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.

Acm Therapy Group LLC (NPI 1306101803)

Field	Value
Entity Type	Organization
Organization	Acm Therapy Group LLC
Address	915 S Mckinley St
City	Casper
State	WY
ZIP	82601
Taxonomy	Occupational Therapist
NPI Enumerated	July 10, 2012

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Key Findings

ACM THERAPY GROUP LLC has no Medicare billing on file and all documented federal billing is concentrated in Medicaid, with lifetime Medicaid revenue of $3.6M. In practical terms this is an effectively single‑payer (Medicaid) operation based on the available claims data, so analyses of competitive position and reimbursement exposure should focus on Medicaid patterns rather than Medicare dynamics.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 76.7% of the provider's total Medicaid revenue. Those top three are 97530 ($1.1M, 30.5%), 92609 ($855.1K, 23.8%), and 92526 ($805.9K, 22.4%), indicating the vast majority of dollars come from a small set of therapy services.

The code mix points to a blended occupational-therapy and speech–language practice model: 97530 aligns with activity-based occupational therapy, while 92609 (therapeutic services for speech-generating device users) and 92526 (treatment for swallowing disorders) indicate substantial speech‑language pathology and dysphagia management activity. This combination suggests the provider operates both direct functional rehabilitation (OT) and intensive SLP programs, including device training and swallowing treatment.

Claim volumes are substantial across several codes, reflecting high utilization: 92526 shows 11K claims, 92609 has 10.7K claims, 97530 has 9.5K claims, and 92507 has 11.7K claims. Average paid/claim figures are meaningful to unit economics — for example $115 avg for 97530, $80 avg for 92609, and $73 avg for 92526 — reinforcing that revenue concentration is driven by both high volume and moderate per‑claim payment.

Competitive standing varies by code and by the size of the in-state peer group. ACM ranks #1 of 3 for 92609 and #1 of 3 for 92526 (both 100th percentile but labeled “typical, unremarkable volume”), which indicates the provider is the leading biller among a very small set of in-state providers for those services; for 97530 it ranks #5 of 39 (89th percentile; typical, unremarkable volume), while 92507 ranks #1 of 25 (100th percentile) and is described as “notably above typical state volume,” marking 92507 as an area of clear above‑typical activity relative to state peers.

Several codes show limited peer comparators or small peer populations, which affects how to interpret dominance signals: 97127 is listed #1 of 1 with a 0th‑percentile note that no state peer volume comparison is available, and multiple codes (e.g., 92523 at #1 of 3) sit atop very small in‑state provider sets. These small denominators mean rank‑based leadership should be interpreted as leadership within a narrow competitive set rather than broad market dominance.

The heavy reliance on the three top codes (76.7% of Medicaid revenue) creates both concentration risk and focus for payers and contracting teams: any policy, prior‑authorization, or rate change affecting 97530, 92609, or 92526 would disproportionately affect this provider's revenue. Conversely, the clear service focus offers payers a defined set of codes to target for utilization management, network negotiations, or value‑based program design.

ACM’s NPI was enumerated on 2012-07-10 (~14 years ago), indicating an established presence in the market. Combined with multi‑thousand claim volumes on several codes, the tenure suggests persistent service delivery rather than a short‑term billing spike, supporting a view of the entity as a stable Medicaid therapy provider in-state.

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.	9,530	$120	$1.1M
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.	10,690	$80	$855.1K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	11,040	$70	$805.9K
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…	11,700	$60	$655.3K
97127	N/A	4,480	$20	$103.1K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	1,900	$20	$41.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	410	$70	$28.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	60	$130	$8K

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

Acm Therapy Group LLC — 4 of 8 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.	1	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.	1	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.	5	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…	1	30	1,410	$50	$144.2K
97127	N/A	1	10	4,480	$20	$102.9K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	3	10	820	$20	$32.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	5	10	360	$20	$10.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	1	10	10	$140	$4K

Nearby Providers

Other providers in the same ZIP code as Acm Therapy Group LLC, 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
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
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Acm Therapy Group LLC — Billing Profile & Reimbursement Data

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Acm Therapy Group 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

Nearby Providers

Frequently Asked Questions

References