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NPI 1275606428 · Casper, WY · Physical Therapist
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Michael Reed is a physical therapist provider located in Casper, Wyoming. This profile covers 9 Medicare and 3 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Michael Reed |
| Address | 630 E 1st St |
| City | Casper |
| State | WY |
| ZIP | 82601 |
| Taxonomy | Physical Therapist |
| NPI Enumerated | November 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $322.4K |
| Medicaid | $36.8K |
MICHAEL REED is a Physical Therapist in CASPER, WY with an NPI enumerated 2006-11-16 (~20 years ago). His lifetime billed Medicare revenue is $322.4K compared with $36.8K in Medicaid, indicating a predominantly Medicare-facing practice by scale. The longevity of enrollment suggests established operations in the market rather than a recent entrant.
The procedure mix strongly indicates a wound-care and compression therapy focus combined with orthotic training: 97597 (debridement), 29580 (Unna boot), and 29581 (layered compression bandage) are the dominant codes on Medicare, while adjunct codes such as 97760 (orthotic training) and 29445 (total contact cast) appear in the top CPT list. This pattern is consistent with an outpatient service-line centered on venous/diabetic ulcer management and device fitting rather than broad-spectrum general PT services.
Several Medicare codes show exceptional national standing: 97597 is ranked #3 of 6056 providers nationally (100th percentile; extreme outlier) and 29580 is ranked #3 of 1014 providers nationally (100th percentile; extreme outlier). Additional Medicare codes—97162, 97164, and 97760—are reported as extreme outliers or notably above typical national volume, which signals a practice that is unusually high-volume for specific therapy and wound-treatment services at the national level.
Medicaid billing is narrowly concentrated and small in scale: the precomputed top three Medicaid codes account for 100.0% of Medicaid revenue, with 97597 alone representing 99.7% of the provider's Medicaid revenue (1.5K claims, $36.5K revenue). Despite that concentration, the in-state rank for Medicaid 97597 is #3 of 3 providers (0th percentile; typical, unremarkable), indicating limited state-level peer comparison data and that Medicaid activity is minimal relative to Medicare.
There is a notable payer-rate differential on the leading procedure: for 97597 the Medicare average paid/claim is $77 with $197.7K in Medicare revenue, while the Medicaid average paid/claim for the same code is $24 with $36.5K in Medicaid revenue. This gap highlights that revenue drivers are not only volume-based but also sensitive to payer mix and per-claim reimbursement levels.
Operationally, claim volumes point to repeated, serial procedures: 97597 has 2.6K Medicare claims and 1.5K Medicaid claims, and 29580 has 696 Medicare claims; together these counts suggest a workflow built around frequent wound debridement, compression dressing applications, and device training. The presence of procedure codes like 29445 (62 claims, $6K) and Q4038 (103 claims, $3.9K) further supports the inference of hands-on outpatient casting and supply utilization.
From a competitive-stance perspective, this provider is a major national outlier on several Medicare codes (100th percentile; extreme outlier) and therefore functions as a high-volume specialist for specific wound and therapy services at the national level. Conversely, the Medicaid footprint is small and concentrated, with state rankings that offer limited evidence of market dominance within Wyoming; overall, the profile is that of a Medicare-driven, wound-focused practice with concentrated service-line exposure.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 2,570 | $80 | $197.7K |
| 29580 | The provider applies an Unna boot, a spiral compression dressing, made of cotton and zinc oxide paste or other emollients, that keeps the skin moist and free of irritation while applying pressure to… | 700 | $50 | $36.2K |
| 29581 | The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A… | 450 | $80 | $35.6K |
| 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… | 210 | $80 | $15.8K |
| 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… | 250 | $50 | $13.2K |
| 97760 | In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In… | 380 | $30 | $12.9K |
| 29445 | The provider applies a short leg walking cast, called a total contact cast, or TCC, that covers the lower leg, ankle, and foot to treat diabetic ulcers. The TCC is formed to fit a removable cast shoe… | 60 | $100 | $6K |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | 100 | $40 | $3.9K |
| 97535 | A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease. | 60 | $20 | $1.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 1,520 | $20 | $36.5K |
| 97760 | In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In… | 20 | $10 | $130 |
| G8991 | Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wyoming median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 3 | 10 | 1,990 | $30 | $83K |
| 97760 | In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In… | 1 | 10 | 20 | $10 | $130 |
| G8991 | Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 1 | 10 | 30 | $0 | $0 |
Other providers in the same ZIP code as Michael Reed, ranked by combined Medicare and Medicaid revenue.
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