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

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

Michael Suomala (NPI 1689674376)

Field	Value
Entity Type	Individual
Organization	Michael Suomala
Address	2 Trap Falls Rd Ste 404
City	Shelton
State	CT
ZIP	06484
Taxonomy	Physical Therapist
NPI Enumerated	July 26, 2005

Payer Source	Total Paid
Medicare	$104K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	2,240	$20	$42.6K
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…	890	$30	$22.4K
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…	1,300	$20	$20.8K
97161	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…	130	$80	$10.3K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	960	$10	$6.7K
97116	The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…	80	$20	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Michael Suomala — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	18	1,070	420	$20	$11.2K
97112	71	790	260	$20	$9.1K
97140	33	870	280	$20	$6.6K
97116	113	140	190	$20	$6.3K
97161	1	500	30	$80	$2.7K
G0283	4	130	180	$10	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tamer Ghaly	CT	Pain Medicine (Anesthesiology) Physician	$585.8K	$0
Megan Gleason	CT	Orthopaedic Surgery Physician	$105.6K	$0
Mitchell Garden	CT	Orthopaedic Surgery Physician	$68.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Services Of America, LLC	CT	Home Health Agency	$0	$92.9M
Adult Day Care Of America, Inc.	CT	In Home Supportive Care Agency	$0	$35.1M
Dianon Systems, Inc	CT	Clinical Medical Laboratory	$4.9M	$8.5M
Option Care Enterprises, Inc	CT	Home Infusion Therapy Pharmacy	$0	$13.3M
Ameripath New York LLC	CT	Clinical Medical Laboratory	$2.9M	$7.7M
Esoterix Genetic Laboratories, LLC	CT	Clinical Medical Laboratory	$2.2M	$3.2M
Enzo Clinical Labs, Inc.	CT	Clinical Medical Laboratory	$0	$3.8M
Bridgeport Radiological Associates LLC	CT	Diagnostic Radiology Physician	$0	$2.9M
Shelton Pediatrics	CT	Pediatrics Physician	$0	$2.7M
Echo Hose Hook And Ladder Ambulance Corps., Inc.	CT	Land Ambulance	$568.5K	$1.7M

Michael Suomala — Billing Profile & Reimbursement Data

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Michael Suomala — 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