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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGregory Lemoine
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    Gregory Lemoine — Billing Profile & Reimbursement Data

    NPI 1255389169 · Rosedale, MD · Physical Therapist

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    Gregory Lemoine is a physical therapist provider located in Rosedale, Maryland. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGregory Lemoine
    Address1232 Race Rd Ste 203
    CityRosedale
    StateMD
    ZIP21237
    TaxonomyPhysical Therapist
    NPI EnumeratedMay 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$81.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic 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…1,370$20$23.3K
    97112Neuromuscular 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…620$20$14.1K
    97140Manual 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…820$20$12.4K
    97164The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…110$60$6.2K
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care840$10$5.9K
    97530The 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.170$20$4.2K
    97035Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.520$10$4.1K
    97162The 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…40$80$3.1K
    97012Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…290$10$2.6K
    97161The 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…30$70$2.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    975301,5071,950400$30$16.2K
    971103522,170540$20$14.9K
    971125141,910350$20$11.5K
    971402961,830340$20$8.4K
    97116260430140$20$5.5K
    971648456040$60$3.7K
    9716152197030$80$3.7K
    971623671,09030$80$3.1K
    9716318124020$80$2.5K
    G028351700190$10$2.4K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Treatment Services LLCMDMethadone Clinic$1M$56.3M
    Thrive Behavioral Health, LLCMDCommunity/Behavioral Health Agency$0$51.8M
    Medstar Health Visiting Nurse Association, Inc.MDHome Health Agency$0$26.2M
    Medstar Franklin Square Physicians LLCMDGeneral Practice Physician$0$15.8M
    Amedisys Hospice, LLCMDCommunity Based Hospice Care Agency$0$15.6M
    Mosaic Community Services, Inc.MDComprehensive Outpatient Rehabilitation Facility (CORF)$0$13.9M
    Advance Adult Day Care L.L.C.MDAdult Day Care Clinic/Center$0$7.9M
    Franklin Square Hospital Center, IncMDGeneral Acute Care Hospital$0$7.2M
    Medstar Medical Group IiMDPsychiatry Physician$0$6.4M
    Edwin F. Aguilar, M.d., P.C.MDPediatrics Physician$0$5.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Gregory Lemoine — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland