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    OpenPayerNPI Medicare & MedicaidNortheast Kingdom Physical Therapy PC
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    Northeast Kingdom Physical Therapy PC — Billing Profile & Reimbursement Data

    NPI 1417175761 · Newport, VT · Physical Therapy Clinic/Center

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    Northeast Kingdom Physical Therapy PC is a physical therapy clinic/center provider located in Newport, Vermont. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNortheast Kingdom Physical Therapy PC
    Address235 Lakemont Rd
    CityNewport
    StateVT
    ZIP05855
    TaxonomyPhysical Therapy Clinic/Center
    NPI EnumeratedApril 23, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$358.3K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97140Manual 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…8,780$20$201.8K
    97110Therapeutic 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…2,930$20$61.5K
    97164The 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…1,360$30$44.7K
    97035Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.4,100$10$28.7K
    97163The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…260$50$13.4K
    97112Neuromuscular 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…180$20$3.5K
    97124Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…150$20$2.8K
    97113The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.30$50$1.8K
    1036FN/A170$0$0
    G8417Bmi is documented above normal parameters and a follow-up plan is documented70$0$0

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Vermont median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110Therapeutic 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…760390$40$56.1K
    97140Manual 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…350340$30$49.7K
    97164The 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…1101,360$30$44.2K
    97112Neuromuscular 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…2240200$30$15.9K
    97163The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…110260$50$13.3K
    97113The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.21030$50$7.7K
    97035Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.11060$10$4.5K
    97124Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…110150$20$2.8K
    1036FN/A710180$1$1
    G8417Bmi is documented above normal parameters and a follow-up plan is documented11040$0$0

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Northeast Kingdom Physical Therapy PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William HoganVTPhysical Therapist$178K$0

    Nearby Providers

    Other providers in the same ZIP code as Northeast Kingdom Physical Therapy PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Kingdom Human Services Inc Ds WaiverVTDevelopmental Disabilities Clinic/Center$0$204.7M
    Baart Behavioral Health Services, Inc.VTSubstance Use Disorder Rehabilitation Clinic/Center$85.8K$17.6M
    Northeast Kingdom Human Services Inc SbsVTAdolescent and Children Mental Health Clinic/Center$0$8.3M
    Autism Advocacy And Intervention, LLCVTBehavior Analyst$0$7.8M
    Newport Ambulance Service Inc.VTLand Ambulance$743.2K$2.9M
    North Country Hospital & Health Center IncVTInternal Medicine Physician$0$3.2M
    North East Kingdom Community Action, Inc.VTPublic Health or Welfare Agency$0$2.8M
    Northeast Kingdom Human Services Inc Mh ChildrenVTAdolescent and Children Mental Health Clinic/Center$0$2.7M
    North Country Hospital & Health Center IncVTPediatrics Physician$0$2.2M
    James V. Wyllie, Dds P.C.VTGeneral Practice Dentistry$0$1.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Vermont Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Vermont Distribution
    Northeast Kingdom Physical Therapy PC — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont