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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Benjamin Williams (NPI 1386160778)

Field	Value
Entity Type	Individual
Organization	Benjamin Williams
Address	5710 Oleander Dr Ste 211
City	Wilmington
State	NC
ZIP	28403
Taxonomy	Physical Therapist
NPI Enumerated	August 17, 2017

Payer Source	Total Paid
Medicare	$57K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$30	$19.6K
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…	490	$20	$9.8K
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…	110	$70	$7.8K
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…	410	$20	$7.3K
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…	350	$20	$5.5K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	200	$20	$3.8K
95992	The provider moves the patient through a series of positions to treat benign paroxysmal positional vertigo. The position changes move canalith particles from parts of the inner ear where they cause…	100	$30	$3.2K

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

Claims Volume vs. North Carolina Distribution

Benjamin Williams — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	321	1,960	270	$20	$11.4K
97110	1,207	2,470	390	$20	$11.1K
97112	416	1,820	240	$20	$7.6K
97140	631	2,020	220	$20	$5.3K
97535	97	450	70	$20	$3.8K
97162	35	1,030	20	$70	$2.4K
95992	9	50	30	$30	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cara Ferons	NC	Physical Therapist	$78K	$0
Mary Runey	NC	Physical Therapist	$69.8K	$0
Nicholas Froiseth	NC	Physical Therapist	$68K	$800
Alexander Pearson-moyers	NC	Physical Therapist	$62.7K	$0
Blair Bergquist	NC	Physical Therapist	$61.6K	$0
Michelle Zumbro	NC	Physical Therapist	$37.9K	$0
Robyn Hursley	NC	Physical Therapist	$34.3K	$0
Jordan Martine	NC	Physical Therapist	$28.3K	$0

Benjamin Williams — Billing Profile & Reimbursement Data

Sign up for Benjamin Williams — Billing Profile & Reimbursement Data policy alerts

Benjamin Williams — Billing Profile & Reimbursement Data

Sign up for Benjamin Williams — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References