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

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

Christopher Roy (NPI 1558361386)

Field	Value
Entity Type	Individual
Organization	Christopher Roy
Address	55 Main St
City	Bridgton
State	ME
ZIP	04009
Taxonomy	Physical Therapist
NPI Enumerated	July 22, 2005

Payer Source	Total Paid
Medicare	$85.4K
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
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.	1,000	$30	$25.1K
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…	1,220	$20	$20.8K
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…	640	$20	$12.2K
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…	750	$20	$11.2K
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…	100	$80	$7.4K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	70	$60	$3.8K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	330	$10	$3.3K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	150	$20	$2.8K

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. Maine Distribution

Christopher Roy — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	20	310	240	$20	$9.4K
97110	20	440	300	$20	$7K
97112	29	350	240	$20	$6.4K
97140	31	360	240	$20	$5K
97535	39	140	70	$20	$3.6K
97150	10	70	130	$10	$2K
97164	7	60	30	$50	$1.9K
97162	1	200	20	$70	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saco Bay Orthopaedic And Sports Physical Therapy, Inc.	ME	Rehabilitation Clinic/Center	$0	$1.3M
Jeffrey Hanson	NH	Physical Therapist	$81.6K	$0
Sarah Gleeson	ME	Physical Therapist	$76.8K	$0
Robert Coughlin	ME	Physical Therapist	$74.3K	$0
Alexander Wheelwright	ME	Physical Therapist	$73.2K	$0
Betsy Donovan	NH	Physical Therapist	$71.2K	$0
Parker Nally	ME	Physical Therapist	$68.7K	$0
Meaghan Cartier	ME	Pediatric Physical Therapist	$68.3K	$0
Kristina Buck	AK	Physical Therapist	$68.2K	$0
Arthur Chase	ME	Physical Therapist	$63K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgton Hospital	ME	Critical Access Hospital	$0	$2.5M
United Ambulance Bridgton	ME	Land Ambulance	$222.8K	$796.5K
Haroldson Health Services LLC	ME	Chiropractor	$0	$345.5K
Susan Paul	ME	Internal Medicine Physician	$85.2K	$0
Bridget Ross-fitzgibbons	ME	Nurse Practitioner	$79.2K	$0
Jane Sylvestre	ME	Registered Dietitian	$2K	$39K
Suzanne Dater	ME	Internal Medicine Physician	$23.9K	$0
William Kiley	ME	Surgery Physician	$10.4K	$0
Dennis Sullivan	ME	Sports Medicine (Orthopaedic Surgery) Physician	$8.3K	$0

Christopher Roy — Billing Profile & Reimbursement Data

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Christopher Roy — 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