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    OpenPayerNPI Medicare & MedicaidAlex Wohl
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    Alex Wohl — Billing Profile & Reimbursement Data

    NPI 1740882760 · West Fargo, ND · Physical Therapist

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    Alex Wohl is a physical therapist provider located in West Fargo, North Dakota. This profile covers 6 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAlex Wohl
    Address102 W Beaton Dr Ste 105
    CityWest Fargo
    StateND
    ZIP58078
    TaxonomyPhysical Therapist
    NPI EnumeratedNovember 13, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$222.1K
    Medicaid$0

    Key Findings

    This provider is a Physical Therapist based in WEST FARGO, ND, with an NPI enumerated on 2020-11-13 (~6 years ago). Lifetime Medicare revenue on file is $222.1K and there is no Medicaid billing on file, so the provider operates effectively as a Medicare-only billing entity in the available data.

    Clinical/service-line mix is dominated by hands-on, time-based physical therapy interventions: the largest single code is 97530 (activity-based therapy), followed by 97112 (neuromuscular reeducation) and 97110 (therapeutic exercise). High claim counts for these codes (97530: 4K claims; 97112: 2.5K claims; 97110: 1.9K claims) and the code descriptions indicate an operational focus on frequent, short-duration therapeutic sessions rather than infrequent high-complexity evaluations.

    Revenue concentration is high: the precomputed top-3 Medicare codes account for 84.0% of the provider’s total Medicare revenue. Individually those top codes produce $101.1K (97530, 46.3% of Medicare revenue), $50.2K (97112, 23.0%), and $31.9K (97110, 14.6%), which together drive the majority of the $222.1K Medicare lifetime revenue on file.

    Competitive standing on national benchmarks is unusual: 97530 ranks #405 of 62717 providers nationally (99th percentile; extreme outlier) and 97112 ranks #763 of 61940 providers nationally (99th percentile; extreme outlier), indicating this provider bills these specific codes at volumes far above typical national peers. By contrast, 97110 sits at the 91th percentile (rank #7432 of 79999) and is described as typical, so dominance is code-specific rather than across all common PT codes.

    Two additional CPTs show meaningful presence and different statistical character: 97116 contributes $27.3K (12.5% of Medicare revenue) with rank #266 of 11762 (98th percentile; notably above typical national volume), while 97161 and 97162 appear at much smaller volumes ($6.5K and $1.1K respectively) and are characterized as typical or unremarkable. This pattern suggests the practice emphasizes therapeutic treatment units over high-volume, higher-complexity evaluation codes.

    Operational and reimbursement implications follow from the billing mix and payment levels: the highest-volume codes have low average paid amounts per claim (97530 $25 avg paid/claim, 97112 $20 avg paid/claim, 97110 $17 avg paid/claim), consistent with many short, timed units (15-minute increments). That structure yields good aggregate revenue given volume but also creates sensitivity to Medicare unit-value changes or utilization audits focused on per-unit therapy billing.

    From a market-scale perspective, total Medicare lifetime revenue of $222.1K places the provider at a modest absolute dollar scale even though certain code volumes are unusually high nationally. In short, the provider is a small-scale Medicare revenue generator overall but a major outlier in national billing volume for a small set of hands-on therapy codes, and there is no Medicaid activity to provide diversification.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97530The 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.4,040$30$101.1K
    97112Neuromuscular 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…2,510$20$50.2K
    97110Therapeutic 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…1,880$20$31.9K
    97116The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…1,610$20$27.3K
    97161The 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…90$80$6.5K
    97162The 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…20$70$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    975302140230$20$10.8K
    971104270370$20$9K
    971121150240$20$6.8K
    97116130110$20$3.6K
    971611017030$70$2.7K
    97162396020$70$2.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Great Kids Therapy, Ltd.NDOccupational Therapist$0$376.1K
    Total Balance Physical Therapy And Fitness, LLCNDPhysical Therapist$0$315.7K
    Anthony CharbonneauNDOrthopedic Physical Therapist$126.8K$0
    Connor TeskeNDPhysical Therapist$64.5K$0
    Emily ChenowethMNOccupational Therapist$59.1K$0
    Shauna NelsonNDOccupational Therapist$56.8K$0
    Aaron ProefrockWYPhysical Therapist$49.8K$0
    Briton BussmanMNPhysical Therapist$41.3K$0
    Isaiah GreeneCOPhysical Therapist$38.2K$0
    Alissa KoenigNDPhysical Therapist$34.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Alex Wohl, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    North Dakota Autism Center, IncNDCommunity/Behavioral Health Agency$0$5.7M
    West Fargo Public School District 6NDHome Health Registered Nurse$0$2.6M
    Fm Endoscopy Center LLCNDAmbulatory Surgical Clinic/Center$2.5M$0
    Michael GreenwoodNDOphthalmology Physician$530.7K$0
    Innovis Health, LLCNDMulti-Specialty Clinic/Center$0$235K
    Optimal Chiropractic PLLCNDChiropractor$0$221K
    Kci Usa, Inc.NDDurable Medical Equipment & Medical Supplies$0$185.9K
    Innovis Health LLCNDFamily Medicine Physician$0$157.3K
    Matthew FriederichsNDSports Medicine (Orthopaedic Surgery) Physician$126K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Dakota Distribution
    Alex Wohl — 4 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota