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

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

Paul Potos (NPI 1487676870)

Field	Value
Entity Type	Individual
Organization	Paul Potos
Address	3840 N Oakland Ave
City	Shorewood
State	WI
ZIP	53211
Taxonomy	Physical Therapist
NPI Enumerated	July 24, 2006

Payer Source	Total Paid
Medicare	$18.7K
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
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.	430	$20	$10.3K
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…	430	$20	$6.9K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	220	$10	$1.5K

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. Wisconsin Distribution

Paul Potos — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	240	900	220	$20	$8.3K
97140	156	1,180	150	$20	$3.6K
G0283	4	70	80	$10	$640

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chad Novasic Pt Ltd	WI	Physical Therapist	$0	$2.6M
Mark Neu	WI	Physical Therapist	$54.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia St. Mary's Hospital Milwaukee, Inc.	WI	General Acute Care Hospital	$0	$64.5M
Columbia St. Mary's Hospital Milwaukee, Inc	WI	Multi-Specialty Clinic/Center	$0	$9.8M
Ascension Wisconsin Laboratories, Inc	WI	Clinical Medical Laboratory	$431.4K	$5.8M
North Shore Pathologists Sc	WI	Anatomic Pathology & Clinical Pathology Physician	$0	$2.6M
Infinity Healthcare Physicians, S.c.	WI	Emergency Medicine Physician	$0	$2.5M
Metropolitan Medical Center, LLC	WI	Ambulatory Surgical Clinic/Center	$711.8K	$148.1K
Sandeep Ramanujam	WI	Family Medicine Physician	$495.6K	$85.7K
Loritz Chavez	WI	Hospitalist Physician	$158.5K	$121.4K
Kevin Krembs	WI	Internal Medicine Physician	$125.6K	$0
Nguyen Phan	WI	Clinical Cardiac Electrophysiology Physician	$124.2K	$400

Paul Potos — Billing Profile & Reimbursement Data

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Paul Potos — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References