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

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

Gregory Spooner (NPI 1134436751)

Field	Value
Entity Type	Individual
Organization	Gregory Spooner
Address	7865 Ne Day Rd W Ste 202
City	Bainbridge Island
State	WA
ZIP	98110
Taxonomy	Physical Therapist
NPI Enumerated	September 2, 2010

Payer Source	Total Paid
Medicare	$26.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	350	$20	$7.4K
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…	350	$20	$5.9K
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.	180	$30	$4.7K
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…	160	$20	$2.6K
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…	30	$70	$2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	90	$20	$1.8K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	70	$20	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Gregory Spooner — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	1,568	2,280	290	$20	$11.8K
97110	1,019	2,380	290	$20	$8.7K
97112	573	1,960	200	$20	$6.4K
97140	1,210	2,130	190	$20	$5K
97124	4	10	130	$20	$3.9K
97535	107	300	60	$20	$3K
97161	495	1,170	30	$70	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Hollstegge	CA	Physical Therapist	$177.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kitsap County Fire District No 2	WA	Land Ambulance	$280.5K	$713.4K
Jacqueline Wong	WA	Ophthalmology Physician	$402.7K	$0
Sundance Rogers	WA	Internal Medicine Physician	$230.8K	$0
Eric Brumwell	WA	Dermatology Physician	$215K	$0
Duane Whitaker	WA	MOHS-Micrographic Surgery Physician	$175.6K	$0
Keith Heinzelman	WA	Physical Therapist	$167.9K	$0
David Cowan	WA	Family Medicine Physician	$166.7K	$0
Perry Mostov	WA	Family Medicine Physician	$136.6K	$0
Jill Giblin	WA	Physical Therapist	$117.7K	$0
Charles Nelson	WA	Family Medicine Physician	$116.6K	$0

Gregory Spooner — Billing Profile & Reimbursement Data

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Gregory Spooner — 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