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    OpenPayerNPI Medicare & MedicaidSpencer Clark
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    Spencer Clark — Billing Profile & Reimbursement Data

    NPI 1245576487 · Salt Lake City, UT · Physical Therapist

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    Spencer Clark is a physical therapist provider located in Salt Lake City, Utah. This profile covers 11 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSpencer Clark
    Address1952 E 7000 S
    CitySalt Lake City
    StateUT
    ZIP84121
    TaxonomyPhysical Therapist
    NPI EnumeratedDecember 17, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$494K
    Medicaid$13.7K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97163The 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…1,160$80$86.8K
    97110Therapeutic 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…4,580$20$77.8K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.3,640$20$76.5K
    97542In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.4,190$20$75.3K
    97162The 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…760$70$56.5K
    97112Neuromuscular 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…2,740$20$54.7K
    98981The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…620$30$18.7K
    97116The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…890$20$15.1K
    97140Manual 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…860$20$13.7K
    98980The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…310$40$11.6K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    98981110620$30$18.7K
    9754211090$20$17.4K
    971109640410$20$13.3K
    97530238370290$20$12.1K
    971127400290$20$10.2K
    9714072500280$20$6.8K
    98980110170$40$6.3K
    97116770130$20$5.6K
    9753518040$20$3.4K
    9716318020$70$3.1K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97112Neuromuscular 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…1,820$10$9.1K
    97162The 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…220$20$3.5K
    97140Manual 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…100$1$100
    97110Therapeutic 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…1,870$0$0
    97116The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…250$0$0
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.1,290$0$0
    97542In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.1,010$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110Therapeutic 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…51210590$50$77.6K
    97140Manual 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…84110320$30$51.8K
    97112Neuromuscular 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…1490320$30$26.1K
    97162The 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…124080$70$23.7K
    97542In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.310420$20$11.1K
    97116The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…1540190$10$4K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.240140$10$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric MillerFLInternal Medicine Physician$793.9K$17.8K
    Colby GronemanUTOccupational Therapist$316.6K$0
    Allen NaylorUTFamily Medicine Physician$135.2K$0
    Alex BeecherUTPhysical Therapist$90.7K$0
    Tracy HolleyUTSurgical Physician Assistant$40.9K$18K
    Corey DahlUTPhysician Assistant$19.1K$18.2K
    Andrew GrinerIAOccupational Therapist$17.1K$0
    David SmithUTPhysician Assistant$7.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Spencer Clark, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Evolve Emod LLCUTHome Modifications Contractor$0$23.9M
    Mountain Land Rehabilitation LLCUTPhysical Therapist$0$4M
    Rosewood Assisted Care IncUTAssisted Living Facility$0$3.2M
    Bristol Hospice - Utah Ii, L.L.C.UTCommunity Based Hospice Care Agency$0$2.6M
    Journey Treatment CenterUTSubstance Abuse Rehabilitation Facility$0$1.9M
    Douglas TooleUTFoot & Ankle Surgery Podiatrist$1.6M$0
    Big Smiles Utah P.C.UTDentist$0$1.3M
    J Q Medical Supply, LLCUTDurable Medical Equipment & Medical Supplies$0$1.2M
    Transport Connection, IncUTPrivate Vehicle$0$806.7K
    Innovation Medical Group PCUTPodiatrist$0$741.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Utah Distribution
    Spencer Clark — 7 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Spencer Clark — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah