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

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

Mary Phaup (NPI 1558551150)

Field	Value
Entity Type	Individual
Organization	Mary Phaup
Address	1015 College Dr
City	Madisonville
State	KY
ZIP	42431
Taxonomy	Physical Therapist
NPI Enumerated	July 30, 2007

Payer Source	Total Paid
Medicare	$63.4K
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…	1,950	$20	$37K
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…	1,060	$20	$18.1K
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…	90	$70	$6.2K
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…	50	$50	$2.2K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	50	$10	$430

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. Kentucky Distribution

Mary Phaup — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	52	950	420	$20	$11K
97140	42	800	250	$10	$5.5K
97162	16	490	30	$70	$2.4K
97164	52	130	40	$50	$2.2K
97032	7	10	50	$10	$660

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Staci Hildebrandt	KY	Physical Therapist	$92.6K	$0
Matthew Murphy	IN	Physical Therapist	$84.4K	$0
Patrick Wempe	IN	Physical Therapist	$35.9K	$0
Madison Zuber	IN	Occupational Therapist	$33.2K	$0
Daniel Baumann	IN	Physical Therapist	$26.1K	$0
Robert Tank	IN	Physical Therapist	$20.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health Deaconess Madisonville Inc	KY	Rural Acute Care Hospital	$0	$80.8M
Caris Counseling & Behavioral Health Group	KY	Professional Counselor	$0	$8.1M
Baptist Health Deaconess Medical Group Inc	KY	Internal Medicine Physician	$0	$5.2M
Medical Center Ambulance Service Inc	KY	Land Ambulance	$745.8K	$1.2M
Owensboro Health Medical Group, Inc	KY	Clinical Medical Laboratory	$42.2K	$478.6K
Deepak Kapadia	KY	Cardiovascular Disease Physician	$225.1K	$180.7K
Ashwani Kumar	KY	Hospitalist Physician	$290.5K	$200
Robert Holzknecht	KY	Family Medicine Physician	$217.1K	$0
Henry Smith	KY	Plastic and Reconstructive Surgery Physician	$186.8K	$0
William Smith	KY	Dermatology Physician	$174.6K	$0

Mary Phaup — Billing Profile & Reimbursement Data

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Mary Phaup — 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