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

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

Prospect Rehabilitation, PC (NPI 1598785107)

Field	Value
Entity Type	Organization
Organization	Prospect Rehabilitation, PC
Address	7254 Main Street
City	Manchester Center
State	VT
ZIP	05255
Taxonomy	Physical Therapist
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicaid	$49.9K
Medicare	$0

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…	1,260	$40	$47.7K
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…	110	$20	$2.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Prospect Rehabilitation, PC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont 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…	17	60	390	$40	$56.1K
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…	37	50	340	$30	$49.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prospect Rehabilitation, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Diblasio	VT	Physical Therapist	$47.5K	$0
Nathan Wood	NH	Physical Therapist	$41.8K	$0

Nearby Providers

Other providers in the same ZIP code as Prospect Rehabilitation, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donna Miller	VT	Pediatrics Physician	$0	$866.8K
Manchester Rescue Squad Inc	VT	Ambulance	$314.7K	$333.7K
Manchester Medical Center PLLC	VT	Emergency Medicine Physician	$0	$433.2K
Robert Giering	VT	Physical Medicine & Rehabilitation Physician	$397K	$0
Steven Mann	VT	Clinical Psychologist	$98.8K	$173.6K
Richard Malik	VT	Naturopath	$0	$192.9K
Glen Mackenzie	VT	Gynecology Physician	$12K	$171.5K
Taconic Orthopaedics PC	VT	Orthopaedic Surgery Physician	$0	$177.2K
Thomas Sterling	VT	Emergency Medicine Physician	$118.3K	$0
Nicholas Voci	VT	Physical Therapist	$108.7K	$0

Prospect Rehabilitation, PC — Billing Profile & Reimbursement Data

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Prospect Rehabilitation, PC — Billing Profile & Reimbursement Data

Sign up for Prospect Rehabilitation, PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References