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

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

Laura Markham (NPI 1013047471)

Field	Value
Entity Type	Individual
Organization	Laura Markham
Address	2414 Kohler Memorial Dr
City	Sheboygan
State	WI
ZIP	53081
Taxonomy	Physical Therapist
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicare	$21.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	530	$20	$10.6K
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…	90	$70	$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…	140	$20	$2.5K
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…	80	$20	$1.1K
95992	The provider moves the patient through a series of positions to treat benign paroxysmal positional vertigo. The position changes move canalith particles from parts of the inner ear where they cause…	30	$30	$890
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	30	$10	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Laura Markham — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,215	1,550	280	$20	$6.6K
97112	153	1,070	180	$20	$6K
97140	921	1,180	150	$20	$3.6K
97162	8	790	20	$70	$1.9K
95992	6	10	30	$30	$910
G0283	62	70	80	$10	$640

Nearby Providers

Other providers in the same ZIP code as Laura Markham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vista Care South Dakota, LLC	WI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20M
Sheboygan County Health & Human Services	WI	Community/Behavioral Health Agency	$0	$19.3M
Lakeshore Community Health Care, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$14.7M
Aurora Health Care Central, Inc.	WI	General Acute Care Hospital	$0	$12.4M
Universal Home Health Care, Inc	WI	Home Health Agency	$0	$11.6M
St. Nicholas Hospital-sisters Of The Third Order Of St Francis	WI	General Acute Care Hospital	$0	$5M
Sheboygan County Health & Human Services	WI	Case Management Agency	$0	$4.1M
Sheboygan Area School District	WI	Local Education Agency (LEA)	$0	$3.9M
William Shows	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.9M
Hospice Advantage, LLC	WI	Community Based Hospice Care Agency	$0	$3.6M

Laura Markham — Billing Profile & Reimbursement Data

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Laura Markham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References