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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Vimar Therapy Group Inc (NPI 1891841862)

Key Findings

Field	Value
Entity Type	Organization
Organization	Vimar Therapy Group Inc
Address	Roberto Clemente Blk 27 16 Villa Carolina
City	Carolina
State	PR
ZIP	00987
Taxonomy	Clinic/Center
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

VIMAR THERAPY GROUP INC is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and reported lifetime Medicaid revenue is $16.8M. This makes all utilization and revenue patterns observable here Medicaid‑centric, so assessments of adult/Medicare service volumes cannot be drawn from these data.

Revenue is highly concentrated in three procedure codes: 92507 ($9.2M, 54.9% of Medicaid revenue), 97533 ($4.1M, 24.2%), and 97530 ($1.7M, 10.3%), and the precomputed top‑3 codes account for 89.3% of this provider’s total Medicaid revenue. This concentration indicates that a very small set of service lines drives the overwhelming majority of reimbursement.

The code mix and descriptions point to a specialty in speech/language pathology and intensive pediatric/rehabilitative therapies: 92507 (direct speech/hearing intervention), 97533 (sensory integrative techniques often used for autism/brain injury), and 97530 (therapeutic activities) are the dominant services. Together these suggest an operational focus on high‑volume, repeat therapy visits and programs likely oriented to developmental and neurorehabilitation populations.

VIMAR shows dominant statewide market positions for multiple high‑revenue codes: 92507 ranks #1 of 141 providers in‑state and is labeled an "extreme outlier," while 97530 also ranks #1 of 42 providers (100th percentile; extreme outlier). 97533 ranks #3 of 46 providers (95th percentile; notably above typical state volume), indicating the provider is a major regional player for sensory integrative and therapeutic activity services.

Beyond the top three, the provider also reports leading ranks on several evaluation and instruction codes that indicate breadth of services: 92523 (evaluation of speech sound production) generated $459.5K (2.7%) and ranks #1 of 35 (100th percentile; extreme outlier), 97535 (therapeutic instruction) produced $245.9K (1.5%) and ranks #1 of 6 (100th percentile), and 97167 (high‑complexity OT evaluation) produced $97.5K (0.6%) and ranks #1 of 8 (100th percentile). These results point to an integrated model offering both evaluation and ongoing therapy.

Operational scale is evident in extremely large claim volumes for core codes (e.g., 205.2K claims for 92507, 84.7K for 97533, 50.8K for 97530) combined with modest average payments per claim ($45, $48, $34 respectively). This pattern is consistent with a high‑throughput, session‑based service delivery model where volume drives revenue rather than high per‑encounter reimbursement.

Tenure is long enough to indicate established operations: the NPI was enumerated 2007-01-25 (~19 years ago). For payers and network managers, this longevity plus concentrated Medicaid market share suggests the provider is a stable source of pediatric/rehab capacity in its region and should be considered in network planning for those service lines.

A key limitation for payer analysis is the absence of Medicare billing; conclusions about adult post‑acute or Medicare population services cannot be drawn from these data. Given the Medicaid concentration and the provider’s outlier status on several pediatric/therapy codes, any contracting or utilization‑management decisions should focus on verifying service settings, patient mix (e.g., pediatric vs adult), and documentation consistent with high visit volumes.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	205,150	$50	$9.2M
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	84,730	$50	$4.1M
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.	50,790	$30	$1.7M
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	4,340	$110	$459.5K
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…	16,240	$20	$259.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	8,200	$30	$245.9K
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…	8,680	$30	$234.3K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	10,060	$20	$150.9K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	5,660	$20	$135.8K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	1,990	$50	$97.5K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

Vimar Therapy Group Inc — 7 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	3	50	1,850	$70	$843.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	22	30	1,520	$50	$509.8K
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…	1	140	2,620	$50	$505.7K
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	40	1,150	$40	$135.4K
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…	8	180	2,150	$20	$95.2K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	152	160	3,960	$20	$89.7K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	3	10	1,810	$20	$87.6K
97039	Use 97039 to report procedures in which the provider uses a physical therapy modality that does not have a specific code.	3	10	3,650	$20	$81.5K
92521	A speech–language pathologist (SLP) evaluates the patient's speech fluency for issues such as stuttering or cluttering.	3	10	110	$90	$77.2K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	2	10	1,040	$20	$60.6K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mervin Figueroa-pinto	PR	Gastroenterology Physician	$0	$1.5M
Laboratorio Clinico Parque Escorial	PR	Clinical Medical Laboratory	$22.8K	$1.4M
Emergency Medical Inc	PR	Land Ambulance	$23.6K	$276.4K
Evolution Ambulance Inc.	PR	Land Ambulance	$13.4K	$196.9K
Walgreen Co	PR	Pharmacy	$95.6K	$0
Thaer Abukhalil	PR	Emergency Medicine Physician	$63K	$0
Hector Santos	PR	Neurology Physician	$25.2K	$0
Caribe Pharmacy Management LLC	PR	Community/Retail Pharmacy	$23.8K	$0
Salvador Ribot Ruiz	PR	General Practice Physician	$210	$0

Vimar Therapy Group Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References