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

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

Clayton Shaw (NPI 1245586270)

Field	Value
Entity Type	Individual
Organization	Clayton Shaw
Address	64 S Star Rd
City	Star
State	ID
ZIP	83669
Taxonomy	Physical Therapist
NPI Enumerated	July 27, 2012

Payer Source	Total Paid
Medicare	$71.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97112	Neuromuscular 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…	980	$20	$19.6K
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…	1,270	$20	$19.1K
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.	650	$20	$15.5K
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…	910	$10	$12.8K
97162	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…	50	$70	$3.6K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	100	$10	$620

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

Claims Volume vs. Idaho Distribution

Clayton Shaw — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	91	530	470	$20	$12.9K
97530	123	440	390	$20	$11.5K
97112	49	440	290	$20	$8.8K
97140	67	500	330	$20	$7.1K
97162	35	320	20	$70	$2.1K
G0283	181	240	190	$10	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rehabauthority, LLC	ND	Multi-Specialty Clinic/Center	$0	$3.5M
Evan Applegate	UT	Physical Therapist	$120K	$0
Justin Anderson	ND	Physical Therapist	$114.7K	$0
Jed Loertscher	ID	Physical Therapist	$97.9K	$0
Travis Beniak	MN	Physical Therapist	$93.4K	$0
Douglas Winzenburg	ND	Physical Therapy Clinic/Center	$54.6K	$0
Amanda Gunkel	ND	Physical Therapist	$54K	$0
Christopher Kraemer	ND	Physical Therapist	$48.7K	$0
Mckenzie Chuppe	ND	Physical Therapist	$47.1K	$0
Isaiah Schwindt	ND	Physical Therapist	$46.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Star Speech And Occupational Therapy LLC	ID	Speech-Language Pathologist	$0	$2.5M
Allied Mental Health Services, P.L.L.C.	ID	Community/Behavioral Health Agency	$0	$1.2M
Robert Lewis	ID	General Practice Dentistry	$0	$368.9K
Leslie Leet	ID	Clinical Social Worker	$46.3K	$12.4K
Jeffrey Graviet	ID	Optometrist	$30.5K	$0
Linda Haney	ID	Family Medicine Physician	$19.6K	$0
Jeremy Boethin	ID	Chiropractor	$10.5K	$0

Clayton Shaw — Billing Profile & Reimbursement Data

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Clayton Shaw — 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