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

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

Benchmark Physical Therapy Of Oregon LLC (NPI 1801257191)

Benchmark Physical Therapy Of Oregon LLC is a physical therapist provider located in Grants Pass, Oregon. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Benchmark Physical Therapy Of Oregon LLC
Address	497 Sw Ramsey Ave
City	Grants Pass
State	OR
ZIP	97527
Taxonomy	Physical Therapist
NPI Enumerated	March 14, 2016

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

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

13 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.	140,390	$30	$3.9M
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…	133,140	$30	$3.3M
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…	68,100	$20	$1.3M
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…	58,640	$20	$1.3M
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…	2,840	$60	$159.1K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	9,800	$10	$98K
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…	160	$40	$7K
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.	70	$40	$2.5K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	40	$40	$1.6K
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…	10	$60	$800

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Benchmark Physical Therapy Of Oregon LLC — 6 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

13 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.	1	290	770	$60	$252K
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	350	760	$30	$116.5K
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	350	610	$30	$73.9K
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…	1	150	450	$30	$53.8K
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.	7	10	100	$90	$51.7K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	2	10	290	$10	$24.8K
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…	5	10	40	$60	$10.8K
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…	12	60	50	$70	$10.3K
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…	1	70	40	$50	$8.6K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	5	10	130	$10	$6.8K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante Three Rivers Medical Center, LLC	OR	General Acute Care Hospital	$0	$27.7M
Kairos Northwest	OR	Community/Behavioral Health Agency	$0	$20.7M
Asante Three Rivers Medical Center LLC	OR	General Acute Care Hospital	$0	$5.2M
Women's Health Center Of Southern Oregon PC	OR	Obstetrics & Gynecology Physician	$0	$3.7M
Star Dialysis LLC	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Asante Community Services LLC	OR	Customized Equipment (DME)	$0	$2.2M
Three Rivers Radiology Associates, PC	OR	Diagnostic Radiology Physician	$0	$1.8M
Daniel Cowley	OR	Adult Reconstructive Orthopaedic Surgery Physician	$249K	$0
Joseph Vella	OR	Foot & Ankle Surgery Podiatrist	$218.1K	$0
Henry Ssentongo	OR	Hospitalist Physician	$172.2K	$0

Benchmark Physical Therapy Of Oregon LLC — Billing Profile & Reimbursement Data

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Benchmark Physical Therapy Of Oregon 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

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regina Monaco	AZ	Physical Therapist	$249.8K	$0
Chris Campbell	OR	Physical Therapist	$184.3K	$0
Rebecca Lupescu	OR	Physical Therapist	$59.5K	$0
Jonathan Anders	OR	Physical Therapist	$59.5K	$0
Ty Balty	GA	Physical Therapist	$59.1K	$0
Christopher Williams	OR	Physical Therapist	$55.6K	$0
Kelsey Dumond	ME	Physical Medicine & Rehabilitation Physician	$38.3K	$0
Joseph Hunter	OR	Physical Therapist	$37.8K	$0
Jill Laughlin	OR	Physical Therapist	$15.4K	$0
Jeanette Haro	OR	Hand Occupational Therapist	$14.3K	$0