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

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

Mountain Valley Therapy, Inc (NPI 1659353035)

Field	Value
Entity Type	Organization
Organization	Mountain Valley Therapy, Inc
Address	2519 Cove Ave
City	La Grande
State	OR
ZIP	97850
Taxonomy	Physical Therapist
NPI Enumerated	November 18, 2005

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	17,990	$30	$539.6K
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…	10,460	$30	$303.3K
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…	9,220	$20	$165.9K
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…	3,700	$10	$48.1K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	1,030	$30	$33K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Mountain Valley Therapy, Inc — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

5 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.	15	290	770	$60	$252K
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…	37	350	760	$30	$116.5K
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…	60	350	610	$30	$73.9K
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…	7	150	450	$30	$53.8K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	3	10	100	$90	$51.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mountain Valley Therapy, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Hottal	OR	Physical Therapist	$104.6K	$0
James Gorham	OR	Physical Therapist	$98.2K	$0
Nichola Ebel	OR	Occupational Therapist	$38.3K	$0
David Ebel	OR	Physical Therapist	$29.4K	$0

Nearby Providers

Other providers in the same ZIP code as Mountain Valley Therapy, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grande Ronde Hospital, Inc.	OR	Critical Access Hospital	$0	$20.1M
Union County	OR	Case Management Agency	$0	$4.8M
Grande Ronde Recovery	OR	Addiction Psychiatry Physician	$0	$3.5M
Norco, Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Assure Drug Detection LLC	OR	Clinical Medical Laboratory	$0	$1.3M
William Pettit	OR	Ophthalmology Physician	$1.1M	$94K
City Of La Grande	OR	Land Ambulance	$415.8K	$693.3K
Lincare Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$1M
Center For Human Development, Inc	OR	Public Health or Welfare Agency	$65.3K	$559K
Daniel Kirkham	OR	Diagnostic Radiology Physician	$217.9K	$0

Mountain Valley Therapy, Inc — Billing Profile & Reimbursement Data

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Mountain Valley Therapy, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References