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

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

Alpine Pain & Spinal Rehabilitation Inc (NPI 1255844015)

Alpine Pain & Spinal Rehabilitation Inc is a interventional pain medicine physician provider located in Lehi, Utah. This profile covers 0 Medicare and 15 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	Alpine Pain & Spinal Rehabilitation Inc
Address	3051 W Maple Loop Dr Ste 125
City	Lehi
State	UT
ZIP	84043
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	November 14, 2017

Payer Source	Total Paid
Medicaid	$645.9K
Medicare	$0

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
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	10,350	$60	$589.8K
29200	The provider applies elastic adhesive tape to the thorax, or chest, to hold the muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains, dislocations,…	420	$70	$29.2K
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…	630	$20	$9.4K
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…	750	$10	$7.5K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	290	$20	$4.6K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	460	$10	$2.3K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	700	$1	$1.4K
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.	380	$1	$750
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	110	$10	$640
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	80	$1	$230

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Alpine Pain & Spinal Rehabilitation Inc — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	36	1,340	200	$80	$144K
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…	53	110	320	$30	$51.8K
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.	71	130	440	$40	$50.7K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	4	20	120	$80	$35K
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…	32	40	110	$90	$31.9K
29200	The provider applies elastic adhesive tape to the thorax, or chest, to hold the muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains, dislocations,…	1	10	420	$70	$29.2K
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…	28	90	320	$30	$26.1K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	70	110	310	$20	$21.9K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	32	50	80	$20	$13.6K
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…	15	40	390	$10	$10.2K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain West Anesthesia LLC	UT	Anesthesiology Physician	$0	$7.5M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$5.6M
Lehi City Municipal Corporation	UT	Ambulance	$129.1K	$1.8M
Post Acute Rehabilitation Physicians LLC	UT	Physical Medicine & Rehabilitation Physician	$0	$1.7M
Covington Senior Living Of Lehi	UT	Assisted Living Facility	$0	$667.2K
Troy Hardy	UT	Pediatric Dentistry	$0	$460.7K
James Macdonald	UT	Dermatology Physician	$415.3K	$26.5K
Ryan Burt	UT	Pediatric Dentistry	$0	$369.7K
David Smith	UT	Internal Medicine Physician	$355.8K	$0
I Am Recovery LLC	UT	Recovery Care Clinic/Center	$0	$340.2K

Alpine Pain & Spinal Rehabilitation Inc — Billing Profile & Reimbursement Data

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Alpine Pain & Spinal Rehabilitation 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

Nearby Providers

Frequently Asked Questions

References