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

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

New Proactive LLC (NPI 1396273199)

New Proactive LLC is a physical therapy clinic/center provider located in Oregon City, Oregon. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	New Proactive LLC
Address	1630 Beavercreek Rd Ste A
City	Oregon City
State	OR
ZIP	97045
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	May 24, 2017

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

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

13 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…	82,310	$30	$2.1M
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…	62,890	$20	$1.3M
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.	30,720	$30	$860.2K
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…	14,080	$20	$309.8K
97014	The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…	10,480	$10	$83.8K
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…	1,060	$50	$52.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	210	$30	$5.1K
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…	160	$20	$2.5K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	1,650	$1	$1.6K
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…	30	$50	$1.1K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

New Proactive LLC — 6 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

13 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.	5	290	770	$60	$252K
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…	2	350	760	$30	$116.5K
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…	2	350	610	$30	$73.9K
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…	3	150	450	$30	$53.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	26	50	230	$20	$28.9K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	9	10	290	$10	$24.8K
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…	1	60	50	$70	$10.3K
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…	46	70	40	$50	$8.6K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	6	10	130	$10	$6.8K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	12	50	140	$1	$6.3K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kelsee Sofich	OR	Physical Therapist	$62.5K	$0
Ryan Short	OR	Physical Therapist	$60.9K	$0
Sara Otten	OR	Physical Therapist	$54.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clackamas County	OR	Federally Qualified Health Center (FQHC)	$0	$26M
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$19.5M
Bryan Harvey	OR	Oral and Maxillofacial Pathology Dentistry	$0	$4.8M
Emergency Medicine Specialists LLC	OR	Emergency Medicine Physician	$0	$4.1M
Oregon City Medical Nw Inc.	OR	Family Medicine Physician	$0	$2.3M
Cascadia Health	OR	Mental Illness Community Based Residential Treatment Facility	$0	$2.3M
Uptown Providers PC	OR	Urgent Care Clinic/Center	$0	$2.2M
County Of Clackamas Office Of County Auditor	OR	Case Management Agency	$0	$1.6M
Neurotherapeutic Pediatric Therapies Inc	OR	Occupational Therapist	$0	$1.6M
Willamette Falls Pediatric Group	OR	Pediatrics Physician	$0	$1.5M

New Proactive LLC — Billing Profile & Reimbursement Data

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New Proactive LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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