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

Why is the Medicaid comparison limited to West 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. West 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.

Country Roads Physical Therapy And Rehabilitation (NPI 1831147297)

Field	Value
Entity Type	Organization
Organization	Country Roads Physical Therapy And Rehabilitation
Address	1509 Fairmont Avenue
City	Fairmont
State	WV
ZIP	26554
Taxonomy	Physical Therapist
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 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…	40,640	$30	$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…	37,750	$20	$830.5K
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…	29,890	$20	$687.5K
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.	10,090	$20	$242.1K
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…	1,970	$60	$116.2K
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…	7,750	$10	$100.7K
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…	230	$60	$12.4K
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…	310	$40	$11.7K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	840	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Country Roads Physical Therapy And Rehabilitation — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

9 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.	8	140	790	$90	$469.7K
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…	1	210	1,780	$30	$125.8K
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…	1	110	740	$30	$64.5K
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	150	710	$20	$47.3K
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…	6	60	210	$50	$26.1K
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	110	750	$10	$17.7K
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…	18	50	110	$50	$14.2K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	11	20	900	$10	$9.4K
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…	4	20	50	$40	$6.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Olympia Orthopaedic Associates PLLC	WA	Ambulatory Surgical Clinic/Center	$6M	$6.8M
Ryan Halpin	WA	Neurological Surgery Physician	$756.1K	$0
Douglas Taylor	WA	Pain Medicine (Anesthesiology) Physician	$514.3K	$0
Andrew Manista	WA	Orthopaedic Surgery Physician	$454.4K	$0
Zachary Abbott	WA	Interventional Pain Medicine Physician	$452.6K	$0
Peter Wood	WA	Orthopaedic Surgery Physician	$386.5K	$0
Thomas Helpenstell	WA	Orthopaedic Foot and Ankle Surgery Physician	$301.8K	$0
Robert Mckay	WA	Specialist	$246.6K	$0
Gregory Byrd	WA	Orthopaedic Hand Surgery Physician	$241.3K	$0
Darrin Trask	WA	Orthopaedic Surgery Physician	$241.1K	$0

Nearby Providers

Other providers in the same ZIP code as Country Roads Physical Therapy And Rehabilitation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monongahela Valley Association Of Health Centers, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$16.6M
Alecto Healthcare Services Fairmont LLC	WV	General Acute Care Hospital	$0	$11.7M
Radiological Physician Associates Inc	WV	Diagnostic Radiology Physician	$0	$11.1M
Bbc Rehab, Pc,inc	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.5M
Bioscrip Infusion Services, LLC	WV	Home Infusion Therapy Pharmacy	$0	$8.8M
Marion County Rescue Squad Inc	WV	Land Ambulance	$833K	$7.6M
Family Service Of Marion & Harrison Counties Inc	WV	Community/Behavioral Health Agency	$0	$5.5M
Essential Needs Homecare	WV	In Home Supportive Care Agency	$0	$4.7M
Yale Academy LLC	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.8M
Youth Academy, LLC	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.8M

Country Roads Physical Therapy And Rehabilitation — Billing Profile & Reimbursement Data

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Country Roads Physical Therapy And Rehabilitation — 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