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.

Andrew Barker (NPI 1528036209)

Field	Value
Entity Type	Individual
Organization	Andrew Barker
Address	3200 Shore Dr
City	Marinette
State	WI
ZIP	54143
Taxonomy	Physical Therapist
NPI Enumerated	March 9, 2006

Payer Source	Total Paid
Medicare	$103.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,740	$20	$54.9K
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…	1,550	$20	$23.2K
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…	1,480	$10	$20.7K
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…	50	$70	$3.2K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	30	$60	$1.7K
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…	20	$70	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Andrew Barker — 3 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	26	1,550	280	$20	$6.6K
97112	2	1,070	180	$20	$6K
97140	7	1,180	150	$20	$3.6K
97161	288	430	20	$70	$1.9K
97162	71	790	20	$70	$1.9K
97163	16	110	20	$70	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gregory Arov	FL	Diagnostic Radiology Physician	$452.4K	$0
Vinayak Thakur	FL	Diagnostic Radiology Physician	$225.2K	$0
David Fisher	WI	Diagnostic Radiology Physician	$158.1K	$1.2K
Joel Urena	AZ	Diagnostic Radiology Physician	$137.9K	$0
Sean Lehner	WI	Diagnostic Radiology Physician	$98.5K	$0
Nami Zarvan	WI	Diagnostic Radiology Physician	$88.2K	$0
Jeremy Mccue	WI	Diagnostic Radiology Physician	$87.4K	$80
Frederick Joachim	WI	Diagnostic Radiology Physician	$84.5K	$50
Henry Feider	WI	Diagnostic Radiology Physician	$83.9K	$0
Joshua Riebe	WI	Diagnostic Radiology Physician	$74.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Medical Center Bay Area, Inc	WI	General Acute Care Hospital	$0	$9.7M
Oconto Hospital & Medical Center Inc	WI	Rural Health Clinic/Center	$0	$4.2M
County Of Marinette	WI	Community/Behavioral Health Agency	$0	$4M
County Of Marinette	WI	Community Health Clinic/Center	$0	$2M
County Of Marinette	WI	Case Management Agency	$0	$1.8M
Aurora Medical Center Bay Area, Inc	WI	Land Ambulance	$0	$1.6M
Oconto Hospital & Medical Center, Inc.	WI	Ambulatory Surgical Clinic/Center	$235.5K	$5.5K
Nicholas Grimm	WI	Physician Assistant	$164.3K	$0
Yasser Salem	WI	Cardiovascular Disease Physician	$138K	$3K
Katie Livingston	WI	Radiation Oncology Physician	$85.9K	$0

Andrew Barker — Billing Profile & Reimbursement Data

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Andrew Barker — 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