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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Jennifer Mccartney (NPI 1306948625)

Field	Value
Entity Type	Individual
Organization	Jennifer Mccartney
Address	9154 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Physical Therapist
NPI Enumerated	September 5, 2006

Payer Source	Total Paid
Medicare	$38.6K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is small but concentrated: Total Medicare revenue is $38.6K and there is no Medicaid billing on file, making this effectively a single-payer (Medicare) billing profile in the available data. The absence of any Medicaid claims on file should be treated as a clear indicator that Medicaid does not contribute to reported revenues rather than as evidence about local Medicaid demand or patient mix beyond these claims.

Revenue concentration is extreme within Medicare services: the precomputed top-3 Medicare codes (97110, 97140, 97150) account for 93.3% of this provider’s total Medicare revenue, with 97110 at $23.9K (61.0%), 97140 at $9.6K (24.5%), and 97150 at $3K (7.8%). This concentration means most of the provider’s Medicare receipts depend on a narrow set of therapy services.

The code mix defines a classic outpatient physical therapy service line focused on hands-on and exercise-based care: 97110 (therapeutic exercise), 97140 (manual therapy), and 97150 (group therapeutic procedures) together drive the business model implied by the claims. The presence of 97162 (36 claims, $73 avg paid/claim, $2.6K revenue; 6.7% of Medicare revenue) shows the provider also bills moderate-complexity PT evaluations, but these are a smaller component of revenue relative to treatment codes.

Operational intensity is characterized by many low-dollar therapy units rather than few high-dollar procedures: 97110 recorded 1.3K claims at $19 avg paid/claim, 97140 recorded 599 claims at $16 avg paid/claim, and 97150 recorded 276 claims at $11 avg paid/claim. These counts and average payments suggest a business model built on repeated therapy visits and episode-based treatment rather than episodic high-cost interventions.

Competitive standing on core therapy codes is modest and broadly typical: 97110 ranks #14654 of 79999 providers nationally (82th percentile; typical, unremarkable volume for this code), 97140 ranks #14380 of 65133 (78th percentile; typical, unremarkable volume for this code), and 97150 ranks #2617 of 8887 (71th percentile; typical, unremarkable volume for this code). Across these ranks the provider appears to be a modest participant rather than a dominant national player for these services.

Tenure on file is long: the NPI was enumerated on 2006-09-05 (~20 years ago), indicating an established billing presence and potential long-term operation in the local market. This longevity supports interpretability of the volume and revenue patterns as stable rather than transient.

The reliance on a small set of treatment codes creates revenue vulnerability to reimbursement or utilization changes for those codes: because 93.3% of Medicare revenue comes from 97110, 97140, and 97150, any policy, rate, or referral-pattern shifts that affect these codes would disproportionately impact total Medicare receipts. Monitoring policy updates affecting therapeutic exercise, manual therapy, and group therapy will be especially important for revenue forecasting.

Geographic and payer-mix implications: listed location is ST THOMAS, VI, and the complete absence of Medicaid billing on file means any competitive or access analysis in the local market must account for a provider who either does not bill Medicaid or whose Medicaid activity is not captured in this dataset. For payers and partners, this pattern suggests Medicare-based referral streams are the primary source of claims-level revenue to evaluate for this practitioner.

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
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…	1,260	$20	$23.9K
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…	600	$20	$9.6K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	280	$10	$3K
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…	40	$70	$2.6K

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. U.S. Virgin Islands Distribution

Jennifer Mccartney — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	5	20	710	$20	$16.8K
97140	2	20	200	$20	$4.2K
97162	4	10	30	$60	$1.9K
97150	1	10	160	$10	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Therapy Works, LLC	VI	Physical Therapist	$0	$162.5K
Jerry Smith	VI	Physical Therapist	$3.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Jennifer Mccartney — Billing Profile & Reimbursement Data

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Jennifer Mccartney — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References