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

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

James Moran (NPI 1093828360)

Field	Value
Entity Type	Individual
Organization	James Moran
Address	275 Bicentennial Hwy
City	Springfield
State	MA
ZIP	01118
Taxonomy	Physical Therapist
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicare	$71.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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…	2,780	$20	$52.7K
97161	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…	200	$80	$14.9K
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…	310	$20	$4.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

James Moran — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	51	2,060	460	$20	$13.5K
97140	822	1,720	290	$20	$7.1K
97161	5	1,150	30	$80	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Circle Health Urgent Care, LLC	MA	Urgent Care Clinic/Center	$0	$5.9M
Eric Benson	NH	Orthopaedic Surgery Physician	$824.5K	$0
Concord Orthopaedics Professional Association	NH	Orthopaedic Surgery Physician	$0	$646.8K
Stephen Kelly	MA	Orthopaedic Surgery Physician	$379.3K	$110.9K
Michael Ayers	MA	Orthopaedic Surgery Physician	$484.8K	$0
Geoffrey Van Flandern	MA	Orthopaedic Surgery Physician	$408.1K	$0
Andrew Lehman	MA	Orthopaedic Surgery Physician	$370.3K	$4.8K
Alexander Brothers	MA	Orthopaedic Surgery Physician	$328.3K	$22K
James Nairus	MA	Orthopaedic Surgery Physician	$339.8K	$0
Michael Marchetti	MA	Orthopaedic Surgery Physician	$323.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Papale	MA	Ophthalmology Physician	$583.5K	$0
Steven Berger	MA	Ophthalmology Physician	$392.9K	$25.2K
Joseph Bouvier	MA	Ophthalmology Physician	$349.1K	$0
Meghan Bradley	MA	Physical Therapist	$90.4K	$0
James Khoury	MA	Anesthesiology Physician	$41.3K	$0
Mary Konefal	MA	Medical Physician Assistant	$37.5K	$0
Robert Piela	MA	Anesthesiology Physician	$29.5K	$0
Neil Connelly	MA	Anesthesiology Physician	$14.5K	$0
Nikhil Thakkar	MA	Anesthesiology Physician	$13.9K	$0
Stanlies D'souza	MA	Anesthesiology Physician	$9.7K	$0

James Moran — Billing Profile & Reimbursement Data

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James Moran — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References