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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

Lydia Hunter (NPI 1114696606)

Field	Value
Entity Type	Individual
Organization	Lydia Hunter
Address	Nmrtc Okinawa Psc 482
City	Fpo
State	AP (Armed Forces Pacific)
ZIP	96362
Taxonomy	Physical Therapist
NPI Enumerated	September 8, 2021

Payer Source	Total Paid
Medicare	$29.5K
Medicaid	$0

Key Findings

The provider’s code mix — led by 97110, 97530, and 97112 — is characteristic of an outpatient physical therapy practice that emphasizes therapeutic exercise, functional activity training, and neuromuscular reeducation. Claim counts and per-claim payments for those services (602 claims at $19 avg for 97110; 311 claims at $27 avg for 97530; 184 claims at $23 avg for 97112) reinforce a treatment-first model with repeated therapy visits rather than a focus on high-cost procedures or diagnostics.

Revenue concentration is high: the precomputed top-3 share shows that 97110, 97530, and 97112 together account for 80.8% of this provider’s total Medicare revenue. Individually, 97110 generates $11.4K (38.4% of Medicare revenue), 97530 generates $8.4K (28.2%), and 97112 generates $4.2K (14.2%), indicating revenue is heavily dependent on a small set of therapy codes.

This provider is effectively single-payer in the dataset: total Medicare revenue is $29.5K and there is no Medicaid billing on file. The absence of Medicaid billing suggests limited exposure to Medicaid patient volumes and reimbursement dynamics, which concentrates payer risk and opportunity around Medicare policy and fee schedules.

On competitive standing for core therapy services, this provider appears to be a modest national participant rather than a high-volume center: 97110 ranks #33570 of 79999 providers nationally (58th percentile; typical, unremarkable volume), 97530 ranks #33466 of 62717 (47th percentile; typical, unremarkable volume), and 97112 ranks #40801 of 61940 (34th percentile; typical, unremarkable volume). These percentiles indicate activity around or below the median peer level for these common PT codes.

Supporting services such as evaluation and manual therapy are present but not dominant: 97161 (evaluation) appears in 38 claims at $78 avg paid/claim producing $3K (9.9% of Medicare revenue), and 97140 (manual therapy) shows 173 claims at $16 avg paid/claim producing $2.8K (9.3% of Medicare revenue). This mix suggests routine use of targeted evaluations and hands-on techniques alongside repeated therapeutic sessions, consistent with a small outpatient PT workflow.

No code in the reported top list is flagged as an extreme or notable statistical outlier; the plain-English descriptors for the listed codes uniformly describe volumes as "typical, unremarkable." This indicates utilization patterns that align with common practice-level activity rather than unusual billing intensity on the reported CPT/HCPCS items.

The provider’s tenure is relatively recent: NPI enumerated on 2021-09-08 (~5 years ago). When combined with total Medicare revenue of $29.5K, the data suggest a smaller-scale operation still in an early-to-mid stage of its Medicare activity lifecycle.

The concentration of revenue in a few codes presents both risk and operational levers: because 97110 and 97530 together account for a large share of Medicare receipts (38.4% and 28.2% respectively, and part of the 80.8% top-3 share), changes in utilization patterns, patient mix, or reimbursement for those services could materially affect overall revenue. Analysts should monitor utilization trend lines for these specific codes to assess revenue sensitivity.

Medicare: Complete Services Breakdown

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

5 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…	600	$20	$11.4K
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.	310	$30	$8.4K
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…	180	$20	$4.2K
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…	40	$80	$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…	170	$20	$2.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

Lydia Hunter — 4 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1	10	140	$20	$4.6K
97530	1	10	130	$30	$3.8K
97161	1	10	40	$80	$3K
97112	1	10	100	$20	$2.7K
97140	1	10	110	$20	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Santiago	AP (Armed Forces Pacific)	Internal Medicine Physician	$154K	$0
Cameron Colvig	AP (Armed Forces Pacific)	Emergency Medicine Physician	$0	$47.7K
Roger Davis	AP (Armed Forces Pacific)	Certified Registered Nurse Anesthetist	$20.3K	$0
Jeffrey Pearson	—	Physician Assistant	$12.5K	$0
Zach Tarrillion	AP (Armed Forces Pacific)	Military Health Care Provider	$5.6K	$0
Victor Gutierrez	AP (Armed Forces Pacific)	Emergency Medicine Physician	$5.4K	$0
Tequilla Pryor	AP (Armed Forces Pacific)	Pediatrics Physician	$0	$3.3K
Kristin Armstrong	AP (Armed Forces Pacific)	Hand Occupational Therapist	$2.1K	$0

Lydia Hunter — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References