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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Joseph Pilgrim (NPI 1588047732)

Field	Value
Entity Type	Individual
Organization	Joseph Pilgrim
Address	115 Brushy Creek Rd
City	Easley
State	SC
ZIP	29642
Taxonomy	Physical Therapist
NPI Enumerated	July 7, 2015

Payer Source	Total Paid
Medicare	$121.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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.	3,480	$20	$76.6K
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…	1,310	$20	$20.9K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	120	$70	$8.5K
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…	470	$20	$7K
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…	200	$20	$3.7K
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…	30	$70	$2.4K
97012	Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level…	130	$10	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Joseph Pilgrim — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	26	1,250	600	$20	$20K
97110	397	1,390	710	$20	$19.2K
97112	483	870	250	$20	$8.2K
97140	324	1,100	240	$20	$6.9K
97162	275	660	30	$70	$2.7K
97163	7	180	30	$70	$2.6K
97012	24	60	90	$10	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health-upstate	SC	Developmental Disabilities Clinic/Center	$0	$19.7M
Greenville Proaxis Therapy, LLC	SC	Physical Therapist	$0	$7.9M
Courtney Focht	SC	Physical Therapist	$267.9K	$0
Melissa Kirn	SC	Physical Therapist	$125.8K	$0
Georgiana Novatny	PA	Physical Therapist	$121.3K	$0
Scott Baker	NC	Physical Therapist	$109.9K	$0
Nina Chitty	SC	Physical Therapist	$109.6K	$0
Nancy Hess	TN	Physical Therapist	$109.1K	$0
Stephanie Rogers	SC	Physical Therapist	$82.5K	$0
Elizabeth Martin	TN	Physical Therapist	$72.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Firstchoice Healthcare PC	SC	Family Medicine Physician	$0	$3M
Csp Enterprises LLC	SC	Pain Medicine Physician	$0	$2.3M
Ph Health Care Services Inc	SC	Community Based Hospice Care Agency	$0	$2M
Indigo Pediatric Dentistry	SC	Pediatric Dentistry	$0	$1.8M
Brian Johnson	SC	Ophthalmology Physician	$539.3K	$0
Joseph O'quinn	SC	Pain Medicine Physician	$421.3K	$0
Lisa Finch	SC	Family Nurse Practitioner	$214.7K	$0
Henry Igdal	SC	General Practice Physician	$188.7K	$0
Gerald Brown	SC	Acute Care Nurse Practitioner	$177.4K	$0
Michele Sweet	SC	Family Nurse Practitioner	$158.7K	$0

Joseph Pilgrim — Billing Profile & Reimbursement Data

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Joseph Pilgrim — 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