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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Cynthia Sylvester (NPI 1720208697)

Field	Value
Entity Type	Individual
Organization	Cynthia Sylvester
Address	333 Willow Rd Nw
City	Albuquerque
State	NM
ZIP	87107
Taxonomy	Physical Therapist
NPI Enumerated	April 26, 2007

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	7,980	$130	$997.9K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	6,790	$90	$583.6K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1,070	$210	$223.4K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

Cynthia Sylvester — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	11	60	2,860	$120	$642K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	26	50	1,370	$130	$633K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	7	20	2,160	$100	$623.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bernalillo County Health Care Corporation	NM	Land Ambulance	$4.4M	$80M
Alianza Family Services, LLC	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$60.9M
Csi Aviation, Inc.	NM	Air Ambulance	$2.2M	$50.9M
Albuquerque Health Services	NM	Methadone Clinic	$195.8K	$35.4M
Native American Professional Parent Resources (nappr), Inc.	NM	Community/Behavioral Health Agency	$0	$14.6M
Courageous Transformations, Inc	NM	Methadone Clinic	$0	$13.6M
Unm Medically Fragile Case Management Program	NM	Case Management Registered Nurse	$0	$10.2M
Functional Aquatics Therapy	NM	Rehabilitation Clinic/Center	$0	$6M
Roswell Home Medical Inc	NM	Durable Medical Equipment & Medical Supplies	$0	$5.5M
Unm Focus Program	NM	Case Manager/Care Coordinator	$0	$4.9M

Cynthia Sylvester — Billing Profile & Reimbursement Data

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Cynthia Sylvester — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References