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

Why is the Medicaid comparison limited to New York 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. New York (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.

Richard Whalley (NPI 1215556428)

Field	Value
Entity Type	Individual
Organization	Richard Whalley
Address	622 Hawkins Ave
City	Ronkonkoma
State	NY
ZIP	11779
Taxonomy	Occupational Therapist
NPI Enumerated	April 9, 2020

Payer Source	Total Paid
Medicare	$100.1K
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
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…	2,310	$20	$46.1K
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.	860	$30	$28.4K
97022	The whirlpool method of treatment is a form of hydrotherapy that uses circulating water and air with varied temperature and pressure settings for the treatment of certain disorders. The whirlpool is…	800	$10	$8K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	90	$90	$7.9K
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…	350	$20	$6.4K
97760	In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In…	50	$30	$1.6K
97763	At a subsequent encounter after the initial encounter, the provider meets face–to–face with the patient to manage or train the patient on the use of an upper or lower extremity or trunk orthotic or…	10	$50	$560

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. New York Distribution

Richard Whalley — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	585	6,770	640	$20	$19.5K
97530	1,104	4,600	420	$30	$19.2K
97140	2,428	5,110	330	$20	$9.8K
97165	28	380	30	$80	$3.4K
97763	11	10	50	$40	$3.2K
97022	2	50	130	$10	$3.1K
97760	7	50	30	$40	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Motaz Ebeido	NY	Physical Therapist	$110.3K	$1.3M
Christiana Neophytou	NY	Speech-Language Pathologist	$290.6K	$523.4K
Daniel Aryeh	NY	Physical Therapist	$186.6K	$627.1K
Ashish Patel	NY	Physical Therapist	$226.7K	$585.6K
Richard Orsini	NY	Physical Therapy Clinic/Center	$197.5K	$511.7K
Jonathan Digregorio	NY	Physical Therapist	$171.1K	$472.8K
Liza Tan	NY	Physical Therapist	$344.5K	$184.4K
Robert Spagnoli	NY	Physical Therapist	$396.8K	$7.1K
Dimitrios Kostopoulos	NY	Physical Therapist	$323K	$43.6K
Travis Tennie	NY	Physical Therapist	$304.9K	$3.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Shore Home Health Service, Inc.	NY	Home Health Agency	$0	$355.6M
Bari Home Care LLC	NY	Health Maintenance Organization	$0	$189.1M
David Silverstein	NY	Dermatology Physician	$819.1K	$68.8K
Todd Maltese	NY	Neurology Physician	$378.3K	$30.6K
Mas Imaging Portable X-ray Inc	NY	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$382.2K	$240
George Emmons	NY	Podiatrist	$316.8K	$28.7K
Steven Salvatore	NY	Emergency Medicine Physician	$211.3K	$0
Robert Tufano	NY	Family Medicine Physician	$174.8K	$12.5K
Therese Panetta-young	NY	Physical Therapist	$139.8K	$0
Ilicia Manzi	NY	Physical Therapist	$85.8K	$0

Richard Whalley — Billing Profile & Reimbursement Data

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Richard Whalley — 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