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

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

Andrew Rutz (NPI 1235712308)

Field	Value
Entity Type	Individual
Organization	Andrew Rutz
Address	10475 Perry Hwy Ste 106g
City	Wexford
State	PA
ZIP	15090
Taxonomy	Occupational Therapist
NPI Enumerated	May 5, 2021

Payer Source	Total Paid
Medicare	$88.5K
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.	1,690	$30	$45.7K
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…	1,960	$20	$35.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	230	$20	$4.6K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	40	$80	$3K

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. Pennsylvania Distribution

Andrew Rutz — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	144	2,480	420	$30	$15.8K
97110	284	3,260	600	$20	$15.3K
97535	189	670	90	$20	$5.2K
97167	6	40	20	$80	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Unlimited Inc.	PA	Home Health Agency	$0	$32.4M
Foundation Radiology Group PC	PA	Diagnostic Radiology Physician	$0	$8.8M
Miracle Dental Associates	PA	General Practice Dentistry	$0	$5.7M
Nishant Gandhi	PA	Pain Medicine (Anesthesiology) Physician	$387.9K	$1M
Western PA Surgery Center, Wexford Branch, LLC	PA	Ambulatory Surgical Clinic/Center	$915.9K	$0
Allegheny Clinic	PA	Radiology Clinic/Center	$842K	$0
Mccandless-franklin Park Ambulance Authority	PA	Land Ambulance	$443.1K	$367.4K
Mark Mitros	PA	Physical Medicine & Rehabilitation Physician	$112K	$552.3K
Allegheny Clinic	PA	Ambulatory Surgical Clinic/Center	$434.8K	$0
Joshua Hagen	PA	Dermatology Physician	$367.4K	$0

Andrew Rutz — Billing Profile & Reimbursement Data

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Andrew Rutz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References