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    OpenPayerNPI Medicare & MedicaidNicole Decristoforo
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    Nicole Decristoforo — Billing Profile & Reimbursement Data

    NPI 1578933040 · Middletown, RI · Physical Therapist

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    Nicole Decristoforo is a physical therapist provider located in Middletown, Rhode Island. This profile covers 6 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicole Decristoforo
    Address73 Valley Rd
    CityMiddletown
    StateRI
    ZIP02842
    TaxonomyPhysical Therapist
    NPI EnumeratedSeptember 28, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$21.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic 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…260$20$5.1K
    97140Manual 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…270$20$4.6K
    97112Neuromuscular 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…170$30$4.1K
    97530The 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.120$30$3.4K
    97162The 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$80$1.9K
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.160$10$1.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110344460470$20$11.5K
    97530302370300$30$10.9K
    97112206350200$20$7.3K
    97140197400270$20$6.3K
    971627014020$80$2.4K
    97150210120$10$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Physiotherapy Associates IncIAPhysical Therapy Clinic/Center$0$1.3M
    Physiotherapy Associates, Inc.IAPhysical Therapy Clinic/Center$0$999.4K
    Richard BarkerMSPhysical Therapist$276.4K$0
    Thomas BrunsMDPhysical Therapist$186.6K$0
    Heather MooreIAPhysical Therapist$179.6K$0
    Oluwaseun AjifowobajeNYPhysical Therapist$170.2K$0
    Andrew BiggsMSPhysical Therapist$138.7K$0
    Scott DuncanWAPhysical Therapist$131.7K$0
    Sean O'reillyMAPhysical Therapist$127.3K$0
    Jason BaynardCOPhysical Therapist$126.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newport County Community Mental Health Center, IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$36.9M
    Child And Family Services Of Newport CountyRIClinic/Center$0$4.3M
    Royal Middletown Nursing Center LLCRISkilled Nursing Facility$0$4.2M
    Aquidneck Pediatrics LLCRIPediatrics Physician$0$2.4M
    Newport County Community Mental Health CenterRICommunity/Behavioral Health Agency$0$1.9M
    Sarah McneillRIOccupational Therapist$0$1.6M
    Visiting Nurse Services Of Newport And Bristol CountiesRINursing Care Agency$0$1.1M
    Jason MichaelsRIMOHS-Micrographic Surgery Physician$982.9K$59.5K
    Kenneth KehewRIDentist$0$709.5K
    Town Of MiddletownRILand Ambulance$324K$162.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Rhode Island Distribution
    Nicole Decristoforo — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island