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

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

Konlian,o'neill & Associates, P.A. (NPI 1083647515)

Konlian,o'neill & Associates, P.A. is a rehabilitation practitioner provider located in Salisbury, Maryland. This profile covers 0 Medicare and 12 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	Konlian,o'neill & Associates, P.A.
Address	106 Milford St Ste 601
City	Salisbury
State	MD
ZIP	21804
Taxonomy	Rehabilitation Practitioner
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

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

12 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…	43,160	$40	$1.5M
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…	39,690	$30	$1.3M
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	11,830	$80	$911.2K
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.	31,090	$30	$839.5K
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…	16,020	$20	$368.4K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	840	$40	$31K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	810	$30	$23.4K
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…	570	$30	$16.5K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	1,080	$1	$4.3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	80	$20	$1.5K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Konlian,o'neill & Associates, P.A. — 5 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	13	480	740	$50	$220.2K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	1	10	420	$60	$174.4K
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…	7	570	810	$30	$138K
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	350	520	$20	$50.8K
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…	12	320	640	$10	$49K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	67	100	260	$10	$41K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	34	120	330	$10	$18.6K
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…	6	80	50	$40	$10K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	9	60	90	$30	$9.3K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	10	80	110	$10	$5.2K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robin Sipp	NJ	Physical Therapist	$198.8K	$0
Kathryn Weber	MD	Physical Therapist	$192.4K	$0
Amanda Ireland	DE	Physical Therapist	$172.9K	$0
Susan Conklin	MD	Physical Therapist	$172.6K	$0
Alexander Crichton	DE	Physical Therapist	$170.8K	$0
Shannon Arnie	MD	Physical Therapist	$168.8K	$0
Bryan Ford	DE	Physical Therapist	$159K	$0
Robert Donati	DE	Physical Therapist	$155.9K	$0
Connor Drislane	DE	Physical Therapist	$133.5K	$0
Megan Montante	DE	Physical Therapist	$122.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wraparound Maryland, Inc	MD	Case Management Agency	$0	$18.4M
Go-getters, Inc.	MD	Community/Behavioral Health Agency	$0	$14.7M
Board Of Education Of Wicomico County	MD	Local Education Agency (LEA)	$0	$14.6M
Healthport	MD	Community/Behavioral Health Agency	$0	$10.9M
Chesapeake Pediatric & Adolescent Associates, PA	MD	Pediatric Adolescent Medicine Physician	$0	$6.6M
Healthport	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.5M
Coastal Hospice Inc	MD	Community Based Hospice Care Agency	$0	$5.3M
Children's Medical Group Of Salisbury, PA	MD	Pediatrics Physician	$0	$5M
James Rial	MD	Ophthalmology Physician	$4.7M	$510
John Butler	MD	Ophthalmology Physician	$4.3M	$0

Konlian,o'neill & Associates, P.A. — Billing Profile & Reimbursement Data

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Konlian,o'neill & Associates, P.A. — 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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