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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Therapy Works, LLC (NPI 1275660193)

Field	Value
Entity Type	Organization
Organization	Therapy Works, LLC
Address	1001 Estate Ross Ste 6
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Physical Therapist
NPI Enumerated	February 27, 2007

Payer Source	Total Paid
Medicaid	$162.5K
Medicare	$0

Key Findings

THERAPY WORKS, LLC has no Medicare billing on file and is effectively a Medicaid-only reporter in our dataset; total Medicaid revenue is $162.5K. The absence of Medicare activity suggests this NPI’s billed patient population and payer relationships are concentrated in state Medicaid programs rather than in traditional Medicare fee-for-service channels.

Revenue is highly concentrated in a small set of procedure codes: the precomputed top 3 Medicaid codes (97110, 97140, 97530) account for 95.8% of this provider’s total Medicaid revenue. Those three codes break down as 97110: $137K (84.3%), 97140: $12.3K (7.6%), and 97530: $6.4K (3.9%), indicating that a single service line drives the vast majority of receipts.

The code mix (dominance of 97110 with meaningful but much smaller volumes of 97140 and 97530) reflects an operation focused on therapeutic exercise and hands-on physical therapy modalities. High reliance on 97110 (therapeutic exercise) with supporting manual therapy (97140) and therapeutic activities (97530) is consistent with an outpatient physical therapy practice that emphasizes exercise-based treatment sessions.

Competitive standing within the state is modest rather than dominant for the top revenue-generating code: 97110 ranks #4 of 9 providers in-state (63th percentile; typical, unremarkable volume for this code). Similarly, 97140 ranks #4 of 6 (40th percentile; typical, unremarkable volume for this code) and 97530 ranks #5 of 7 (33th percentile; typical, unremarkable volume for this code), which together indicate the provider is a mid-tier participant among in-state Medicaid billers for these services.

Average paid-per-claim values for the top lines are relatively low and consistent with routine PT visits: 97110 averages $45 per claim, 97140 averages $38 per claim, and 97530 averages $20 per claim. Those average payments, combined with high claim counts for 97110 (3K claims), imply volume-driven revenue rather than high-unit-intensity billing.

Secondary codes contribute only small shares of revenue. For example, 97112 generated $5.9K (3.6% of Medicaid revenue) and ranks #4 of 5 in-state (25th percentile; typical, unremarkable volume for this code), while 97161 produced $1K (0.6% of Medicaid revenue) and ranks #2 of 2 in-state (0th percentile; typical, unremarkable volume for this code), underscoring that most clinical activity and reimbursement is concentrated in the top exercise/manual-therapy services.

The NPI has been enumerated since 2007-02-27 (~19 years ago), indicating long tenure in the market. That longevity, combined with a clear single-payer Medicaid revenue stream and concentrated service mix, suggests an established, focused clinical operation rather than a broad multi-payer enterprise.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,040	$50	$137K
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…	320	$40	$12.3K
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.	320	$20	$6.4K
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…	290	$20	$5.9K
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…	20	$70	$1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

Therapy Works, LLC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	4	10	2,030	$50	$281.5K
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	10	520	$100	$237.1K
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	10	740	$30	$52.7K
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…	4	10	660	$30	$36.4K
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…	2	10	400	$80	$32.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Mccartney	VI	Physical Therapist	$38.6K	$0
Jerry Smith	VI	Physical Therapist	$3.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Therapy Works, LLC — Billing Profile & Reimbursement Data

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Therapy Works, LLC — 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