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    OpenPayerNPI Medicare & MedicaidWhitney Ballou
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    Whitney Ballou — Billing Profile & Reimbursement Data

    NPI 1386182848 · Elizabethtown, KY · Physical Therapist

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    Whitney Ballou is a physical therapist provider located in Elizabethtown, Kentucky. This profile covers 9 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
    OrganizationWhitney Ballou
    Address1222 Woodland Dr
    CityElizabethtown
    StateKY
    ZIP42701
    TaxonomyPhysical Therapist
    NPI EnumeratedFebruary 5, 2017

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

    Payer SourceTotal Paid
    Medicare$75.4K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,190$20$23.9K
    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…1,670$10$23.3K
    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…840$10$10.9K
    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…80$60$4.9K
    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.160$20$3.9K
    97116The 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…250$20$3.7K
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care340$10$2K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.50$20$870
    97012Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…110$10$860

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97530610840360$20$11.7K
    9711071950420$20$11K
    9711241770250$20$7.6K
    9714069800250$10$5.5K
    9711660160160$20$4.7K
    9753516829070$20$2.9K
    971613839030$70$2.8K
    G028350230140$10$1.5K
    97012104080$10$890

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Physical Therapy Associates, IncKYPhysical Therapist$0$3M
    David CriscolaKYPhysical Therapist$150.9K$0
    Denise WhitemanKYPhysical Therapist$104K$0
    Casey WhelanKYPhysical Therapist$102.7K$0
    Lance CroghanKYPhysical Therapist$86.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Communicare IncKYCommunity/Behavioral Health Agency$0$205.5M
    Baptist Healthcare System IncKYGeneral Acute Care Hospital$0$95.7M
    Stepworks Recovery Centers LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$67.7M
    Communicare IncKYCommunity/Behavioral Health Agency$0$49.5M
    Hardin Memorial HospitalKYGeneral Acute Care Hospital$0$37.2M
    Pinnacle Treatment Centers Ky-1, LLCKYSubstance Abuse Rehabilitation Facility$0$33.6M
    Lincoln Trail Area Development DistrictKYSupports Brokerage Agency$0$31.4M
    Astra Behavioral Health LLCKYPsychiatry Physician$0$26.1M
    Renest Recovery Support ServicesKYCommunity/Behavioral Health Agency$0$19.9M
    Baptist Health Medical Group IncKYInternal Medicine Physician$0$13.7M

    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. Kentucky Distribution
    Whitney Ballou — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky