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

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

Optimal Physical Therapy, LLC (NPI 1962894451)

Field	Value
Entity Type	Organization
Organization	Optimal Physical Therapy, LLC
Address	4120 S Poplar St
City	Casper
State	WY
ZIP	82601
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	February 20, 2015

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Key Findings

OPTIMAL PHYSICAL THERAPY, LLC is effectively a Medicaid-focused therapy provider with no Medicare billing on file and $2.5M in total Medicaid revenue, indicating its payer mix is single-payer in practice and operations are concentrated on state Medicaid business rather than Medicare. The absence of any Medicare revenue suggests referral patterns, contracting, or beneficiary mix are oriented toward the Medicaid population in Wyoming rather than Medicare beneficiaries.

Revenue is highly concentrated in a small set of services: the top three Medicaid codes (97110, 97530, 92507) together account for 99.8% of the provider’s Medicaid revenue, signaling that therapeutic exercise, therapeutic activities/functional performance training, and speech/hearing treatment are the core service lines driving almost all billing. This concentration implies limited service-line diversification and operational focus on high-volume rehab services.

97110 (therapeutic exercise) is the single largest revenue driver with $1.2M in revenue and 19.2K claims, comprising 48.1% of the provider’s Medicaid revenue; the provider ranks #1 of 44 in-state and is described as an extreme outlier and far above typical state volume for this code. This indicates the clinic operates at a scale for basic therapeutic exercise that considerably exceeds typical peers in Wyoming and is likely a dominant regional provider for that service.

97530 (therapeutic activities) is the second major driver with $931.6K in revenue and 18.6K claims, representing 37.0% of Medicaid revenue and ranking #2 of 39 providers in-state at the 97th percentile (notably above typical state volume). Together with 97110, these two codes make up the bulk of clinical volume and suggest a service mix focused on high-frequency, roughly 15-minute direct-contact therapy interventions.

92507 (speech/hearing treatment) contributes $368K and 8K claims (14.6% of Medicaid revenue) and ranks #2 of 25 in-state at the 96th percentile (notably above typical state volume), showing that speech-language services are a meaningful secondary line of business rather than a marginal offering. The presence of substantial 92507 billing alongside PT/OT codes points to a mixed rehabilitation practice that includes both physical and speech therapy caseloads at scale.

Competitive standing within Wyoming is strong for the provider’s dominant codes: #1 state rank for 97110 (extreme outlier) and top-percentile placements for 97530 and 92507 indicate the entity is a major in-state provider for core therapy services rather than a modest participant. These rankings suggest the clinic may capture a disproportionate share of Medicaid therapy demand in its market relative to most peers.

The provider has been enumerated since 2015-02-20 (approximately 11 years), giving it a multi-year tenure that supports establishment of recurring referral relationships and operational capacity to sustain the high volumes reported for its top codes. This tenure, combined with concentrated code volumes, points to an established local operation focused on high-throughput therapy delivery.

Lower-volume evaluation and specialized codes (for example 97161, 97166, 97162, 92523) generate de minimis revenue shares (each listed at 0.1% or 0.0%) and rank at modest positions in-state, indicating that formal evaluations and some specialized services are offered but are not primary revenue drivers. This pattern reinforces that the business model emphasizes high-frequency therapy units (97110/97530) and a substantial speech therapy caseload rather than broad diversification across evaluation-heavy or specialized procedure codes.

Medicaid: Complete Services Breakdown

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

7 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…	19,200	$60	$1.2M
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.	18,630	$50	$931.6K
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…	8,000	$50	$368K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$160	$2.1K
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…	20	$70	$1.3K
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…	20	$60	$1K
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…	10	$70	$960

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Optimal Physical Therapy, LLC — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

7 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	40	1,590	$50	$181.4K
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…	2	30	1,410	$50	$144.2K
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	40	470	$30	$75.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	2	10	10	$140	$4K
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	10	20	$60	$1.5K
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…	3	10	30	$20	$480
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…	2	10	60	$10	$480

Related Providers

Other providers that share a Tax Identification Number (TIN) with Optimal Physical Therapy, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeremy Bieber	WY	Physical Therapist	$58.2K	$0
Elyse Johnson	WY	Speech-Language Pathologist	$41.5K	$0
Jacob Bratton	WY	Physical Therapist	$39.3K	$0
Erik Hiipakka	WY	Physical Therapist	$35.1K	$0

Nearby Providers

Other providers in the same ZIP code as Optimal Physical Therapy, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Optimal Physical Therapy, LLC — Billing Profile & Reimbursement Data

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Optimal Physical Therapy, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References