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

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

Malcolm Mcphee (NPI 1306207055)

Field	Value
Entity Type	Individual
Organization	Malcolm Mcphee
Address	1813 O Ave
City	Anacortes
State	WA
ZIP	98221
Taxonomy	Physical Therapist
NPI Enumerated	March 9, 2016

Payer Source	Total Paid
Medicare	$102.7K
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
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…	2,990	$20	$50.8K
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…	1,810	$20	$39.8K
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.	290	$30	$7.2K
97161	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…	70	$70	$4.6K
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…	20	$70	$1.5K
97012	Mechanical 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…	60	$10	$460

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. Washington Distribution

Malcolm Mcphee — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	1,158	2,280	290	$20	$11.8K
97110	27	2,380	290	$20	$8.7K
97112	12	1,960	200	$20	$6.4K
97161	134	1,170	30	$70	$2.6K
97162	616	1,080	20	$70	$2.4K
97012	8	20	50	$10	$740

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swinomish Health Services	WA	Substance Use Disorder Rehabilitation Clinic/Center	$184.9K	$195.9M
Public Hospital District No 2 Skagit County Washington	WA	General Acute Care Hospital	$0	$8.4M
Public Hospital District No 2 Skagit County Washington	WA	Rural Health Clinic/Center	$0	$5.8M
Public Hospital District No 2 Skagit County Washington	WA	Rural Health Clinic/Center	$0	$4.8M
Hill And Stout, PLLC	WA	Pediatric Dentistry	$0	$3.6M
Swinomish Health Services	WA	Substance Abuse Rehabilitation Facility	$0	$3.4M
City Of Anacortes	WA	Land Ambulance	$338.2K	$2.6M
Linda Brown	WA	Ophthalmology Physician	$1M	$0
Kenneth Ellis	WA	Ophthalmology Physician	$957.3K	$0
Wirt Hines	WA	MOHS-Micrographic Surgery Physician	$417K	$0

Malcolm Mcphee — Billing Profile & Reimbursement Data

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Malcolm Mcphee — 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