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

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

John Connolly (NPI 1194863035)

Field	Value
Entity Type	Individual
Organization	John Connolly
Address	1537 E Hill Rd
City	Grand Blanc
State	MI
ZIP	48439
Taxonomy	Physical Therapist
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicare	$12.5K
Medicaid	$0

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
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…	110	$70	$7.6K
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…	180	$20	$3K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	80	$20	$1.2K
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.	10	$20	$290
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	10	$20	$250

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.

View: State1 / 2

Claims Volume vs. Michigan Distribution

John Connolly — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	2,055	2,060	280	$20	$10.4K
97110	1,946	2,540	350	$20	$9.1K
97116	127	210	110	$20	$4.6K
97535	636	650	50	$20	$2.4K
97161	7	890	30	$70	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Orthopedic Associates P L C	MI	Orthopaedic Surgery Physician	$0	$6.6M
Seann Willson	MI	Orthopaedic Surgery Physician	$124.2K	$0
Arun Dass	MI	Orthopaedic Surgery Physician	$119.9K	$0
Jason Samona	MI	Orthopaedic Hand Surgery Physician	$84.6K	$0
Jacob Martin	MI	Physician Assistant	$72.3K	$0
Matthew Hettle	MI	Physical Medicine & Rehabilitation Physician	$68K	$0
Curtis Young	MI	Surgery of the Hand (Surgery) Physician	$48.5K	$0
Martie Reigle	MI	Certified Registered Nurse Anesthetist	$41K	$0
Ouida Brown	MI	Occupational Therapist	$30K	$0
Susan Mosier-laclair	MI	Orthopaedic Surgery Physician	$25.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health Genesys Hospital	MI	General Acute Care Hospital	$0	$31.4M
Helping Hand Nursing Service, Inc	MI	Home Health Agency	$0	$9.2M
Grand Blanc Pediatric Dentistry PC	MI	Pediatric Dentistry	$0	$6.2M
Emergency Medicine Physicians Of Genesee County, PLLC	MI	Emergency Medicine Physician	$0	$5.8M
Christopher Singh	MI	Ophthalmology Physician	$1.7M	$0
Ankur Mehta	MI	Ophthalmology Physician	$1.6M	$0
Riad Dali Ahmad	MI	Infectious Disease Physician	$1.1M	$0
The Center For Gastrointestinal Health At Health Park LLC	MI	Ambulatory Surgical Clinic/Center	$475.5K	$545.6K
Raafay Sophie	MI	Ophthalmology Physician	$839.4K	$0
Surgery Center At Health Park LLC	MI	Ambulatory Surgical Clinic/Center	$699.9K	$15.3K

John Connolly — Billing Profile & Reimbursement Data

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John Connolly — 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