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

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

Briley Downing (NPI 1114624004)

Field	Value
Entity Type	Individual
Organization	Briley Downing
Address	7 S 8th St Ste C
City	Clear Lake
State	IA
ZIP	50428
Taxonomy	Physical Therapist
NPI Enumerated	February 10, 2023

Payer Source	Total Paid
Medicare	$93.4K
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.	1,460	$20	$35.1K
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…	1,070	$20	$19.3K
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…	1,160	$20	$18.6K
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…	590	$20	$8.9K
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…	120	$50	$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…	80	$80	$6K

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. Iowa Distribution

Briley Downing — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	21	840	280	$20	$9.6K
97110	89	990	430	$20	$9.6K
97112	24	830	270	$20	$7K
97140	109	850	250	$20	$5.1K
97162	19	550	30	$70	$2.3K
97164	7	150	30	$50	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Athletico Ltd	IL	Physical Therapist	$0	$11.6M
Athletico Ltd	MS	Clinic/Center	$0	$1.4M
Endurance Physical Therapy	MS	Physical Therapist	$0	$1.2M
Michael Pfeifer	IN	Physical Therapist	$186.8K	$0
Douglas Tran	IL	Internal Medicine Physician	$159K	$0
Kyle Blount	MS	Physical Therapist	$156.1K	$0
Christopher Fischer	IA	Physical Therapist	$135.1K	$0
Angel Haggard	OK	Physical Therapist	$121.5K	$0
Lynn Hanson	IL	Physical Therapist	$121.2K	$0
David Kim	IL	Physical Therapist	$121K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Handicap Village	IA	Community/Behavioral Health Agency	$0	$85.3M
Handicap Village	IA	Community/Behavioral Health Agency	$0	$5.8M
Hilary Reynolds Dds PC	IA	Pediatric Dentistry	$0	$2.2M
Apple Valley Assisted Living LLC.	IA	Point of Service	$0	$1.6M
City Of Clear Lake City Clerk	IA	Land Ambulance	$201.8K	$23.1K
John Brady	IA	Family Medicine Physician	$128.8K	$14.9K
White Drug Enterprises Inc	IA	Community/Retail Pharmacy	$132.5K	$680
Nicholas Mccolley	IA	Chiropractor	$70.1K	$2.9K

Briley Downing — Billing Profile & Reimbursement Data

Sign up for Briley Downing — Billing Profile & Reimbursement Data policy alerts

Briley Downing — Billing Profile & Reimbursement Data

Sign up for Briley Downing — 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