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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Greenbrier Valley Physical Therapy, LLC (NPI 1407946932)

Greenbrier Valley Physical Therapy, LLC is a specialist provider located in Ronceverte, West Virginia. This profile covers 0 Medicare and 11 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	Greenbrier Valley Physical Therapy, LLC
Address	3942 Davis Stuart Rd Ste 3
City	Ronceverte
State	WV
ZIP	24970
Taxonomy	Specialist
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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

11 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…	16,460	$30	$543.3K
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.	9,340	$30	$308.1K
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…	8,340	$20	$200.1K
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…	6,300	$20	$113.3K
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…	1,700	$60	$102.2K
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…	8,540	$10	$93.9K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	760	$10	$7.6K
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…	70	$60	$4.5K
97012	Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…	410	$10	$3.7K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	60	$1	$180

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Greenbrier Valley Physical Therapy, LLC — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

11 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.	11	140	790	$90	$469.7K
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	210	1,780	$30	$125.8K
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…	8	110	740	$30	$64.5K
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…	13	150	710	$20	$47.3K
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…	8	60	210	$50	$26.1K
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…	3	110	750	$10	$17.7K
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…	32	50	110	$50	$14.2K
97012	Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…	24	40	640	$10	$13.2K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	10	40	390	$20	$10K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	17	20	900	$10	$9.4K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Haas	WV	Specialist	$125.6K	$0
Jessica Bower	WV	Physical Therapist	$124K	$0
John Beasley	WV	Physical Therapist	$115.3K	$0
Jukey Dotson	WV	Physical Therapist	$101.8K	$0
Savannah Mcclung	WV	Physical Therapist	$94.3K	$0
James Burke	WV	Physical Therapist	$89.8K	$0
Adriel Green	WV	Physical Therapist	$60.7K	$0
Abby Mccutcheon	WV	Physical Therapist	$49.4K	$0
Richard Wooton	WV	Physical Therapist	$41.3K	$0
Rebecca Randolph	WV	Physical Therapist	$35.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greenbrier Vmc LLC	WV	General Acute Care Hospital	$0	$16.3M
Greenbrier Physicians, Inc	WV	Internal Medicine Physician	$0	$5.9M
Family Care Plus PLLC	WV	Family Medicine Physician	$0	$3.1M
Wv Emergency Physician Partners PLLC	WV	Emergency Medicine Physician	$0	$2.7M
Camc Greenbrier Valley Medical Center Inc	WV	General Acute Care Hospital	$0	$2.4M
Ronceverte Physician Group LLC	WV	Gastroenterology Physician	$0	$1.5M
Charleston Area Medical Center, Inc.	WV	Hospitalist Physician	$0	$1.4M
Dermatology Centers Inc.	WV	Dermatology Physician	$0	$808.8K
Camc Greenbrier Valley Medical Center Inc	WV	Cardiovascular Disease Physician	$0	$796.1K
Laboratory Corporation Of America Holdings	WV	Clinical Medical Laboratory	$98.7K	$142.9K

Greenbrier Valley Physical Therapy, LLC — Billing Profile & Reimbursement Data

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Greenbrier Valley Physical Therapy, 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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