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

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

Cliff Prather (NPI 1063016582)

Field	Value
Entity Type	Individual
Organization	Cliff Prather
Address	200 Maple Valley Dr
City	Farmington
State	MO
ZIP	63640
Taxonomy	Physical Therapist
NPI Enumerated	November 25, 2020

Payer Source	Total Paid
Medicare	$132.7K
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
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.	2,310	$20	$46.3K
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…	2,050	$20	$30.8K
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…	1,990	$20	$29.9K
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…	1,160	$20	$20.8K
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…	60	$70	$4.3K
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…	60	$20	$830

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. Missouri Distribution

Cliff Prather — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	40	990	360	$20	$13.8K
97110	69	1,130	420	$20	$12K
97112	70	970	290	$20	$8.9K
97116	5	150	190	$20	$7.8K
97140	725	810	210	$20	$5.3K
97162	57	530	30	$70	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicole Tucker	UT	Physical Therapist	$310.7K	$0
Avril Prabakaran	MO	Physical Therapist	$307.3K	$0
Madeline Weyland	IL	Physical Therapist	$290.7K	$0
Bridgette Likens	IN	Physical Therapist	$258.5K	$0
Molly Muhl	IL	Occupational Therapist	$240.1K	$0
Ryan Beaty	IL	Physical Therapist	$237.7K	$0
Sarah Francis	TX	Occupational Therapist	$226.6K	$0
Catherine Carrier	IL	Occupational Therapist	$207.5K	$11.2K
Peter Wayne	TX	Physical Therapist	$211.9K	$0
Jessica Clutter	MO	Physical Therapist	$194.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkland Health Center	MO	General Acute Care Hospital	$0	$33.5M
L.i.f.e Center For Independent Living	MO	Specialist	$0	$19.5M
St. Francois County Ambulance District	MO	Land Ambulance	$1.5M	$12.4M
L.i.f.e., Inc.	MO	In Home Supportive Care Agency	$0	$5.4M
Greater Heights Adhc, LLC	MO	Adult Day Care Clinic/Center	$0	$5.2M
St. Francois County Board For The Developmentally Disabled	MO	Case Management Agency	$0	$4.5M
Healthy Home & Family, Inc.	MO	Home Health Agency	$0	$4.3M
Physician Groups Lc	MO	Multi-Specialty Clinic/Center	$0	$4.2M
Sarah Hull	MO	Nurse Practitioner	$2.6M	$0
Surgery Center Of Farmington, L.L.C.	MO	Ambulatory Surgical Clinic/Center	$538.5K	$262.7K

Cliff Prather — Billing Profile & Reimbursement Data

Sign up for Cliff Prather — Billing Profile & Reimbursement Data policy alerts

Cliff Prather — Billing Profile & Reimbursement Data

Sign up for Cliff Prather — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References