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

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

Troy Gubler (NPI 1033210067)

Field	Value
Entity Type	Individual
Organization	Troy Gubler
Address	83 S 2600 W
City	Hurricane
State	UT
ZIP	84737
Taxonomy	Physical Therapist
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicare	$104.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

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…	2,230	$20	$40.1K
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…	1,720	$20	$27.5K
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…	650	$30	$16.2K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	110	$70	$7.9K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	430	$20	$7.3K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	830	$10	$5.8K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	100	$10	$820

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Troy Gubler — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	44	640	410	$20	$13.3K
97112	91	400	290	$20	$10.2K
97140	15	500	280	$20	$6.8K
97116	19	70	130	$20	$5.6K
97163	3	80	20	$70	$3.1K
G0283	25	240	250	$10	$2.6K
97035	35	60	110	$10	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeremy Scholzen	UT	Pediatric Dentistry	$0	$3.9M
Hurricane Valley Fire Special Services District	UT	Land Ambulance	$235.6K	$720.5K
Ihc Health Services Inc	UT	Family Medicine Physician	$0	$558.8K
Hurricane Pediatric Dentistry	UT	Dentist	$0	$449.4K
Casey Muir	UT	Interventional Pain Medicine Physician	$364.6K	$0
Ihc Health Services Inc	UT	Emergency Medicine Physician	$0	$362.2K
Hurricane Family Pharmacy Inc	UT	Community/Retail Pharmacy	$70.1K	$170
Walmart Inc.	UT	Community/Retail Pharmacy	$69K	$0
Joshua Carr	UT	Chiropractor	$57.4K	$0
Danny Worwood	UT	Family Medicine Physician	$42.8K	$0

Troy Gubler — Billing Profile & Reimbursement Data

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Troy Gubler — 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