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

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

Andrew Russell (NPI 1659695807)

Field	Value
Entity Type	Individual
Organization	Andrew Russell
Address	2481 Lincoln Hwy E
City	Lancaster
State	PA
ZIP	17602
Taxonomy	Physical Therapist
NPI Enumerated	March 17, 2010

Payer Source	Total Paid
Medicare	$127.5K
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.	2,030	$20	$48.8K
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…	2,820	$20	$47.9K
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…	830	$20	$12.5K
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	$80	$9.2K
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…	220	$20	$4.4K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	210	$20	$4.3K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	30	$10	$180

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. Pennsylvania Distribution

Andrew Russell — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	80	2,480	420	$30	$15.8K
97110	106	3,260	600	$20	$15.3K
97112	1,671	2,480	390	$20	$12.1K
97113	63	90	320	$20	$11.9K
97140	420	2,640	310	$20	$7.6K
97163	4	280	20	$70	$2.3K
G0283	887	910	180	$10	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ati Holdings, LLC	MD	Physical Therapy Clinic/Center	$0	$30.3M
Daniel Altman	MD	Physical Therapist	$230.9K	$24.9K
Eric Lesniak	PA	Physical Therapist	$210.7K	$0
Phillip Tyre	DE	Physical Therapist	$142.9K	$0
Lisa Cirillo	DE	Physical Therapist	$121.4K	$0
Andrew Smith	DE	Physical Therapist	$113.1K	$0
David Pinkerton	DE	Physical Therapist	$112.2K	$0
Jennifer Andrew	DE	Physical Therapist	$110.7K	$0
Thomas Ballenger	MD	Physical Therapist	$108.8K	$0
Joseph Laws	DE	Physical Therapist	$103K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lancaster General Hospital	PA	General Acute Care Hospital	$0	$33.7M
H.e.a.r., Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$12.7M
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$11.6M
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$8.8M
Commonwealth Clinical Group, Inc.	PA	Community/Behavioral Health Agency	$0	$7.3M
Lancaster Emergency Associates Ltd	PA	Emergency Medicine Physician	$0	$7.1M
Hyatt Degreen	PA	Hematology & Oncology Physician	$1.4M	$0
Lena Dumasia	PA	Hematology & Oncology Physician	$1M	$0
Farhan Huq	PA	Dermatology Physician	$235.6K	$0
Marena Fares	PA	Physician Assistant	$208K	$0

Andrew Russell — Billing Profile & Reimbursement Data

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Andrew Russell — 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