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

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

Central Iowa Physio LLC (NPI 1215327283)

Central Iowa Physio LLC is a physical therapy clinic/center provider located in Marshalltown, Iowa. This profile covers 0 Medicare and 14 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	Central Iowa Physio LLC
Address	55 Central Iowa Dr
City	Marshalltown
State	IA
ZIP	50158
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	January 29, 2015

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	14,690	$60	$852.2K
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.	27,820	$20	$556.4K
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…	25,700	$20	$462.6K
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…	11,770	$10	$164.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	4,380	$10	$61.3K
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…	4,680	$10	$60.8K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	4,520	$10	$45.1K
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…	1,090	$30	$37K
97168	The 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…	800	$40	$27.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	100	$160	$16K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Central Iowa Physio LLC — 6 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

14 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…	11	60	2,110	$70	$570.5K
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.	5	130	480	$30	$120.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	5	10	100	$120	$68.2K
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…	6	170	420	$20	$49K
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	90	390	$20	$44.9K
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…	7	90	440	$20	$28.3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	3	20	170	$10	$18.4K
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	10	90	$30	$10.1K
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…	5	20	30	$50	$8.3K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	2	10	150	$60	$8.2K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heather Moore	IA	Physical Therapist	$179.6K	$0
Shellina Herink	IA	Physical Therapist	$86.4K	$0
Luke Carlson	IA	Physical Therapist	$67.6K	$0
Adam Puls	IA	Physical Therapist	$50K	$0
Brenna Wetzel	IA	Physical Therapist	$45.5K	$0
Austin Kreber	IA	Physical Therapist	$40.1K	$0
Janet Lebsack	IA	Occupational Therapist	$28.9K	$0
Brooke Pflum	IA	Occupational Therapist	$20.7K	$0
Melina Bik	IA	Occupational Therapist	$15K	$0
Nicole Kauppila	IA	Occupational Therapist	$10.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Residential Services, Inc.	IA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$50.3M
Wolfe Clinic Inc	IA	Ophthalmology Physician	$0	$18.2M
Unitypoint Health - Marshalltown	IA	General Acute Care Hospital	$0	$15.9M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$11.5M
Center Associates	IA	Cognitive & Behavioral Psychologist	$0	$8.8M
Marshalltown Community School District	IA	Local Education Agency (LEA)	$0	$6.9M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$5.3M
Unitypoint Health - Marshalltown	IA	Rural Health Clinic/Center	$0	$3.7M
Unitypoint Health - Marshalltown	IA	Emergency Medicine Physician	$0	$3.6M
Substance Abuse Treatment Unit Of Central Iowa	IA	Substance Abuse Rehabilitation Facility	$0	$1.6M

Central Iowa Physio LLC — Billing Profile & Reimbursement Data

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Central Iowa Physio LLC — 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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