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

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

Robert Rawlings (NPI 1588710362)

Field	Value
Entity Type	Individual
Organization	Robert Rawlings
Address	420 E 120th Ave
City	Northglenn
State	CO
ZIP	80233
Taxonomy	Physical Therapist
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicare	$49.4K
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.	620	$30	$16.2K
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…	640	$20	$10.2K
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…	320	$20	$7K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	570	$10	$6.3K
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…	290	$20	$5.3K
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	$2.1K
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…	40	$60	$2K

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. Colorado Distribution

Robert Rawlings — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	280	1,530	260	$30	$10.1K
97110	936	1,840	310	$20	$8.3K
97112	602	1,610	240	$20	$7.7K
97140	279	1,770	290	$20	$6.4K
97164	117	260	30	$50	$2.5K
97162	288	860	20	$70	$2.2K
97150	6	130	70	$10	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nic Sparrow	NV	Physical Therapist	$311.5K	$74.4K
Michelene Craft-maynor	CA	Hand Occupational Therapist	$96.2K	$0
Gordon Blair	CO	Orthopedic Physical Therapist	$90.5K	$0
Sarah Pettyjohn	SD	Physical Therapist	$73.9K	$0
Joseph Welch	CO	Physical Therapist	$71.1K	$0
John Beneck	CO	Orthopedic Physical Therapist	$59.2K	$0
Michael Lantz	CO	Physical Therapist	$55K	$0
Samuel Powell	ME	Orthopedic Physical Therapist	$50.5K	$0
Alexandra Mchutch	CO	Physical Therapist	$42.9K	$0
Martha Daniel	TN	Hand Occupational Therapist	$31.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Advantage, Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$28.1M
Northglenn Ambulance, Inc.	CO	Land Ambulance	$511.3K	$6.9M
Community Advantage, Inc	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.6M
United Visionary Services	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.3M
Shannon Johnstad	CO	Physician Assistant	$1.2M	$0
Northglenn Endoscopy Center LLC	CO	Ambulatory Surgical Clinic/Center	$220.7K	$504K
Daniel Shadrick	CO	Foot & Ankle Surgery Podiatrist	$32.2K	$0
James Davis	CO	Foot & Ankle Surgery Podiatrist	$28.7K	$0
Kenneth Hahn	CO	Family Medicine Physician	$24.8K	$0
Angela Mcdonald	CO	Physician Assistant	$19.9K	$0

Robert Rawlings — Billing Profile & Reimbursement Data

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Robert Rawlings — 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