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

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

Michael Chua (NPI 1487073060)

Field	Value
Entity Type	Individual
Organization	Michael Chua
Address	161 Mount Pelia Rd
City	Martin
State	TN
ZIP	38237
Taxonomy	Physical Therapist
NPI Enumerated	April 10, 2014

Payer Source	Total Paid
Medicare	$235.1K
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.	3,460	$20	$76.1K
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…	3,880	$20	$58.2K
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…	2,530	$20	$43K
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…	1,760	$10	$24.7K
97116	The 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…	1,460	$20	$21.8K
97161	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…	150	$70	$10.7K
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…	30	$70	$2.1K

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. Tennessee Distribution

Michael Chua — 6 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	22	1,830	460	$20	$12.5K
97530	11	1,560	350	$20	$12.3K
97112	4	1,220	240	$20	$6.7K
97140	45	1,510	230	$20	$6.2K
97116	8	240	150	$20	$4.9K
97161	11	770	30	$70	$3K
97162	346	840	30	$70	$2.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martin Health	TN	General Acute Care Hospital	$0	$3.9M
Martin Children's Clinic, LLC	TN	Rural Health Clinic/Center	$0	$3.9M
Northwest Tennessee Human Resource Agency	TN	Non-emergency Medical Transport (VAN)	$0	$2.9M
Air Evac Ems Inc	TN	Air Ambulance	$997.3K	$285.5K
City Of Martin Tennessee	TN	Land Ambulance	$320.2K	$338.9K
Kendell Kessler	TN	Physical Medicine & Rehabilitation Physician	$194.1K	$0
Anna Hopla	TN	Nephrology Physician	$179.9K	$0
Kenneth Carr	TN	Family Medicine Physician	$162.7K	$0
Seth Coleman	TN	Physician Assistant	$161.5K	$0
Frances Bynum	TN	Optometrist	$121.8K	$0

Michael Chua — Billing Profile & Reimbursement Data

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Michael Chua — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References