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

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

Emily Houston (NPI 1134699176)

Field	Value
Entity Type	Individual
Organization	Emily Houston
Address	732 Main St
City	Philomath
State	OR
ZIP	97370
Taxonomy	Physical Therapist
NPI Enumerated	December 3, 2018

Payer Source	Total Paid
Medicare	$15.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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.	510	$20	$11.8K
98977	The provider supplies one or more devices for remote therapeutic monitoring (RTM) of the musculoskeletal system for monitoring that occurs for 16 to 30 days in a 30–day period.	50	$40	$1.6K
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…	20	$70	$1.4K
98975	The provider performs initial setup of equipment for remote therapeutic monitoring. The provider also educates the patient on use of the equipment.	30	$10	$350

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Emily Houston — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	318	1,030	300	$20	$11.1K
97162	363	600	30	$70	$2.4K
98977	9	20	40	$40	$1.9K
98975	7	20	20	$10	$410

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jamison Feramisco	CA	Internal Medicine Physician	$6.1M	$0
James Earle	CA	Physical Therapist	$315.5K	$0
John Kvale	HI	Physical Therapist	$146.7K	$0
Ryan Beck	OR	Physical Therapist	$130.7K	$0
Anthony Gravin	IL	Physical Therapist	$124.1K	$0
Kersey Schuh	OR	Physical Therapist	$25.7K	$0
Dane Happeny	OR	Physical Therapist	$20.6K	$0
Michelle Tyndall	OR	Physical Therapist	$20.6K	$0
Erik Cronrath	OR	Physical Therapist	$17.9K	$0
Erin Erven	OR	Physical Therapist	$16.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jls Consulting Rx PC	OR	Community/Retail Pharmacy	$20.2K	$190
Melissa Mcnulty	OR	Physical Therapist	$16.1K	$0
Adrian Egger	OR	Clinical Psychologist	$10K	$0

Emily Houston — Billing Profile & Reimbursement Data

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Emily Houston — 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