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

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

Mhd Therapies, PLLC (NPI 1316484983)

Field	Value
Entity Type	Organization
Organization	Mhd Therapies, PLLC
Address	36 Professional Plz
City	Rexburg
State	ID
ZIP	83440
Taxonomy	Physical Therapist
NPI Enumerated	January 20, 2017

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Key Findings

MHD THERAPIES, PLLC is effectively a Medicaid-focused therapy provider with no Medicare billing on file and $7.4M in lifetime Medicaid revenue; its NPI was enumerated on 2017-01-20 (~9 years ago), indicating roughly nine years of billable activity under this registration. The absence of Medicare claims positions the practice as single-payer focused at scale, with Medicaid representing the entirety of its recorded public-payer revenue.

Revenue is highly concentrated in a very small set of procedure codes: the top three Medicaid codes account for 99.9% of this provider’s total Medicaid revenue, indicating that almost all billings flow through a narrow set of service lines. This concentration means changes in reimbursement or utilization policy for those codes would materially affect the provider’s revenue base.

97530 dominates the Medicaid footprint: 50.8K claims, $100 avg paid/claim, $5.1M revenue (69.0% of total Medicaid revenue). The provider ranks #6 of 282 in-state for 97530 (98th percentile) and is characterized as an extreme outlier, which signals a dominant statewide position in delivering 15-minute functional activity therapy sessions.

92507 is the second major driver: 30.9K claims, $61 avg paid/claim, $1.9M revenue (25.6% of total Medicaid revenue). The provider ranks #10 of 210 in-state (96th percentile) for 92507; while the percentile is high, the data labels this as a typical, unremarkable volume for that code, suggesting strong but not atypical participation in speech/communication therapy relative to peers.

97110 contributes a smaller slice of revenue: 7K claims, $57 avg paid/claim, $397.9K revenue (5.4% of total Medicaid revenue) and ranks #31 of 234 in-state (87th percentile). This pattern indicates the clinic also bills therapeutic exercise in meaningful but far lower volume compared with its functional-activity and speech therapy services, consistent with a practice that emphasizes functional-task training over isolated exercise modalities.

The mix of top codes (97530, 92507, 97110) suggests an operational focus on direct, hands-on rehabilitative care and communication/speech services, with many billable units delivered in 15-minute increments for functional performance and direct patient interaction. That code mix is consistent with a high-throughput therapy operation—likely outpatient or community-based—where unit-based billing drives revenue rather than infrequent high-cost procedures.

Competitive standing across the state is uneven: the provider is an extreme outlier and near the very top for 97530 (98th percentile, rank #6 of 282), while for 92507 and 97110 it sits in high percentiles (96th and 87th respectively) but is described in the data as typical/unremarkable for those codes. Taken together, these ranks indicate market leadership specifically in delivering functional-activity therapy, and strong participation in speech and exercise services relative to most in-state peers.

Other billed codes appear immaterial to overall economics—several CPT/HCPCS entries (e.g., 97140, 97116, 92523) each account for essentially 0.0% of total Medicaid revenue based on the provided figures—so strategic or operational analysis should concentrate on the three revenue-driving codes identified above. Given the provider’s concentrated Medicaid revenue and long tenure since 2017-01-20 (~9 years ago), analysts should treat reimbursement or utilization shifts for 97530, 92507, and 97110 as primary levers affecting this entity’s financial trajectory.

Medicaid: Complete Services Breakdown

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

6 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.	50,850	$100	$5.1M
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…	30,900	$60	$1.9M
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…	6,980	$60	$397.9K
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…	70	$30	$2.4K
97116	The 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…	60	$30	$2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$130	$1.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Mhd Therapies, PLLC — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	6	280	1,480	$70	$389.4K
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…	10	210	3,020	$50	$389K
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…	31	230	1,390	$40	$134.8K
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…	124	140	710	$20	$76.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	39	50	60	$140	$47.2K
97116	The 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…	17	30	300	$10	$14.2K

Nearby Providers

Other providers in the same ZIP code as Mhd Therapies, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Madison School District 321	ID	Local Education Agency (LEA)	$0	$17.1M
Valley Help At Home Senior Care LLC	ID	In Home Supportive Care Agency	$0	$7.9M
Upper Valley Community Health Services Inc	ID	Federally Qualified Health Center (FQHC)	$0	$7.6M
Upper Valley Options, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$3.7M
Madison Co Memorial Hospital	ID	Obstetrics & Gynecology Physician	$0	$2.6M
Teton Medical Group PLLC	ID	Family Medicine Physician	$0	$2.1M
Clubhouse Pediatric Dentistry Of Madison	ID	Pediatric Dentistry	$0	$1.9M
Seasons Medical, PLLC	ID	Obstetrics & Gynecology Physician	$0	$1.8M
Fall River Medical, PLLC	ID	Primary Care Clinic/Center	$0	$1.7M
Complete Family Care PLLC	ID	Family Medicine Physician	$0	$1.7M

Mhd Therapies, PLLC — Billing Profile & Reimbursement Data

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Mhd Therapies, PLLC — 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