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

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

Primary Therapy Source, LLC (NPI 1912027343)

Key Findings

Field	Value
Entity Type	Organization
Organization	Primary Therapy Source, LLC
Address	254 River Vista Pl
City	Twin Falls
State	ID
ZIP	83301
Taxonomy	Physical Therapist
NPI Enumerated	March 30, 2007

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

PRIMARY THERAPY SOURCE, LLC reports no Medicare billing on file and $11.7M in lifetime Medicaid revenue, making its reported business effectively single-payer (Medicaid)-dependent in the available data. Analysts should treat subsequent observations as Medicaid-centric because Medicare activity is absent from the record.

Revenue is highly concentrated: the top three Medicaid codes (97530, 97112, 92507) account for 84.2% of the provider's total Medicaid revenue. Specifically, 97530 generates $5.1M (43.3%), 97112 generates $2.5M (21.1%), and 92507 generates $2.3M (19.8%) of the $11.7M total.

The code mix indicates a high-volume physical therapy operation centered on direct functional activities and neuromuscular reeducation, with substantial speech-language services included. High-revenue codes include 97530 (functional activities), 97112 (neuromuscular reeducation), and 97110/97140 (therapeutic exercise and manual therapy), while the sizable 92507 line shows meaningful speech therapy billing alongside core PT services; this suggests a multi-disciplinary therapy footprint or billing arrangement despite the NPI taxonomy of Physical Therapist.

Competitive standing in-state is unusually strong for the core PT codes: 97530 is ranked #2 of 282 providers in-state and labeled an "extreme outlier" at the 100th percentile, and 97112 is ranked #1 of 124 providers and also an "extreme outlier" at the 100th percentile. The sizable 92507 volume ranks #8 of 210 providers at the 97th percentile ("notably above typical state volume"), together characterizing the provider as a dominant volumetric player in these therapy categories within Idaho.

Revenue is being driven by very high claim volumes at moderate per-claim payments rather than by high unit prices: 97530 shows 80.2K claims at $63 avg paid/claim ($5.1M revenue), 97112 shows 60K claims at $41 avg paid/claim ($2.5M revenue), and 92507 shows 36.6K claims at $63 avg paid/claim ($2.3M revenue). This pattern points to throughput-driven revenue economics where utilization and claim counts are the primary revenue levers.

The concentration of 84.2% of Medicaid revenue in three codes creates material sensitivity to changes in utilization policy or reimbursement for those specific services. Any shifts in Medicaid coverage, prior authorization requirements, or coding enforcement affecting 97530, 97112, or 92507 could materially impact reported revenue given the current concentration.

PRIMARY THERAPY SOURCE, LLC has an established market presence, with its NPI enumerated 2007-03-30 (~19 years ago), which combined with the large sustained claim volumes suggests a long-standing operational footprint in the state Medicaid market. The tenure supports the interpretation that the current high volumes reflect an enduring service model rather than a short-term spike.

While the provider's activity is dominated by a few high-volume PT and speech codes, the billing record also includes smaller volumes of related therapy services (for example, 97110 $1.4M revenue at 32.7K claims, 97140 $209.4K revenue, and occupational/assessment codes like 97165/97166 at minimal revenue). These ancillary codes indicate some breadth of clinical services offered, but they operate at a much smaller scale relative to the revenue-driving core codes.

Medicaid: Complete Services Breakdown

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.	80,250	$60	$5.1M
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…	60,050	$40	$2.5M
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…	36,600	$60	$2.3M
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…	32,650	$40	$1.4M
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…	5,980	$40	$209.4K
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.	2,130	$80	$163.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	340	$160	$53.4K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	130	$70	$8.6K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	70	$70	$4.9K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	10	$70	$1K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Primary Therapy Source, LLC — 4 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho 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.	2	280	1,480	$70	$389.4K
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…	8	210	3,020	$50	$389K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	19	20	850	$60	$149.5K
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…	4	230	1,390	$40	$134.8K
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	120	610	$40	$113.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	29	30	270	$60	$89K
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…	15	140	710	$20	$76.4K
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.	3	20	390	$70	$66.4K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	15	50	60	$140	$47.2K
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…	25	30	300	$10	$14.2K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homestyle Direct LLC.	ID	Home Delivered Meals	$0	$65.4M
St Luke's Clinic LLC	ID	Family Medicine Physician	$0	$39.5M
Wright Physical Therapy Limited Partnership	ID	Physical Therapist	$0	$8.8M
Smiles 4 Kids, LLC	ID	Pediatric Dentistry	$0	$8.7M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$8.1M
St. Luke's Magic Valley Regional Medical Center, Ltd.	ID	General Acute Care Hospital	$0	$7.9M
Twin Falls School District #411	ID	Local Education Agency (LEA)	$0	$6.6M
Sunshine Therapy LLC	ID	Behavior Analyst	$0	$5.7M
Magic Valley Paramedics L L C	ID	Land Ambulance	$976.6K	$4.6M
Twin Falls Senior Living LLC	ID	Assisted Living Facility	$0	$4.6M

Primary Therapy Source, LLC — 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