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

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

James Halfpenny (NPI 1720195548)

Field	Value
Entity Type	Individual
Organization	James Halfpenny
Address	13036 Old Glenn Hwy Ste D
City	Eagle River
State	AK
ZIP	99577
Taxonomy	Physical Therapist
NPI Enumerated	August 25, 2006

Payer Source	Total Paid
Medicare	$68.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,990	$20	$43.7K
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…	840	$30	$21.8K
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…	50	$80	$3.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

James Halfpenny — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	58	280	390	$20	$12.7K
97140	2	260	220	$20	$6.3K
97162	12	120	20	$90	$2.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Playful Learning Pediatric Therapy, LLC	AK	Pediatric Occupational Therapist	$0	$15.8M
All For Kids Pediatric Therapy Clinic	AK	Pediatric Occupational Therapist	$0	$11M
Family Outreach Center For Understanding Special Needs Inc	AK	Social Worker	$0	$10.5M
Orion Behavioral Health Network LLC	AK	Developmental - Behavioral Pediatrics Physician	$0	$2.5M
Select Physical Therapy Holdings Inc	AK	Physical Therapy Clinic/Center	$0	$1.6M
Vision Therapy Center Inc.	AK	Vision Therapy Optometrist	$0	$1.6M
Behavior Matters LLC	AK	Behavior Analyst	$0	$1.5M
Alaska Pediatric Night Clinic, Inc.	AK	Pediatrics Physician	$0	$1.3M
Dennis Walker	AK	Case Manager/Care Coordinator	$0	$1.1M
Jeanne Moore-kettell	AK	Case Manager/Care Coordinator	$0	$1.1M

James Halfpenny — Billing Profile & Reimbursement Data

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James Halfpenny — 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