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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPamela Carhill
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    Pamela Carhill — Billing Profile & Reimbursement Data

    NPI 1154508067 · Saipan, MP · Physical Therapist

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    Pamela Carhill is a physical therapist provider located in Saipan, Northern Mariana Islands. This profile covers 6 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPamela Carhill
    Address1 Lower Navy Hill
    CitySaipan
    StateMP
    ZIP96950
    TaxonomyPhysical Therapist
    NPI EnumeratedJanuary 23, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$22K
    Medicaid$0

    Key Findings

    Practice appears focused on outpatient physical therapy interventions: the top revenue codes are 97110 (therapeutic exercise), 97112 (neuromuscular reeducation) and 97140 (manual therapy), along with modality codes G0283 (electrical stimulation) and 97035 (therapeutic modalities). This mix indicates a service line centered on active exercise-based care and hands-on treatment with adjunct unattended electrical stimulation and common modality use rather than procedural or high-acuity services.

    Revenue is highly concentrated in a small set of CPTs: the precomputed top three Medicare codes (97110, 97112, 97140) account for 80.3% of this provider's total Medicare revenue, with 97110 alone representing $7.8K (35.8% of Medicare revenue). This concentration signals that core therapeutic exercise and related manual/neuromuscular treatments are the primary drivers of billing and financial performance.

    The provider is effectively single-payer: lifetime Medicare revenue is $22K and there is no Medicaid billing on file. Because Medicaid revenue is absent, any analysis of payer mix or access to low-income populations should treat this profile as Medicare-dominant and not reflective of dual-payer activity.

    On competitive standing versus national Medicare peers, this provider is a modest, mid-tier participant for its high-volume codes: 97110 ranks #44188 of 79999 providers nationally (45th percentile), 97112 ranks #37705 of 61940 (39th percentile), and 97140 ranks #33079 of 65133 (49th percentile). The accompanying label for these codes in the source data is “typical, unremarkable volume,” consistent with a local practitioner-level presence rather than a dominant national operator.

    There are no extreme statistical outliers indicated in the source: most codes are described as “typical, unremarkable volume” at or near median national percentiles (for example G0283 ranks #8240 of 16416, 50th percentile; 97162 ranks #16772 of 35551, 51th percentile). The absence of notable outlier labels suggests billing behavior is generally consistent with peers on the metrics reported.

    One code shows somewhat higher relative activity: 97035 reports 159 claims, $8 avg paid/claim, $1.3K revenue and ranks #1576 of 5010 providers nationally (68th percentile), which places it above the median peer for that modality. This suggests the provider uses therapeutic modalities at a higher-than-median rate compared with national samples, even though overall Medicare revenue remains modest.

    Tenure on file is long but scale is small: NPI enumerated 2008-01-23 (~18 years ago), yet lifetime Medicare revenue totals $22K. The combination of long active enumeration and low lifetime Medicare revenue implies either limited patient volume, a primarily non-Medicare caseload, or recent/episodic Medicare participation rather than sustained high-volume Medicare practice.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic 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…410$20$7.8K
    97112Neuromuscular 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…210$30$5.6K
    97140Manual 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…260$20$4.2K
    97162The 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$60$1.8K
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care180$10$1.3K
    97035Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.160$10$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 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110110410$20$8K
    97112110210$30$5.6K
    97140110260$20$4.2K
    9716211030$60$1.8K
    G0283110180$10$1.3K
    97035110160$10$1.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeanolivia GrantMPFamily Medicine Physician$228.7K$0
    Northern Mariana Islands GovernmentMPLand Ambulance$180.9K$0
    Keri AllenMPOphthalmology Physician$96.8K$0
    Vicente AldanMPFamily Medicine Physician$87.4K$0
    Ahmad Al-alouMPInternal Medicine Physician$36.1K$0
    Norma AdaMPInternal Medicine Physician$32.8K$0
    Mark RobertsonMPOptometrist$25.8K$0
    David HardtMPOptometrist$24.1K$0
    Donald HardtMPOptometrist$23.9K$0
    Jiayi KongMPInternal Medicine Physician$21.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Northern Mariana Islands Distribution
    Pamela Carhill — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Northern Mariana Islands