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

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

Apple Physical Therapy, LLC (NPI 1902808470)

Apple Physical Therapy, LLC is a physical therapist provider located in Auburn, Washington. 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	Apple Physical Therapy, LLC
Address	720 12th St Se
City	Auburn
State	WA
ZIP	98002
Taxonomy	Physical Therapist
NPI Enumerated	August 12, 2005

Payer Source	Total Paid
Medicaid	$31.3M
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
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.	423,420	$30	$14.4M
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…	458,680	$20	$10.5M
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…	126,630	$20	$2.9M
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…	148,670	$20	$2.4M
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…	9,900	$50	$494.9K
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…	6,360	$50	$311.8K
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…	2,650	$50	$132.4K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	970	$70	$67K
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…	2,590	$10	$23.3K
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…	330	$20	$5.9K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Apple Physical Therapy, LLC — 6 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

14 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	590	1,280	$50	$244.5K
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…	1	480	1,160	$30	$180.9K
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	340	1,240	$20	$96.8K
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	280	570	$30	$87.5K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	22	100	180	$30	$41.2K
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…	3	150	190	$40	$36.1K
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…	18	190	160	$50	$34.2K
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…	20	80	730	$10	$28.4K
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…	1	50	60	$40	$25K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	82	100	110	$40	$18K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tyee Charlton	CA	Physical Therapist	$95.5K	$60.5K
Lloyd Paul Frasier	ID	Physical Therapist	$121.6K	$0
Artur Pniak	WA	Physical Therapist	$68.6K	$0
Samantha Maki	WA	Physical Therapist	$36.7K	$0
Nathan Dailey	SC	Physical Therapist	$34.4K	$0
Lucie Khadduri	WA	Physical Therapist	$29.1K	$0
Trevor Moneer	WA	Physical Therapist	$26K	$0
Tori Carroll	MN	Orthopedic Physical Therapist	$21.2K	$0
Charity Pilch	WA	Occupational Therapist	$10.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
We Care Daily Clinics LLC	WA	Methadone Clinic	$166.2K	$260.6M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$14.5M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$3M
Eid, Jaber, Jassar, PLLC	WA	Dental Clinic/Center	$0	$2.7M
Rahul Mandiga	WA	Retina Specialist (Ophthalmology) Physician	$1.9M	$1.3K
Benjamin Reiss	WA	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
South Sound Surgery, PLLC	WA	Ambulatory Surgical Clinic/Center	$137.6K	$457K
Joshua Frenkel	WA	Ophthalmology Physician	$306.8K	$0
Ashish Trivedi	WA	Specialist	$295.5K	$0
Richard Beller	WA	Ophthalmology Physician	$293.2K	$0

Apple Physical Therapy, LLC — Billing Profile & Reimbursement Data

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Apple Physical Therapy, 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

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