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

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

Daniel Proctor (NPI 1699821777)

Field	Value
Entity Type	Individual
Organization	Daniel Proctor
Address	534 N Elm St
City	Denton
State	TX
ZIP	76201
Taxonomy	Physical Therapist
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicare	$147.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	2,990	$20	$56.8K
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.	2,270	$20	$50K
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…	990	$20	$15.9K
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…	450	$20	$9.3K
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…	110	$80	$8.6K
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.	120	$30	$3K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	290	$10	$2.3K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	170	$10	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Daniel Proctor — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97113	10	160	470	$20	$20.5K
97530	2,186	2,720	350	$20	$14.3K
97110	154	3,610	450	$20	$14K
97112	1,023	2,900	300	$20	$10.8K
97140	162	2,750	190	$20	$5.6K
G0283	302	560	190	$10	$2.5K
97163	10	360	20	$70	$2.2K
97035	32	140	100	$10	$1.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denton Surgery Center LLC	TX	Ambulatory Surgical Clinic/Center	$1M	$0
Anant Sharma	TX	Hematology & Oncology Physician	$932.5K	$0
Gary Lu	TX	Hematology & Oncology Physician	$848.4K	$0
Zachary Brownlee	TX	Radiation Oncology Physician	$740.9K	$0
Shane Stone	TX	Family Medicine Physician	$531.1K	$0
Health Imaging Partners LLC	TX	Physiological Laboratory	$398.3K	$4K
Cynthia Harrington	TX	Dermatology Physician	$387.4K	$0
Jennifer Zahn	TX	Physical Medicine & Rehabilitation Physician	$329.7K	$0
Sridhar Iyer	TX	Pulmonary Disease Physician	$306.6K	$0
John Ha	TX	Pain Medicine (Anesthesiology) Physician	$296.7K	$0

Daniel Proctor — Billing Profile & Reimbursement Data

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Daniel Proctor — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References