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

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

Darren Averett (NPI 1548232549)

Field	Value
Entity Type	Individual
Organization	Darren Averett
Address	555 West Sr 164
City	Salem
State	UT
ZIP	84653
Taxonomy	Physical Therapist
NPI Enumerated	February 3, 2006

Payer Source	Total Paid
Medicare	$52.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	1,500	$20	$22.5K
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.	550	$30	$13.8K
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…	90	$70	$6.7K
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…	210	$10	$2.9K
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…	140	$20	$2.8K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	300	$10	$1.8K
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…	20	$60	$1.2K
95992	The provider moves the patient through a series of positions to treat benign paroxysmal positional vertigo. The position changes move canalith particles from parts of the inner ear where they cause…	20	$30	$590

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Darren Averett — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	92	640	410	$20	$13.3K
97530	113	370	290	$20	$12.1K
97112	297	400	290	$20	$10.2K
97140	304	500	280	$20	$6.8K
97161	20	250	30	$70	$2.9K
97162	175	250	30	$70	$2.8K
G0283	103	240	250	$10	$2.6K
95992	6	10	20	$30	$790

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids Who Count	UT	Developmentally Disabled Services Day Training Agency	$0	$3.2M
Kids Who Count	UT	Behavior Analyst	$0	$531.6K
Garry Miller	UT	Internal Medicine Physician	$202.2K	$660
Jackie Bringhurst	UT	Family Nurse Practitioner	$165K	$0
Troy Lunceford	UT	Internal Medicine Physician	$155.7K	$0
Tala'at Al-shuqairat	UT	Pulmonary Disease Physician	$147.9K	$2.4K
Reed Garza	UT	Dermatology Physician	$141.4K	$1.6K
Jarrett Hammer	UT	Family Medicine Physician	$53.4K	$31.8K
Christopher Gessel	UT	Family Nurse Practitioner	$79K	$0
Alan Erdmann	UT	Gastroenterology Physician	$69.9K	$5.7K

Darren Averett — Billing Profile & Reimbursement Data

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Darren Averett — 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