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.

Ethan Lafontaine (NPI 1689396640)

Field	Value
Entity Type	Individual
Organization	Ethan Lafontaine
Address	937 Riverwalk Pkwy Ste 101
City	Rock Hill
State	SC
ZIP	29730
Taxonomy	Physical Therapist
NPI Enumerated	September 16, 2022

Payer Source	Total Paid
Medicare	$48.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	1,970	$20	$33.5K
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…	140	$70	$10.1K
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	$4.7K
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…	10	$50	$690
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…	50	$20	$680

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Ethan Lafontaine — 1 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	210	1,390	710	$20	$19.2K
97112	467	870	250	$20	$8.2K
97140	1,026	1,100	240	$20	$6.9K
97164	82	100	30	$50	$2.9K
97163	2	180	30	$70	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Kim	NC	Neurological Surgery Physician	$290.7K	$0
John Welshofer	NC	Physical Medicine & Rehabilitation Physician	$286.5K	$0
Sanjiv Lakhia	NC	Physical Medicine & Rehabilitation Physician	$239.1K	$0
Michael Bohl	NC	Neurological Surgery Physician	$222.1K	$0
Dave Eichman	NC	Pain Medicine (Anesthesiology) Physician	$211.8K	$0
Andrew Sumich	NC	Physical Medicine & Rehabilitation Physician	$206.5K	$0
Joseph Zuhosky	NC	Physical Medicine & Rehabilitation Physician	$200.4K	$0
Joseph Cheatle	NC	Neurological Surgery Physician	$193.1K	$0
Scott Otis	NC	Physical Medicine & Rehabilitation Physician	$192.3K	$0
David Wiercisiewski	NC	Physical Medicine & Rehabilitation Physician	$189.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.2M
Community Medicine Foundation	SC	Federally Qualified Health Center (FQHC)	$0	$11.3M
Dental Access Carolina, LLC	SC	General Practice Dentistry	$0	$10.9M
Bayada Home Health Care, Inc.	SC	Home Health Agency	$0	$6.1M
Rock Hill Treatment Specialists, Inc	SC	Methadone Clinic	$90K	$5.3M
Affinity Health Center	SC	Federally Qualified Health Center (FQHC)	$0	$4.8M
Carolina Pediatric Therapy	SC	Physical Therapist	$0	$4.8M
Rock Hill School District Three	SC	Local Education Agency (LEA)	$0	$3.2M
York County Adult Day Care Services, Inc.	SC	Adult Day Care Clinic/Center	$0	$3M
Providence Care LLC	SC	Community Based Hospice Care Agency	$0	$2M

Ethan Lafontaine — Billing Profile & Reimbursement Data

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Ethan Lafontaine — 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