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.

Gail Lowther (NPI 1215264775)

Field	Value
Entity Type	Individual
Organization	Gail Lowther
Address	1941 42nd St
City	Florence
State	OR
ZIP	97439
Taxonomy	Rehabilitation Hospital
NPI Enumerated	November 4, 2009

Payer Source	Total Paid
Medicare	$7.4K
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.	140	$30	$3.8K
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…	110	$20	$1.7K
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…	90	$20	$1.7K
97018	In this procedure, the provider applies the paraffin wax on the joints or dips the limb in the paraffin wax solution.	80	$1	$230

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

Gail Lowther — 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	787	1,030	300	$20	$11.1K
97110	837	1,010	260	$20	$7.7K
97140	686	950	200	$20	$4.9K
97018	2	10	60	$1	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Benchmark Physical Therapy Of Oregon LLC	OR	Physical Therapist	$0	$10.1M
Regina Monaco	AZ	Physical Therapist	$249.8K	$0
Chris Campbell	OR	Physical Therapist	$184.3K	$0
Rebecca Lupescu	OR	Physical Therapist	$59.5K	$0
Jonathan Anders	OR	Physical Therapist	$59.5K	$0
Ty Balty	GA	Physical Therapist	$59.1K	$0
Christopher Williams	OR	Physical Therapist	$55.6K	$0
Kelsey Dumond	ME	Physical Medicine & Rehabilitation Physician	$38.3K	$0
Joseph Hunter	OR	Physical Therapist	$37.8K	$0
Jill Laughlin	OR	Physical Therapist	$15.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	OR	Critical Access Hospital	$0	$20.2M
Western Lane Ambulance District	OR	Land Ambulance	$485K	$756.6K
Mindwise Counseling	OR	Clinical Social Worker	$0	$997.2K
Fred Meyer Stores Inc	OR	Community/Retail Pharmacy	$122K	$0
Thrifty Payless Inc	OR	Community/Retail Pharmacy	$91K	$0
Eunlee Chung	OR	Hospitalist Physician	$56.2K	$0
Pernilla Johansson	OR	Clinical Social Worker	$37.3K	$5K
Stephen Kerner	OR	Family Medicine Physician	$23.4K	$0
Emily Pfaff	OR	Medical Physician Assistant	$22.7K	$0
Gregory Page	OR	Chiropractor	$17.2K	$0

Gail Lowther — Billing Profile & Reimbursement Data

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Gail Lowther — 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