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

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

Athletico Ltd (NPI 1477224814)

Athletico Ltd is a clinic/center provider located in Oxford, Mississippi. This profile covers 0 Medicare and 14 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	Athletico Ltd
Address	2714 W Oxford Loop Ste 164
City	Oxford
State	MS
ZIP	38655
Taxonomy	Clinic/Center
NPI Enumerated	September 24, 2021

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.

14 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…	45,210	$10	$452.1K
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.	30,570	$10	$397.4K
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…	31,890	$10	$350.7K
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…	16,200	$10	$81K
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…	2,420	$30	$70.2K
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…	1,590	$30	$47.7K
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…	8,320	$1	$16.6K
97016	In this procedure, the provider applies the vasopneumatic device to an extremity for the purpose of reducing edema, or swelling.	2,180	$1	$8.7K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	340	$20	$6K
97022	The whirlpool method of treatment is a form of hydrotherapy that uses circulating water and air with varied temperature and pressure settings for the treatment of certain disorders. The whirlpool is…	1,580	$1	$3.2K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Athletico Ltd — 5 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

14 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.	20	340	4,380	$20	$210.2K
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…	10	370	4,870	$20	$189.2K
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…	5	210	1,290	$20	$79.3K
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…	7	90	200	$40	$30K
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…	3	110	530	$10	$22.6K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	11	40	60	$40	$17.2K
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…	8	90	50	$30	$15.1K
97760	In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In…	3	10	110	$30	$11.9K
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…	2	50	430	$10	$10.9K
97016	In this procedure, the provider applies the vasopneumatic device to an extremity for the purpose of reducing edema, or swelling.	5	20	440	$10	$6.2K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Athletico Ltd	IL	Physical Therapist	$0	$11.6M
Endurance Physical Therapy	MS	Physical Therapist	$0	$1.2M
Michael Pfeifer	IN	Physical Therapist	$186.8K	$0
Douglas Tran	IL	Internal Medicine Physician	$159K	$0
Kyle Blount	MS	Physical Therapist	$156.1K	$0
Christopher Fischer	IA	Physical Therapist	$135.1K	$0
Angel Haggard	OK	Physical Therapist	$121.5K	$0
Lynn Hanson	IL	Physical Therapist	$121.2K	$0
David Kim	IL	Physical Therapist	$121K	$0
Mattison Kern	IA	Physical Therapist	$117.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital North Mississippi, Inc	MS	General Acute Care Hospital	$0	$38.9M
North Mississippi Commission On Mental Illness/mental Retardation	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.1M
North Mississippi Commission On Mental Illness/mental Retardation	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.3M
North Ms Regional Center	MS	Community/Behavioral Health Agency	$0	$9.4M
Oxford Dental Specialists	MS	Pediatric Dentistry	$0	$8.9M
Gathright-reed Medical Supply LLC	MS	Community/Retail Pharmacy	$0	$7.3M
Baptist And Physicians Outpatient Surgery Center Of North Ms, LP	MS	Ambulatory Surgical Clinic/Center	$2.4M	$2.4M
Go Orthodontics Partnership	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.1M
Oxford Eye Surgery Center,l.p	MS	Ophthalmologic Surgery Clinic/Center	$2.5M	$851.8K
North Ms Outpatient Therapy	MS	Physical Therapist	$0	$3.2M

Athletico Ltd — Billing Profile & Reimbursement Data

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Athletico Ltd — 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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