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.

Balanced Physical Therapy And Wellness, LLC (NPI 1407234917)

Field	Value
Entity Type	Organization
Organization	Balanced Physical Therapy And Wellness, LLC
Address	7849 Tramway Blvd Ne Ste A
City	Albuquerque
State	NM
ZIP	87122
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	May 16, 2015

Payer Source	Total Paid
Medicaid	$1.8M
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
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…	12,010	$40	$468.3K
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…	12,070	$30	$410.4K
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…	12,240	$30	$391.6K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	3,030	$80	$245.3K
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.	6,220	$40	$242.4K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	620	$20	$9.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	280	$30	$8.1K
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…	90	$40	$3.6K
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…	200	$10	$2.1K

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

Balanced Physical Therapy And Wellness, LLC — 0 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.	46	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…	46	290	2,790	$50	$325.7K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	5	20	640	$100	$166.4K
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…	15	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…	11	150	520	$40	$119.4K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	52	70	1,860	$20	$108.1K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	36	70	260	$40	$81.6K
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…	29	40	540	$10	$22.4K
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…	47	80	170	$30	$21.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Juan Martinez	NM	Physical Therapist	$105.7K	$0
Anthony Valdez	NM	Physical Therapist	$84.6K	$0
Nicole Biller	NM	Physical Therapist	$83.5K	$0
Kevin Williams	NM	Physical Therapist	$74.6K	$0
Tomas Tafoya	NM	Orthopedic Physical Therapist	$71.6K	$0
Stacey Esch	NM	Occupational Therapist	$27.9K	$0
Claire Shores	NM	Physical Therapist	$17.9K	$0
Jasmine Stromberg	NM	Physical Therapist	$15.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lisa Sisneros Brow, Speech-language Pathologist, LLC	NM	Speech-Language Pathologist	$0	$6.2M
High Desert Pedicatrics PC	NM	Pediatrics Physician	$0	$2.1M
Cyd Evans	NM	Contractor	$0	$1.4M
Physician Surgery Center Of Albuquerque LLC	NM	Ambulatory Surgical Clinic/Center	$541.3K	$56.4K
Diego Gonzalez	NM	Interventional Pain Medicine Physician	$189.6K	$29.2K
Dennis Garcia	NM	Family Medicine Physician	$110.4K	$0
Cvs Pharmacy, Inc.	NM	Pharmacy	$91.9K	$0
Gerard Kerbleski	NM	Foot & Ankle Surgery Podiatrist	$64.3K	$0
Shanti Balkissoon-castillo	NM	Foot & Ankle Surgery Podiatrist	$63K	$0
Liana Velasquez	NM	Occupational Therapist	$48.3K	$0

Balanced Physical Therapy And Wellness, LLC — Billing Profile & Reimbursement Data

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Balanced Physical Therapy And Wellness, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References