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

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

Elite Therapy Services (NPI 1225465669)

Field	Value
Entity Type	Organization
Organization	Elite Therapy Services
Address	333 S Beech St
City	Casper
State	WY
ZIP	82601
Taxonomy	Occupational Therapist
NPI Enumerated	September 30, 2013

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Key Findings

ELITE THERAPY SERVICES shows an effectively single-payer billing profile: Medicare revenue is listed as none while lifetime Medicaid revenue is $1.8M, so the provider’s public billing footprint is almost entirely Medicaid-driven. Analysts should treat Medicaid reimbursement and utilization trends as the primary drivers of this practice’s financial performance.

Revenue concentration is high: the precomputed top three Medicaid codes account for 78.6% of the provider’s total Medicaid revenue, with 97530 contributing $772.6K (42.9%), 92609 contributing $328.1K (18.2%), and 92507 contributing $316.1K (17.5%). This concentration means a small set of services represents the bulk of billed Medicaid dollars.

The code mix indicates a service-line focus on functional, communication, and swallowing therapies rather than broad, medically complex evaluations: 97530 (activity-based functional performance) is the single largest revenue driver, and high revenue from 92609 and 92507 shows substantial work in device training/AAC and direct communication therapy. Together with the Occupational Therapist taxonomy, this pattern suggests operation centered on hands-on functional interventions and communication/dysphagia management.

Competitive standing at the state level is mixed by service: for 97530 the provider ranks #3 of 39 (95th percentile) and is described as notably above typical state volume, indicating it is a high-volume state provider for activity-based functional therapy. For 92507 the provider ranks #3 of 25 (92th percentile) and is likewise notably above typical state volume, while 92609 ranks #2 of 3 (50th percentile) and is characterized as typical/unremarkable; overall, the practice is a major player for selected services but not uniformly dominant across all therapy codes.

Several other therapy codes appear but represent much smaller shares of revenue: 97110 generates $79.4K (4.4% of Medicaid revenue) and ranks #7 of 44 (86th percentile) indicating routine therapeutic exercise volume, while 97166 is nominal at $918 (0.1%) and ranks #1 of 4 (100th percentile). These smaller revenue lines suggest supplemental therapy activity rather than core revenue drivers.

Two functional-reporting codes, G8982 and G8981, show claims activity (224 and 210 claims respectively) but $0 average paid/claim and $0 revenue, each ranking #1 of 1 in-state. Their presence in the claim stream likely reflects mandated functional status reporting during episodes rather than direct payment sources and should be treated as reporting artifacts in revenue analyses.

The provider has an established enrollment history (NPI enumerated 2013-09-30, ~13 years ago), and sustained claim volumes such as 18.4K claims for 97530 support that this is an established operational practice rather than a transient filer. Tenure plus concentrated high-volume codes imply a stable service niche in the state Medicaid market.

The heavy reliance on a small set of Medicaid codes (78.6% concentrated in the top three) creates revenue concentration risk: changes to reimbursement, utilization rules, or prior-authorization practices for 97530, 92609, or 92507 would disproportionately affect total revenue. From a payer or competitor perspective, growth or contracting strategies should focus on these service lines to materially influence the provider’s financials.

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 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.	18,400	$40	$772.6K
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	5,050	$70	$328.1K
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…	7,530	$40	$316.1K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	5,350	$60	$304.9K
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…	3,780	$20	$79.4K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	50	$20	$920
G8981	Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals	210	$0	$0
G8982	Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	220	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Elite Therapy Services — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92609	The provider performs therapeutic services to enable the patient to make the best use of his speech generating device and also trains the patient’s caregiver.	2	10	5,050	$70	$397.6K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	2	10	5,350	$70	$386K
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.	3	40	1,590	$50	$181.4K
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…	3	30	1,410	$50	$144.2K
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…	7	40	470	$30	$75.1K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	1	10	30	$20	$480
G8981	Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals	1	10	210	$0	$0
G8982	Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	1	10	220	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Elite Therapy Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Wright	WY	Occupational Therapist	$255K	$0

Nearby Providers

Other providers in the same ZIP code as Elite Therapy Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M

Elite Therapy Services — Billing Profile & Reimbursement Data

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Elite Therapy Services — Billing Profile & Reimbursement Data

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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