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

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

Spine And Wellness Management Group LLC (NPI 1447848221)

Spine And Wellness Management Group LLC is a physical medicine & rehabilitation physician provider located in Pahrump, Nevada. This profile covers 0 Medicare and 26 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	Spine And Wellness Management Group LLC
Address	2780 Homestead Rd Ste 105
City	Pahrump
State	NV
ZIP	89048
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	January 6, 2021

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

26 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…	19,300	$40	$733.3K
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…	16,220	$30	$551.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	6,420	$30	$173.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	14,190	$10	$170.3K
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…	15,600	$10	$140.4K
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…	10,930	$10	$120.3K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	5,300	$20	$105.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,550	$60	$98.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	780	$110	$82.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,710	$40	$75.2K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Spine And Wellness Management Group LLC — 8 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

26 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.	277	310	680	$50	$373.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	485	2,250	290	$60	$138K
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…	18	310	800	$20	$122.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	510	2,480	330	$50	$107.6K
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…	6	200	510	$30	$81K
29200	The provider applies elastic adhesive tape to the thorax, or chest, to hold the muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains, dislocations,…	4	10	410	$30	$52.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	93	780	90	$100	$46.6K
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…	138	150	470	$10	$37.7K
29240	The provider applies elastic adhesive tape to the shoulder to hold the joint and muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains, dislocations,…	1	10	1,000	$30	$34.2K
29520	The provider applies elastic adhesive tape to the hip to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains, dislocations,…	1	10	1,060	$20	$32.4K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel Saenz	NV	Nurse Practitioner	$944.7K	$0
Renee Grandieri-fluker	NV	Obstetrics & Gynecology Nurse Practitioner	$79.4K	$45.5K
Brandon Snead	NV	Sports Medicine (Physical Medicine & Rehabilitation) Physician	$33.7K	$63.8K
Creig Christensen	NV	Chiropractor	$86.1K	$0
Blake Prall	NV	Chiropractor	$65.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dvh Hospital Alliance LLC	NV	Critical Access Hospital	$0	$12.7M
M Roberson Md PC	NV	Family Medicine Physician	$0	$5.8M
Changes Recovery Counseling	NV	Substance Abuse Rehabilitation Facility	$0	$2.7M
Sean Yim Dmd PLLC	NV	Dentist	$0	$2.6M
Lola Emergency Physicians LLC	NV	Emergency Medicine Physician	$0	$2.5M
G. Dennis Leaks, Od Ltd	NV	Optometrist	$0	$2.2M
Pmd Ventures LLC	NV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2M
David Vanderbeek	NV	Marriage & Family Therapist	$0	$1.7M
Michael's Integrated Medical Group PLLC	NV	Physical Medicine & Rehabilitation Physician	$0	$1.7M
Golan Integrated Physical Medicine	NV	Chiropractor	$0	$1.6M

Spine And Wellness Management Group LLC — Billing Profile & Reimbursement Data

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Spine And Wellness Management Group 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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