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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Jason Bartley (NPI 1548467525)

Field	Value
Entity Type	Individual
Organization	Jason Bartley
Address	Raf Lakenheath 48 Mdg
City	Apo
State	AE (Armed Forces Europe)
ZIP	09461
Taxonomy	Physical Therapist
NPI Enumerated	July 2, 2007

Payer Source	Total Paid
Medicare	$6.5K
Medicaid	$0

Key Findings

This provider’s lifetime Medicare revenue is $6.5K and there is no Medicaid billing on file, so the practice is effectively single-payer with Medicare as the only public-payer source represented in the claims dataset. The absence of any Medicaid claims should be noted for payer-mix analysis and network-placement considerations.

Revenue is highly concentrated: the precomputed top three Medicare codes (97530, 97112, 97161) together account for 86.5% of this provider’s total Medicare revenue, indicating a narrow set of services drives most billings. That concentration suggests revenue risk if utilization or reimbursement for those specific codes changes.

Service-line mix is consistent with an outpatient physical therapy practice focused on functional therapeutic activities and skilled therapeutic evaluation: 97530 (therapeutic activities) generated $2.9K from 130 claims at $22 avg paid/claim, 97112 (neuromuscular reeducation) generated $1.6K from 88 claims at $18 avg paid/claim, and 97161 (PT evaluation, low complexity) generated $1.2K from 17 claims at $71 avg paid/claim. Manual therapy (97140) also appears as a secondary service line, accounting for $882 from 63 claims at $14 avg paid/claim and representing an additional modality in the provider’s treatment mix.

Competitive standing on Medicare appears modest: 97530 ranks #49259 of 62717 providers nationally (21th percentile; typical, unremarkable volume for this code), 97112 ranks #53013 of 61940 providers nationally (14th percentile; typical, unremarkable volume for this code), and 97161 ranks #28148 of 35745 providers nationally (19th percentile; typical, unremarkable volume for this code). Those ranks place the provider well below national-volume leaders and suggest they are a modest participant rather than a dominant regional or national provider for these codes.

Although 97161 yields a higher average payment per claim ($71 avg paid/claim) compared with 97530 ($22 avg paid/claim) and 97112 ($18 avg paid/claim), the lower claim count for 97161 (17 claims) means it contributes less absolute claim volume while still being one of the top three revenue drivers. This mix — higher-paid but fewer evaluation claims alongside higher-count, lower-paid therapy sessions — is characteristic of small independent therapy providers where evaluations and subsequent treatment sessions coexist.

The provider’s NPI was enumerated on 2007-07-02 (~19 years ago), indicating long-tenured enrollment in Medicare despite relatively low lifetime Medicare revenue ($6.5K). The extended enrollment window combined with modest billing suggests either low practice volume, limited Medicare patient access, or administrative factors limiting Medicare utilization.

Given the absence of Medicaid billing, any competitive or network analyses should treat this provider as Medicare-only in the public-payer context; business development or contracting teams seeking Medicaid-capable partners should note there is no Medicaid footprint on file. This single-payer footprint also narrows benchmarking comparators to Medicare-only peers unless additional commercial or state data are available.

Medicare: Complete Services Breakdown

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

4 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.	130	$20	$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…	90	$20	$1.6K
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	$1.2K
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…	60	$10	$880

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Jason Bartley — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	4	10	150	$30	$6.5K
97112	6	10	140	$20	$3.3K
97140	2	10	60	$20	$1.4K
97161	1	10	20	$70	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Heino	AE (Armed Forces Europe)	Family Medicine Physician	$31.3K	$136.8K
Joshua Latham	AE (Armed Forces Europe)	Family Medicine Physician	$84.3K	$0
Immacula Nezier	AE (Armed Forces Europe)	Women's Health Nurse Practitioner	$68.4K	$0
Delila Donaldson	AE (Armed Forces Europe)	Clinical Social Worker	$18.2K	$36.4K
Eric Butters	AE (Armed Forces Europe)	Family Nurse Practitioner	$2.6K	$18.5K
Linda Schemm	AE (Armed Forces Europe)	Physical Therapist	$19.5K	$0
Hilary Stamp	AE (Armed Forces Europe)	Pediatrics Physician	$0	$19.1K
Samuel Kjome	AE (Armed Forces Europe)	Family Medicine Physician	$16.2K	$0
Michelle Sanger	AE (Armed Forces Europe)	Physician Assistant	$13.9K	$0
Claire Schmidt	AE (Armed Forces Europe)	Optometrist	$13.8K	$0

Jason Bartley — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References