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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Mcclure
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    David Mcclure — Billing Profile & Reimbursement Data

    NPI 1366552630 · Bloomington, IL · Physical Therapist

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    David Mcclure is a physical therapist provider located in Bloomington, Illinois. This profile covers 7 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
    OrganizationDavid Mcclure
    Address2406 E Empire St
    CityBloomington
    StateIL
    ZIP61704
    TaxonomyPhysical Therapist
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$105K
    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.

    7 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…2,710$20$48.9K
    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…2,730$20$40.9K
    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…100$70$7.2K
    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…150$20$3.4K
    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.140$20$3.3K
    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$60$2.5K
    95851In this procedure, the provider measures the range of motion of a single section of spine or a single extremity, excluding the hand. Range of motion measurement tests how much movement exists at a…30$10$430

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    975302,6403,320360$30$14.2K
    971101184,100480$20$12.9K
    971122,4573,410290$20$9.5K
    9714063,120230$20$5.4K
    971611051,55030$70$3.1K
    971624211,72030$80$2.4K
    9585161060$10$930

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Joseph Medical CenterILHome Health Agency$0$4.8M
    Janeen BuonaccorsiILAnatomic Pathology & Clinical Pathology Physician$88.5K$2.1M
    Gustavo GalueILFamily Medicine Physician$136.9K$343.6K
    Roby LalILRadiation Oncology Physician$459.5K$0
    Jon MichelILPulmonary Disease Physician$145.9K$297.5K
    Matthew CarpenterILRadiation Oncology Physician$420.8K$0
    Mark BernardiNVEmergency Medicine Physician$294.3K$23.6K
    Patrick WhittenILPulmonary Disease Physician$174.9K$108.8K
    Jeffrey HershkowitzILInternal Medicine Physician$19.4K$223.6K
    Kaninika VermaILPulmonary Disease Physician$83.6K$90.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sandeep ThotaILDentist$0$5.5M
    Sreenivasa BasavanthappaILRetina Specialist (Ophthalmology) Physician$3.2M$14.2K
    Adrienne SchupbachILDermatology Physician$1.4M$3K
    Renuka BhaskarILClinical Pathology/Laboratory Medicine Physician$783.2K$530.9K
    Wynn KaoILDermatology Physician$425K$116.2K
    Benjamin TaimoorazyILInterventional Pain Medicine Physician$105.4K$193.7K
    Chad OsborneILFamily Medicine Physician$126.8K$149.5K
    Wilbert LeonardILPodiatrist$76.5K$189.7K
    The Center For Orthopedic Medicine, LLCILAmbulatory Surgical Clinic/Center$194.4K$0
    Ireland Grove Center For Surgery LLC.ILAmbulatory Surgical Clinic/Center$192.1K$0

    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. Illinois Distribution
    David Mcclure — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois