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

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

Zachary Weber (NPI 1013431584)

Field	Value
Entity Type	Individual
Organization	Zachary Weber
Address	18511 Highlander Medics St
City	Fort Bliss
State	TX
ZIP	79906
Taxonomy	Orthopedic Physical Therapist
NPI Enumerated	July 27, 2017

Payer Source	Total Paid
Medicare	$5.8K
Medicaid	$0

Key Findings

This provider is an Orthopedic Physical Therapist by taxonomy and bills predominantly for functional therapeutic activities and neuromuscular reeducation, as reflected in the two revenue-driving CPT codes 97530 and 97112. The code descriptions and the claim mix indicate a narrow service line focused on improving patient functional performance and neuromuscular retraining rather than a broader set of physical therapy procedures.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider's Medicare revenue, with 97530 representing 65.2% and 97112 representing 34.8% of total Medicare revenue. Both codes together therefore drive all reported Medicare dollars, leaving no material Medicare revenue outside these modalities.

Scale of Medicare activity is small in absolute terms — total Medicare revenue on file is $5.8K with 161 claims for 97530 ($23 avg paid/claim, $3.7K revenue) and 104 claims for 97112 ($19 avg paid/claim, $2K revenue). These claim counts and dollar amounts indicate a modest Medicare-facing practice rather than a high-volume provider.

Payer mix is effectively single-payer at the claims level: there is no Medicaid billing on file for this provider. Analysts should treat this entity as Medicare-centric for available records and recognize there is no Medicaid revenue base to evaluate for state-level market comparisons.

Competitive standing versus national peers is modest. 97530 ranks #46108 of 62717 providers nationally (26th percentile) and 97112 ranks #50751 of 61940 providers nationally (18th percentile), both described as "typical, unremarkable volume for this code," which places the provider in the lower quartiles for these code volumes rather than among dominant national performers.

Despite being enumerated since 2017-07-27 (~9 years ago), the provider’s Medicare billing footprint remains limited in dollar terms. The multi-year tenure indicates an established NPI but the combination of low total revenue and focused code mix suggests a constrained Medicare practice or limited Medicare patient panel.

Average payments per claim are modest and consistent with outpatient physical therapy interventions: $23 avg paid/claim for 97530 and $19 avg paid/claim for 97112. Those per-claim payment levels, together with the described claim counts, reinforce that revenue is driven by routine PT procedure volumes rather than high-value or unusually reimbursed services.

Both reported CPT codes carry the plain-English statistical label of "typical, unremarkable volume for this code," so there are no flagged statistical outliers in this provider's Medicare billing profile. The absence of other billed codes further indicates a narrow, consistent treatment focus rather than a diverse procedural mix.

Medicare: Complete Services Breakdown

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

2 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.	160	$20	$3.7K
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…	100	$20	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Zachary Weber — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	3	2,720	350	$20	$14.3K
97112	5	2,900	300	$20	$10.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Zachary Weber, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lance Croghan	KY	Physical Therapist	$86.1K	$0
Ryan Hamilton	KY	Physical Therapist	$81.2K	$2.5K
Elizabeth Ellis	KY	Physical Therapist	$68.5K	$0
Andrea Johnson	KY	Physical Therapist	$61.9K	$5.5K
Elizabeth Goodin	KY	Physical Therapist	$59K	$0
Deric Parrish	KY	Physical Therapist	$53.6K	$0
Christopher Hartlage	KY	Physical Therapist	$52.3K	$0
Chad Garvey	IN	Physical Therapist	$51.5K	$0
Brandon Samuels	KY	Physical Therapist	$50.5K	$0
Stephanie Elliot	KY	Physical Therapist	$47.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
December Nine Company Ltd	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.1M
Michael Redd	TX	Diagnostic Radiology Physician	$9K	$0

Zachary Weber — Billing Profile & Reimbursement Data

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Zachary Weber — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References