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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Paradigm Physical Therapy And Wellness Inc (NPI 1386651412)

Field	Value
Entity Type	Organization
Organization	Paradigm Physical Therapy And Wellness Inc
Address	535 Us Highway 314, Sw
City	Los Lunas
State	NM
ZIP	87031
Taxonomy	Physical Therapist
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 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…	63,020	$60	$3.7M
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…	30,180	$30	$1M
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…	12,530	$50	$638.8K
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.	6,290	$50	$327.2K
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…	900	$40	$39.6K
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…	660	$30	$19.9K
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…	630	$10	$6.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	210	$30	$6K
S9999	Sales tax	40	$10	$260

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Paradigm Physical Therapy And Wellness Inc — 3 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

9 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.	45	220	1,570	$70	$340.6K
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…	5	290	2,790	$50	$325.7K
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	150	1,710	$30	$149.9K
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…	9	150	520	$40	$119.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	43	70	260	$40	$81.6K
S9999	Sales tax	156	160	800	$10	$25.2K
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…	13	90	80	$50	$23.7K
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…	19	80	170	$30	$21.3K
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…	1	30	50	$20	$2.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Paradigm Physical Therapy And Wellness Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Claire Shores	NM	Physical Therapist	$17.9K	$0

Nearby Providers

Other providers in the same ZIP code as Paradigm Physical Therapy And Wellness Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Paraiso	NM	Case Management Agency	$0	$40.9M
La Vida Felicidad, Inc.	NM	Developmentally Disabled Services Day Training Agency	$0	$21.1M
Adaptive Personal Care Services	NM	Home Health Agency	$0	$19.9M
Tasker Hatch Rowan LLC	NM	Dentist	$0	$8.6M
Bella Vida Health Care And Medi Spa	NM	Health Service Clinic/Center	$0	$7.2M
Full Circle Recovery	NM	Community/Behavioral Health Agency	$0	$6.1M
Bio-medical Applications Of New Mexico, Inc.	NM	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.8M
Senior Living Systems Inc.	NM	Assisted Living Facility	$0	$2.7M
First Choice Community Healthcare, Inc.	NM	Federally Qualified Health Center (FQHC)	$0	$2.7M
Adaptive Non Emergency Transportation Inc.	NM	Non-emergency Medical Transport (VAN)	$0	$2.6M

Paradigm Physical Therapy And Wellness Inc — Billing Profile & Reimbursement Data

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Paradigm Physical Therapy And Wellness 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

Related Providers

Nearby Providers

Frequently Asked Questions

References