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

Why is the Medicaid comparison limited to New York 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. New York (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.

Sports Physical Therapy Occupational Therapy And Rehabilitation Servic (NPI 1770540593)

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Sports Physical Therapy Occupational Therapy And Rehabilitation Servic
Address	801 Merrick Ave
City	East Meadow
State	NY
ZIP	11554
Taxonomy	Hand Physical Therapist
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicaid	$25.4M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	193,420	$80	$15.1M
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…	95,010	$40	$3.6M
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.	28,090	$100	$2.7M
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…	24,740	$80	$1.9M
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…	14,860	$110	$1.6M
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…	2,070	$100	$213.5K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	980	$120	$119.1K
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…	5,560	$10	$72.3K
97116	The 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…	4,190	$10	$46.1K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	990	$30	$25.7K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 5 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

15 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.	52	2,060	1,300	$60	$322.2K
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	2,430	1,310	$40	$257.8K
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…	40	1,320	720	$30	$128K
97116	The 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…	59	360	490	$40	$112.1K
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…	4	1,560	1,010	$20	$89.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	123	380	420	$40	$83.4K
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…	3	790	170	$70	$55.2K
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…	43	640	130	$70	$45.4K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	69	100	70	$110	$40.9K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	22	160	130	$90	$38.6K

Showing 1–10 of 15

Other providers that share a Tax Identification Number (TIN) with Sports Physical Therapy Occupational Therapy And Rehabilitation Servic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nassau Health Care Corporation	NY	General Acute Care Hospital	$0	$42.1M
County Of Nassau County Controller	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$344.6K	$8.4M
Christopher Calapai	NY	Family Medicine Physician	$1.9M	$380
Michael Drabkin	NY	Vascular & Interventional Radiology Physician	$1.1M	$1.8K
Jay Purvin	NY	Podiatrist	$345.3K	$178K
Jason Lipetz	NY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$466.3K	$0
Albert Ferrara	NY	Internal Medicine Physician	$422.6K	$21.1K
Genia Bekker	NY	Obstetrics & Gynecology Physician	$283.9K	$100K
Michael Schwartz	NY	Sports Medicine (Orthopaedic Surgery) Physician	$343.4K	$0
Faina Akselrod	NY	Obstetrics & Gynecology Physician	$302.9K	$39.3K

Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — Billing Profile & Reimbursement Data

Sign up for Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — Billing Profile & Reimbursement Data policy alerts

Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — Billing Profile & Reimbursement Data

Sign up for Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 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