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

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

South Shore Physical Therapy & Sportsmedicine, Inc (NPI 1760435218)

Field	Value
Entity Type	Organization
Organization	South Shore Physical Therapy & Sportsmedicine, Inc
Address	411 Huku Lii Pl Ste 101
City	Kihei
State	HI
ZIP	96753
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$498.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	9,860	$20	$187.3K
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…	8,110	$20	$186.5K
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…	4,410	$30	$114.7K
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.	430	$20	$10.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Hawaii Distribution

South Shore Physical Therapy & Sportsmedicine, Inc — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

4 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…	14	110	1,000	$40	$108.5K
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.	23	50	320	$40	$66.2K
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…	5	90	690	$20	$47.3K
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	50	220	$30	$35.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Shore Physical Therapy & Sportsmedicine, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tiffany Prangnell	HI	Orthopedic Physical Therapist	$31.6K	$0
Kara-anne Oshiro	HI	Physical Therapist	$26.1K	$4.4K

Nearby Providers

Other providers in the same ZIP code as South Shore Physical Therapy & Sportsmedicine, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cally L. Adams, Dds, LLC	HI	Pediatric Dentistry	$0	$2.6M
Pacific Island Consulting LLC	HI	Community/Behavioral Health Agency	$0	$607.6K
Bocha, LLC	HI	Developmentally Disabled Services Day Training Agency	$0	$406.8K
Amy Reisenauer	HI	Dermatopathology Physician	$389K	$0
Maui Pediatric Dentistry	HI	Pediatric Dentistry	$0	$303.1K
N B Murthi Md PC	HI	Psychiatry Physician	$0	$240.4K
Kihei-wailea Medical Center. LLC	HI	Specialist	$0	$175.1K
Heather Bejenaru	HI	Family Medicine Physician	$172.8K	$0
George M Martin Md, Inc	HI	Specialist	$0	$152.6K
Joann Lepke	HI	Family Nurse Practitioner	$150.8K	$0

South Shore Physical Therapy & Sportsmedicine, Inc — Billing Profile & Reimbursement Data

Sign up for South Shore Physical Therapy & Sportsmedicine, Inc — Billing Profile & Reimbursement Data policy alerts

South Shore Physical Therapy & Sportsmedicine, Inc — Billing Profile & Reimbursement Data

Sign up for South Shore Physical Therapy & Sportsmedicine, Inc — 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