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

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

Blue Mountain Therapy, LLC (NPI 1760818595)

Field	Value
Entity Type	Organization
Organization	Blue Mountain Therapy, LLC
Address	17507 Lee Hwy
City	Abingdon
State	VA
ZIP	24210
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	September 25, 2013

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	5,620	$260	$1.4M
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.	17,220	$80	$1.3M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	8,320	$130	$1.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	15,360	$60	$875.6K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	4,170	$150	$617K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	2,350	$190	$441.4K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	780	$340	$269.7K
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…	4,870	$60	$267.8K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	960	$200	$192.8K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	1,580	$120	$187.8K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Blue Mountain Therapy, LLC — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	39	80	5,390	$210	$3.8M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	60	90	4,220	$210	$1.6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	48	90	1,030	$260	$977.2K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	24	80	750	$300	$802.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	42	260	3,950	$80	$769.6K
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…	142	400	1,910	$50	$412.6K
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.	38	400	2,060	$60	$407.3K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	8	90	630	$130	$358.9K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	102	200	1,330	$70	$236.3K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	23	120	680	$90	$188.1K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Highlands Community Services	VA	Community/Behavioral Health Agency	$0	$106.4M
Revida Recovery Centers, PC	VA	Addiction Medicine (Family Medicine) Physician	$0	$40.6M
Starting Point Of Virginia, P.C.	VA	Multi-Specialty Clinic/Center	$0	$29M
Maxim Healthcare Services, Inc.	VA	Home Health Agency	$0	$23.4M
Abingdon Convalescent Ambulance Service Incorporated	VA	Ambulance	$397.8K	$6.5M
Team Nurse Inc	VA	Personal Care Attendant	$0	$6M
Matthew Hubbard	VA	Otolaryngology/Facial Plastic Surgery Physician	$240.8K	$26.8K
Jeffrey Neal	VA	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$219.7K	$23.1K
Clinton Sutherland	VA	Internal Medicine Physician	$230.8K	$0
James Dick	VA	Physical Therapist	$220.7K	$0

Blue Mountain Therapy, LLC — Billing Profile & Reimbursement Data

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Blue Mountain Therapy, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References