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

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

Go Physical Therapy, LLC (NPI 1184627911)

Key Findings

Field	Value
Entity Type	Organization
Organization	Go Physical Therapy, LLC
Address	620 N Diers Ave
City	Grand Island
State	NE
ZIP	68803
Taxonomy	Physical Therapist
NPI Enumerated	May 24, 2005

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

This provider is effectively single-payer at the federal/state level: Medicare revenue is none (no Medicare billing on file) while Medicaid lifetime revenue totals $12.4M, indicating the practice’s scale and payer exposure are concentrated entirely in the Medicaid program. Analysts should treat Medicaid patterns as the primary commercial signal for this entity rather than expecting any Medicare comparators.

Medicaid revenue is highly concentrated in a small set of service codes: the precomputed top three codes account for 81.0% of total Medicaid revenue, with 97530 contributing $4.7M (37.9%), 92507 contributing $3M (24.5%), and 97110 contributing $2.3M (18.5%). This concentration suggests revenue risk and operational focus are tightly linked to those specific service lines.

The code mix points to a high-volume outpatient therapy operation that bills intensive, time-based interventions: 97530 (112.1K claims, $42 avg paid/claim) and 97110 (76.8K claims, $30 avg paid/claim) indicate a business model built around repeated 15-minute therapeutic activity and exercise sessions, while 97112 (83K claims, $22 avg paid/claim; $1.8M revenue) shows large-scale neuromuscular reeducation services. Notably, 92507 (84.5K claims, $36 avg paid/claim; $3M revenue) is a speech-language code, so the provider’s service mix includes substantial speech-related care alongside physical therapy interventions.

On statewide competitive standing this provider is a dominant outlier for multiple high-revenue codes: it ranks #1 of 130 providers for 97530 (100th percentile; extreme outlier, far above typical state volume for this code), #1 of 43 for 92507 (100th percentile; extreme outlier), and #1 of 213 for 97110 (100th percentile; extreme outlier). Those rank positions and the “extreme outlier” characterization indicate this entity is far above typical peer volume in Nebraska for the primary revenue drivers.

Claims volume and unit economics reinforce the throughput-focused model: 97530 shows 112.1K claims at $42 avg paid/claim and 92507 shows 84.5K claims at $36 avg paid/claim, demonstrating that large claim counts rather than high per-claim reimbursement are driving dollar volume. These figures suggest high patient visit volume and frequent short-duration billing units, which has implications for capacity, staffing, and utilization management reviews.

While several high-volume codes are extreme outliers, some secondary services appear at typical in-state volumes or contribute only modest revenue: 97014 (6.9K claims, $15 avg paid/claim; $103.1K revenue) ranks #3 of 33 (94th percentile; typical, unremarkable volume) and 92523 (412 claims, $185 avg paid/claim; $76.2K revenue) ranks #2 of 17 (94th percentile; typical, unremarkable volume). This mix indicates pockets of higher-paid procedures exist but do not materially shift overall Medicaid revenue concentration.

The provider’s long tenure (NPI enumerated 2005-05-24, ~21 years ago) combined with its extreme statewide rankings on core codes suggests an established operation with sustained high-volume throughput in Nebraska Medicaid. For payers and network planners, this tenure plus dominant code volumes signals an entrenched local service capacity rather than a short-lived billing spike.

Beyond the top three, several therapy codes also show significant absolute revenue and high state ranks (for example, 97112 at $1.8M and 14.7% of Medicaid revenue, ranked #1 of 71 providers at 100th percentile), reinforcing that the provider’s business is not limited to a single modality but spans multiple high-volume therapeutic interventions. Analysts should prioritize review of utilization patterns and authorization/workflow for both physical therapy and speech-language services when assessing this provider.

Medicaid: Complete Services Breakdown

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

15 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.	112,150	$40	$4.7M
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…	84,540	$40	$3M
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…	76,800	$30	$2.3M
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…	83,010	$20	$1.8M
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…	12,320	$30	$308K
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…	6,870	$20	$103.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	410	$190	$76.2K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	640	$40	$25.6K
97127	N/A	680	$10	$9.5K
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…	120	$60	$7K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Go Physical Therapy, LLC — 5 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

15 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…	1	40	2,880	$40	$386.7K
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	130	650	$40	$179.6K
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	210	660	$40	$122.6K
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	70	480	$30	$89.8K
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.	6	10	730	$50	$84K
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	80	190	$30	$47.9K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	7	10	710	$30	$37.2K
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…	3	30	400	$10	$33.6K
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…	23	50	70	$30	$17.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	2	20	40	$120	$15.9K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Medical Center	NE	General Acute Care Hospital	$0	$11M
Mid-plains Center For Behavioral Healthcare Services, Inc.	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10M
Grand Island Clinic Inc	NE	Family Medicine Physician	$0	$9.2M
Heartland Health Center, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$8.8M
Midwest Emergency Grand Island Inc	NE	Emergency Medicine Physician	$0	$3.8M
Active Family Chiropractic And Acupuncture PC	NE	Chiropractor	$0	$3.8M
Twin Rivers Urgent Care LLC	NE	Family Medicine Physician	$0	$2.9M
Family Practice Of Grand Island P C	NE	Family Medicine Physician	$0	$2.2M
Ryan Ramaekers	NE	Hematology & Oncology Physician	$2.1M	$0
Wholeness Healing Center PC	NE	Mental Health Counselor	$0	$2.1M

Go Physical Therapy, LLC — Billing Profile & Reimbursement Data

Sign up for Go Physical Therapy, LLC — Billing Profile & Reimbursement Data policy alerts

Go Physical Therapy, LLC — Billing Profile & Reimbursement Data

Sign up for Go Physical Therapy, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

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
Jenny Eberle	NE	Physical Therapist	$155.1K	$0
Brian Dinkelman	NE	Physical Therapist	$121.9K	$0
Logan Simonson	NE	Physical Therapist	$115.1K	$0
Travis Hedman	NE	Physical Therapist	$113.6K	$0
Carly Hiebner	NE	Physical Therapist	$112.7K	$0
Katelynn Rerucha	NE	Occupational Therapist	$101.1K	$0
Michelle Morris	NE	Physical Therapist	$88.2K	$0
Charles Kral	NE	Physical Therapist	$76.6K	$0
Kurt Mccallum	NE	Physical Therapist	$61.1K	$0
Mollie Maire	NE	Occupational Therapist	$57.5K	$0