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

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

Troy Shows (NPI 1376591750)

Field	Value
Entity Type	Individual
Organization	Troy Shows
Address	121 Professional Dr
City	West Monroe
State	LA
ZIP	71291
Taxonomy	Occupational Therapist
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicare	$265.6K
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
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…	8,250	$20	$148.5K
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…	6,550	$20	$104.9K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	170	$70	$11.5K

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. Louisiana Distribution

Troy Shows — 3 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	2	1,030	800	$20	$19.6K
97140	1	830	360	$20	$7.7K
97167	1	10	90	$70	$6.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Day Recovery, LLC	LA	Substance Abuse Rehabilitation Facility	$0	$59M
Iasis Glenwood Regional Medical Center LP	LA	General Acute Care Hospital	$0	$15.3M
G B Cooley Hospital Services/pca	LA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$14.9M
Heber Tuft	LA	Pediatric Dentistry	$0	$7.6M
Ed Physicians Of West Louisiana, LLC	LA	Emergency Medicine Physician	$0	$7.4M
West Monroe Pediatrics, LLC	LA	Pediatric Dentistry	$0	$5M
Ruben Grigorian	LA	Ophthalmology Physician	$2.4M	$57.1K
Surgery Center Of West Monroe, LLC	LA	Ambulatory Surgical Clinic/Center	$1.1M	$271K
Allied Labs LLC	LA	Clinical Medical Laboratory	$805.8K	$74.7K
Samer Roy	LA	Specialist	$312.8K	$530.2K

Troy Shows — Billing Profile & Reimbursement Data

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Troy Shows — Billing Profile & Reimbursement Data

Sign up for Troy Shows — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References