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

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

Sharon Cole (NPI 1336172212)

Field	Value
Entity Type	Individual
Organization	Sharon Cole
Address	7253 S 76th St
City	Franklin
State	WI
ZIP	53132
Taxonomy	Physical Therapist
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicare	$88.8K
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…	1,330	$20	$25.3K
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…	1,440	$20	$21.6K
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…	1,400	$10	$19.5K
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.	790	$20	$18.9K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	100	$20	$1.6K
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…	30	$60	$1.6K

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. Wisconsin Distribution

Sharon Cole — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	105	900	220	$20	$8.3K
97110	36	1,550	280	$20	$6.6K
97112	24	1,070	180	$20	$6K
97116	84	170	100	$20	$3.8K
97140	9	1,180	150	$20	$3.6K
97162	312	790	20	$70	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catalina Hamilton Martinez	WI	Physical Therapist	$128.4K	$57.6K
Jennifer Riley	WI	Physical Therapist	$96.2K	$0
David Schoenberger	WI	Physical Therapist	$81.3K	$0
Kyle Murison	WI	Physical Therapist	$71.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Surgery Center, LLC	WI	Ambulatory Surgical Clinic/Center	$1.3M	$277K
Milwaukee Surgicenter LLC	WI	Ambulatory Surgical Clinic/Center	$1.2M	$253.7K
City Of Franklin	WI	Land Ambulance	$293.3K	$609.3K
Tracy Nelson	WI	Family Nurse Practitioner	$714.9K	$0
Robert Matteucci	WI	Foot & Ankle Surgery Podiatrist	$163.9K	$39K
Oh Hoon Kwon	WI	Radiation Oncology Physician	$167.3K	$0
David Clark	WI	Orthopaedic Hand Surgery Physician	$154.4K	$0
Glsd Medical LLC	WI	Ambulatory Surgical Clinic/Center	$1.6K	$144.5K
William Pennington	WI	Orthopaedic Surgery Physician	$107.9K	$0
Jacob Pfeiffer	WI	Orthopaedic Surgery Physician	$85.7K	$0

Sharon Cole — Billing Profile & Reimbursement Data

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Sharon Cole — 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