160	800	$10	$25.2K
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…	6	90	80	$50	$23.7K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Bair Foundation	NM	Community/Behavioral Health Agency	$0	$46.8M
Home Kare Inc., Of Dona Ana	NM	Home Health Agency	$0	$26M
Progressive Residential Services Of New Mexico, Inc.	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$20.1M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$15.7M
Angel Care Of New Mexico, Inc.	NM	Developmentally Disabled Services Day Training Agency	$0	$15.1M
Darlin Inc Dba Horizon Services	NM	Mental Health Counselor	$0	$12.7M
Srirengam Muralidhasan Md LLC	NM	Family Medicine Physician	$0	$7.7M
The Aristocrat Of Las Cruces, LLC	NM	Assisted Living Facility	$0	$7.1M
Meca, LLC	NM	Rehabilitation Clinic/Center	$0	$6.9M
Las Cruces School District No. 2	NM	Local Education Agency (LEA)	$0	$6.6M

Southwest Sport And Spine Center Inc — Billing Profile & Reimbursement Data

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Southwest Sport And Spine Center 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
Maricela Monsivaiz	NM	Physical Therapist	$462.9K	$0
Jermaine Wilkerson	NM	Physical Therapist	$128.9K	$0
Troy Tigges	NM	Physical Therapist	$104.2K	$0
Bridget Scholljegerdes	NM	Physical Therapist	$93.2K	$0
Daniel Rivera Acevedo	NM	Physical Therapist	$79.7K	$0
Ann Jaquess	NM	Physical Therapist	$37K	$0
Teresa Olivas	NM	Clinical Electrophysiology Physical Therapist	$12.9K	$0
Sabrina Skelton	NM	Clinical Electrophysiology Physical Therapist	$8.6K	$0