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

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

John Gard (NPI 1386867166)

Field	Value
Entity Type	Individual
Organization	John Gard
Address	4301 Thatcher Ave
City	Pueblo
State	CO
ZIP	81005
Taxonomy	Specialist
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicare	$18.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	680	$20	$13K
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…	40	$80	$2.8K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	20	$60	$940
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	110	$10	$760
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.	30	$20	$710

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

John Gard — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	1,479	1,530	260	$30	$10.1K
97110	334	1,840	310	$20	$8.3K
97167	4	20	20	$70	$2.2K
97168	16	20	30	$50	$1.8K
G0283	115	230	110	$10	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ted Hernandez Inc	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.9M
Pueblo Diversified Industries, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$17.8M
Abc Home Health Care Personal Services,inc	CO	Home Health Agency	$0	$15.1M
Boone Guest Home	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.8M
Pawel R Bielecki, Dds, PC	CO	General Practice Dentistry	$0	$11.5M
Yah Vision	CO	Optometrist	$0	$7M
Hv Pueblo South LLC	CO	Clinic/Center	$0	$6.3M
South Pueblo Dental Partners LLP	CO	General Practice Dentistry	$0	$5.8M
Yah Ortho Inc	CO	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Adapthealth West, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$4.5M

John Gard — Billing Profile & Reimbursement Data

Sign up for John Gard — Billing Profile & Reimbursement Data policy alerts

John Gard — Billing Profile & Reimbursement Data

Sign up for John Gard — 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