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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMdrs Spine & Sport, Inc
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    Mdrs Spine & Sport, Inc — Billing Profile & Reimbursement Data

    NPI 1952394603 · San Diego, CA · Multi-Specialty Clinic/Center

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    Mdrs Spine & Sport, Inc is a multi-specialty clinic/center provider located in San Diego, California. This profile covers 0 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMdrs Spine & Sport, Inc
    Address3707 Convoy St Ste 100
    CitySan Diego
    StateCA
    ZIP92111
    TaxonomyMulti-Specialty Clinic/Center
    NPI EnumeratedAugust 29, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$48.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97139Use 97139 to report therapeutic procedures that do not have a specific code.516,750$30$15.5M
    97530The 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.396,610$30$11.5M
    97110Therapeutic 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…455,680$20$10M
    97161The 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…79,410$50$4.2M
    97140Manual 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…110,990$20$2M
    97113The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.37,120$40$1.4M
    97112Neuromuscular 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…68,820$10$963.5K
    97010The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.133,130$10$931.9K
    97799Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.21,120$30$633.7K
    97014The 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…52,260$10$574.8K

    Showing 1–10 of 26

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5165Home modifications; per service152070$1,120$483K
    97139Use 97139 to report therapeutic procedures that do not have a specific code.12902,010$20$243.3K
    97110Therapeutic 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…22,1101,330$30$200.7K
    97799Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.121801,210$20$151.6K
    97140Manual 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…91,1701,000$20$126.4K
    97113The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.180510$40$120K
    97530The 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.11,190930$30$117K
    97750The 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…16420610$40$87.6K
    97112Neuromuscular 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…8970740$20$69.2K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.56520380$40$62.8K

    Showing 1–10 of 26

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mdrs Spine & Sport, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher WolfingerCAPhysical Therapist$165.3K$0
    Brandon PhelpsCAPhysical Therapist$132.1K$0
    Anthony GravinILPhysical Therapist$124.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Mdrs Spine & Sport, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    San Diego Family CareCAFederally Qualified Health Center (FQHC)$0$36.7M
    American Truecare, IncCACase Management Agency$0$26.8M
    Ian PurcellCANeurology Physician$1.3M$0
    Theresa TimonyCAPsychiatric/Mental Health Nurse Practitioner$875.5K$0
    Kevin SmithCAPain Medicine (Anesthesiology) Physician$183.8K$0
    Monali PatelCANeurology Physician$145.4K$0
    Christopher HuntCAInternal Medicine Physician$122.2K$0
    Raymond ChanCAOphthalmology Physician$112.1K$0
    Paul KimCAPain Medicine (Anesthesiology) Physician$105.7K$60
    Harmeeth UppalCAOrthopaedic Trauma Physician$53.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Mdrs Spine & Sport, Inc — 12 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California