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.

James Harrison (NPI 1558459321)

Field	Value
Entity Type	Individual
Organization	James Harrison
Address	1160 E 3900 S
City	Salt Lake City
State	UT
ZIP	84124
Taxonomy	Physical Therapist
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicare	$27.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	970	$20	$18.3K
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…	320	$20	$5.1K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	270	$10	$2.1K
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	$70	$1.3K
97026	The provider, who can be a physician, physical therapist, or massage therapist, among others, applies infrared light therapy to specific body areas to reduce pain, increase joint mobility, promote…	330	$1	$980

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

James Harrison — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	155	640	410	$20	$13.3K
97140	233	500	280	$20	$6.8K
97162	175	250	30	$70	$2.8K
97026	2	10	330	$1	$2.2K
97035	11	60	110	$10	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Utah Healthcare Corporation	UT	General Acute Care Hospital	$0	$35.7M
Nomi Health Inc.	UT	Clinical Medical Laboratory	$108.9K	$9.1M
Valley Mental Health Incorporated	UT	Physical Disabilities Residential Treatment Facility	$0	$5M
Valleylab	UT	Clinical Medical Laboratory	$0	$2.7M
Utah Healthcare Institute Inc	UT	Family Medicine Physician	$0	$1.9M
Valley Mental Health Incorporated	UT	Home Health Registered Nurse	$0	$1.3M
Creek Capital East Gate LLC	UT	Pediatric Dentistry	$0	$570.9K
Wasatch Endoscopy Center Ltd	UT	Ambulatory Surgical Clinic/Center	$486.9K	$62.1K
St Marks Ambulatory Surgery Associates LP	UT	Ambulatory Surgical Clinic/Center	$512.1K	$0
Adult Care Clinic Inc	UT	Acute Care Nurse Practitioner	$0	$474.8K

James Harrison — Billing Profile & Reimbursement Data

Sign up for James Harrison — Billing Profile & Reimbursement Data policy alerts

James Harrison — Billing Profile & Reimbursement Data

Sign up for James Harrison — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References