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

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

Golden Bear Physical Therapy Sports Injury Center, Inc (NPI 1811084676)

Golden Bear Physical Therapy Sports Injury Center, Inc is a physical therapy clinic/center provider located in Modesto, California. This profile covers 0 Medicare and 14 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	Golden Bear Physical Therapy Sports Injury Center, Inc
Address	4318 Spyres Way
City	Modesto
State	CA
ZIP	95356
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicaid	$36.5M
Medicare	$0

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

14 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…	345,780	$40	$13.5M
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…	372,260	$20	$7.4M
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…	309,680	$20	$5.9M
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.	134,840	$20	$3.1M
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	41,820	$50	$1.9M
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	165,010	$10	$1.7M
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…	34,530	$50	$1.6M
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	8,170	$80	$686.1K
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.	7,450	$70	$551.2K
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…	14,480	$10	$115.9K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Golden Bear Physical Therapy Sports Injury Center, Inc — 8 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

14 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…	4	2,110	1,330	$30	$200.7K
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	1,170	1,000	$20	$126.4K
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.	8	80	510	$40	$120K
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.	3	1,190	930	$30	$117K
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	1	420	610	$40	$87.6K
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	970	740	$20	$69.2K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	2	420	860	$10	$47.2K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	11	630	130	$60	$47K
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	168	180	70	$70	$44.5K
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…	36	400	990	$10	$34.2K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yosemite Pathology Medical Group, Inc	CA	Anatomic Pathology & Clinical Pathology Physician	$0	$33.7M
American Medical Response West	CA	Ambulance	$4.5M	$15.3M
Rangram Chandran	CA	Ophthalmology Physician	$1.4M	$0
Kyle Heron	CA	Pain Medicine (Anesthesiology) Physician	$159.4K	$273.3K
Anthony Victorio	CA	Anatomic Pathology & Clinical Pathology Physician	$406.8K	$0
Donovan Hare	CA	Anatomic Pathology & Clinical Pathology Physician	$298.5K	$0
Prakashchandra Chaudhari	CA	Anatomic Pathology & Clinical Pathology Physician	$150.2K	$0
Aruna Dash	CA	Anatomic Pathology & Clinical Pathology Physician	$88.2K	$0
Katherine Pettyjohn	CA	Primary Care Clinic/Center	$27.9K	$0
Deepthi Rimmalapudi	CA	Endocrinology, Diabetes & Metabolism Physician	$2.2K	$0

Golden Bear Physical Therapy Sports Injury Center, Inc — Billing Profile & Reimbursement Data

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Golden Bear Physical Therapy Sports Injury Center, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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References