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

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

Ronald Lopez (NPI 1669554242)

Field	Value
Entity Type	Individual
Organization	Ronald Lopez
Address	1619 Nw Hawthorne
City	Grants Pass
State	OR
ZIP	97526
Taxonomy	Physical Therapist
NPI Enumerated	October 20, 2006

Payer Source	Total Paid
Medicare	$105.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	2,550	$20	$45.9K
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…	3,060	$20	$45.9K
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…	140	$70	$10.1K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	560	$10	$3.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Ronald Lopez — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	12	1,010	260	$20	$7.7K
97140	2	950	200	$20	$4.9K
97162	8	600	30	$70	$2.4K
G0283	6	100	140	$10	$1.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Options For Southern Oregon	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
American Medical Response Northwest Inc	OR	Ambulance	$1.4M	$7.7M
John Waschak	OR	Pediatric Dentistry	$0	$6.5M
Siskiyou Community Health Center, Inc	OR	Federally Qualified Health Center (FQHC)	$0	$5.4M
Axis Health, Inc.	OR	Chiropractor	$0	$3.2M
Total Performance Sports Medicine, PC	OR	Chiropractor	$0	$2.3M
Eye Care Group Of Southern Oregon, LLC	OR	Optometrist	$0	$1.6M
Grants Pass Surgery Center, LLC	OR	Ambulatory Surgical Clinic/Center	$1.1M	$113.1K
Options For Southern Oregon	OR	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.1M
Cascade Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$428.7K	$155.5K

Ronald Lopez — Billing Profile & Reimbursement Data

Sign up for Ronald Lopez — Billing Profile & Reimbursement Data policy alerts

Ronald Lopez — Billing Profile & Reimbursement Data

Sign up for Ronald Lopez — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References