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

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

Lori Zeltwanger (NPI 1265468573)

Field	Value
Entity Type	Individual
Organization	Lori Zeltwanger
Address	160 Roadrunner Dr
City	Sedona
State	AZ
ZIP	86336
Taxonomy	Physical Therapist
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicare	$145.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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.	4,500	$20	$99K
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…	2,260	$20	$42.9K
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…	60	$80	$4.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Lori Zeltwanger — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	8	1,820	460	$20	$16.6K
97112	32	1,690	320	$20	$10.3K
97162	158	870	30	$70	$2.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sedona Fire District	AZ	Land Ambulance	$540.6K	$1.6M
Kendra Ivy	AZ	Optometrist	$186.8K	$0
David Beyer	AZ	Radiation Oncology Physician	$176.5K	$0
Neil Singer	AZ	Specialist	$160.5K	$0
Serge Wright	AZ	Optometrist	$119.9K	$0
Barbara Cline	AZ	Physician Assistant	$92.9K	$0
Mark Brekke	AZ	Foot & Ankle Surgery Podiatrist	$86.7K	$2.1K
Mary Zemansky	AZ	Clinical Psychologist	$47.6K	$0
Eugene Charlebois	AZ	Emergency Medicine Physician	$47.2K	$0
Linda Liu	AZ	Surgery Physician	$40.3K	$0

Lori Zeltwanger — Billing Profile & Reimbursement Data

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Lori Zeltwanger — 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