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

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

Newgen Aesthetics & Wellness, LLC (NPI 1467908673)

Field	Value
Entity Type	Organization
Organization	Newgen Aesthetics & Wellness, LLC
Address	263 Vietnam Veterans Memorial Hwy
City	Mangilao
State	GU
ZIP	96913
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	August 28, 2016

Payer Source	Total Paid
Medicaid	$9.2K
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $9.2K in lifetime Medicaid revenue, making its public claims footprint effectively single-payer (Medicaid-only) in the available data. Analysts should treat comparisons to Medicare peers as not applicable because there is no Medicare activity to benchmark against.

Revenue is highly concentrated in a very small set of Medicaid procedures: precomputed top 3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, with 97110 representing 78.9% and 97140 representing 21.1% of Medicaid receipts. This concentration indicates almost all Medicaid income derives from a narrow procedural mix.

Procedure-level volume and payment detail show operational focus: 97110 has 96 claims at $76 avg paid/claim producing $7.3K in revenue, while 97140 has 65 claims at $30 avg paid/claim producing $2K in revenue. Those counts and per-claim average payments are consistent with an outpatient physical therapy practice centered on therapeutic exercise and manual/manual techniques.

The code mix (97110 – therapeutic exercise; 97140 – manual therapy) and the reported counts indicate a clinic-oriented service model that emphasizes hands-on therapy and exercise-based visits rather than high-cost procedures or device use. This pattern aligns with the provider taxonomy listed as a Physical Therapy Clinic/Center and suggests routine visit-based PT workflows.

Scale and financial posture are modest: $9.2K lifetime Medicaid revenue is small relative to typical multi-clinic PT operations, implying either a single-location low-volume practice or limited Medicaid patient panel exposure. Per-claim payments ($76 and $30 averages) are within plausible outpatient ranges but the aggregate revenue remains minimal.

Competitive standing within state reporting is indeterminate: both 97110 and 97140 are listed as rank #1 of 1 providers in-state with a notation of 0th percentile; no state peer volume comparison available, which indicates this provider is the sole in-state reporter for these items in the dataset rather than demonstrating clear market dominance. Analysts should be cautious drawing conclusions about market share from these rankings.

The combination of a short list of billing codes and heavy reliance on 97110 and 97140 represents a revenue concentration risk: changes in Medicaid coverage, utilization management, or referral patterns for therapeutic exercise could materially affect overall revenue. Monitoring authorization and referral trends for these specific CPT codes will be important for forecasting this provider's future Medicaid receipts.

The NPI was enumerated on 2016-08-28 (~10 years ago), so the provider has been on file for about a decade; juxtaposed with the low lifetime Medicaid revenue, this tenure suggests either limited Medicaid engagement over time or recent scale changes that warrant follow-up (e.g., growth plans, payer enrollment status, or data lags).

Medicaid: Complete Services Breakdown

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

2 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…	100	$80	$7.3K
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…	70	$30	$1.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Guam Distribution

Newgen Aesthetics & Wellness, LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	1	10	100	$80	$7.3K
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…	1	10	70	$30	$1.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Newgen Aesthetics & Wellness, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leonard Campos	GU	Physical Therapist	$16.5K	$0

Newgen Aesthetics & Wellness, LLC — Billing Profile & Reimbursement Data

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Newgen Aesthetics & Wellness, LLC — Billing Profile & Reimbursement Data

Sign up for Newgen Aesthetics & Wellness, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References