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

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

Wright Physical Therapy Limited Partnership (NPI 1730732025)

Key Findings

Field	Value
Entity Type	Organization
Organization	Wright Physical Therapy Limited Partnership
Address	1444 Falls Ave E
City	Twin Falls
State	ID
ZIP	83301
Taxonomy	Physical Therapist
NPI Enumerated	July 17, 2019

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

This provider is effectively a Medicaid-only biller: Medicare revenue is none (no Medicare billing on file) while lifetime Medicaid revenue is $8.8M. The absence of Medicare claims indicates the practice’s payer mix and growth opportunities are concentrated entirely in state Medicaid populations rather than traditional Medicare beneficiaries.

Revenue is highly concentrated among a small set of PT procedure codes: the precomputed top 3 Medicaid codes by revenue account for 79.0% of this provider's total Medicaid revenue. The three leading codes are 97530 ($2.8M, 31.8%), 97110 ($2.3M, 25.9%), and 97140 ($1.9M, 21.2%), which together dominate the book of business.

The code mix indicates a high-volume, exercise- and manual-therapy–oriented outpatient physical therapy practice: 97530 (functional activities), 97110 (therapeutic exercise), and 97140 (manual therapy) are the principal revenue drivers. These codes suggest the operation focuses on repeated therapy visits emphasizing hands-on interventions and structured exercise programs rather than device-based or procedural interventions.

Competitive standing in-state is extremely strong for multiple core codes. The provider ranks #1 for 97110 among 234 providers (100th percentile) and #1 for 97140 among 142 providers (100th percentile), while 97530 ranks #3 of 282 providers (99th percentile); these placements are labeled as extreme outlier volumes, indicating this practice bills far above typical state volumes for those services.

Additional Medicaid codes show similarly elevated usage consistent with intensive PT delivery: 97112 generated $1.5M (17.1%) and ranks #2 of 124 providers (99th percentile, extreme outlier), and 97014 contributed $319.3K (3.6%) and ranks #1 of 36 providers (100th percentile, extreme outlier). Together these higher-ranked ancillary codes reinforce the interpretation of a high-throughput therapy clinic delivering neuromuscular reeducation and electrical stimulation as part of care plans.

Lower-revenue codes and evaluation codes appear at routine volumes, showing the practice’s volume profile is concentrated in treatment units rather than evaluations: 97162 ($11.6K, 0.1%) ranks #10 of 34 providers (73rd percentile, typical), 97535 ($7.2K, 0.1%) ranks #15 of 30 (52nd percentile, typical), and 97161 ($2.5K, 0.0%) ranks #19 of 31 (40th percentile, typical). These placements suggest many visits are follow-up treatment units rather than a proportionally large number of moderate- or high-complexity evaluations.

Operationally, the extremely high claim counts on individual treatment codes signal a high-volume throughput model: examples include 81.8K claims for 97110, 81.3K claims for 97140, and 76K claims for 97530 with average paid/claim figures of $28, $23, and $37 respectively. The combination of very large claim counts and modest per-claim payments is consistent with an outpatient therapy business that accrues revenue primarily through frequent, short-duration therapeutic units.

The provider’s NPI tenure is established but relatively recent: NPI enumerated 2019-07-17 (~7 years ago). Given the concentrated Medicaid revenue base and the status as an in-state outlier on core PT codes, the clinic is positioned as a dominant Medicaid therapy provider in Twin Falls, ID, with limited diversification into other payers based on current filings.

Medicaid: Complete Services Breakdown

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

11 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.	76,010	$40	$2.8M
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…	81,800	$30	$2.3M
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…	81,310	$20	$1.9M
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…	50,400	$30	$1.5M
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…	24,570	$10	$319.3K
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…	180	$70	$11.6K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	290	$30	$7.2K
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.	60	$80	$5.1K
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…	40	$70	$2.5K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	130	$1	$130

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Wright Physical Therapy Limited Partnership — 5 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

11 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.	3	280	1,480	$70	$389.4K
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	230	1,390	$40	$134.8K
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…	2	120	610	$40	$113.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	15	30	270	$60	$89K
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	140	710	$20	$76.4K
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.	16	20	390	$70	$66.4K
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…	1	40	490	$10	$23.4K
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…	19	30	70	$50	$13.1K
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…	10	30	30	$50	$12.7K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	26	40	490	$10	$10.2K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homestyle Direct LLC.	ID	Home Delivered Meals	$0	$65.4M
St Luke's Clinic LLC	ID	Family Medicine Physician	$0	$39.5M
Primary Therapy Source, LLC	ID	Physical Therapist	$0	$11.7M
Smiles 4 Kids, LLC	ID	Pediatric Dentistry	$0	$8.7M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$8.1M
St. Luke's Magic Valley Regional Medical Center, Ltd.	ID	General Acute Care Hospital	$0	$7.9M
Twin Falls School District #411	ID	Local Education Agency (LEA)	$0	$6.6M
Sunshine Therapy LLC	ID	Behavior Analyst	$0	$5.7M
Magic Valley Paramedics L L C	ID	Land Ambulance	$976.6K	$4.6M
Twin Falls Senior Living LLC	ID	Assisted Living Facility	$0	$4.6M

Wright Physical Therapy Limited Partnership — Billing Profile & Reimbursement Data

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Wright Physical Therapy Limited Partnership — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wright Physical Therapy, LLC	ID	Physical Therapist	$0	$816.9K
Jake Naisbitt	ID	Physical Therapist	$92.4K	$0
Cory Christensen	ID	Physical Therapist	$70.1K	$0
Jonathan Barker	ID	Physical Therapist	$69.8K	$0
Isaac Woodward	ID	Physical Therapist	$66.6K	$0
Nicholas Lewis	ID	Physical Therapist	$62.6K	$0
Dekker Smith	ID	Physical Therapist	$45.4K	$0
Justin Lindo	ID	Physical Therapist	$41.1K	$0