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

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

Professional Therapies Of Roanoke, Inc. (NPI 1982692323)

Professional Therapies Of Roanoke, Inc. is a rehabilitation clinic/center provider located in Roanoke, Virginia. This profile covers 0 Medicare and 22 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	Professional Therapies Of Roanoke, Inc.
Address	1421 3rd St Sw
City	Roanoke
State	VA
ZIP	24016
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	October 10, 2005

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

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

22 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…	51,100	$60	$3.2M
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.	53,680	$60	$3M
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…	45,720	$60	$2.7M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	5,740	$120	$665.5K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	3,410	$130	$453.8K
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…	4,120	$30	$123.6K
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…	1,730	$70	$115.6K
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…	1,160	$70	$75.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	430	$150	$62.8K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	550	$120	$62.7K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Professional Therapies Of Roanoke, Inc. — 2 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	132	200	2,840	$320	$2.4M
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…	14	260	3,950	$80	$769.6K
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…	12	400	1,910	$50	$412.6K
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.	8	400	2,060	$60	$407.3K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	19	90	630	$130	$358.9K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	36	200	1,330	$70	$236.3K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	29	50	470	$190	$207.4K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	66	120	680	$90	$188.1K
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	200	1,180	$30	$162.8K
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…	37	130	520	$90	$144K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Behavioral Healthcare	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$75.7M
Mainstream Mental Health Services	VA	Community/Behavioral Health Agency	$0	$32.9M
Ehs Support Services, LLC	VA	Community/Behavioral Health Agency	$0	$28.4M
Anderson & Associates, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$17.9M
Hall Community Services Inc	VA	Mental Health Counselor	$0	$16.6M
Vistar Eye Center, Inc	VA	Specialist	$0	$11.4M
It's About Time, Inc	VA	Developmentally Disabled Services Day Training Agency	$0	$9.4M
Roanoke Resource LLC	VA	Community/Behavioral Health Agency	$0	$8.3M
Carilion Medical Center	VA	Home Health Agency	$0	$7.3M
City Of Roanoke	VA	Land Ambulance	$1.2M	$5.8M

Professional Therapies Of Roanoke, Inc. — Billing Profile & Reimbursement Data

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Professional Therapies Of Roanoke, Inc. — 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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