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

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

Isaias Santos (NPI 1720279268)

Field	Value
Entity Type	Individual
Organization	Isaias Santos
Address	388 Ypao Rd
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Physical Therapist
NPI Enumerated	August 8, 2007

Payer Source	Total Paid
Medicare	$59.8K
Medicaid	$0

Key Findings

ISAIAS SANTOS is a Physical Therapist based in TAMUNING, GU with an NPI enumerated on 2007-08-08 (~19 years ago), indicating long-standing participation in Medicare billing. This tenure suggests an established individual practice or clinician-level billing profile rather than a newly entered provider.

This provider’s payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $59.8K and there is no Medicaid billing on file (none). The absence of Medicaid activity indicates limited or no participation in state Medicaid programs during the reporting window.

Revenue is highly concentrated in a very small set of therapy codes: the precomputed top 3 Medicare codes by revenue account for 95.5% of total Medicare revenue. Specifically, 97110 contributes $41.4K (70.1%), 97140 contributes $8.2K (13.9%), and 97162 contributes $6.8K (11.5%), together making up the vast majority of billings.

The code mix (97110 therapeutic exercise, 97140 manual therapy, and 97162 a moderate-complexity PT evaluation) indicates a hands-on outpatient physical therapy practice focused on exercise-based treatment and manual techniques with in-person evaluations of moderate complexity. Adjunct procedures are present but minor — G0283 electrical stimulation (unattended) accounts for $2K (3.3%) and 247 claims, suggesting some use of modality-based care as a complement to the core therapy services.

Looking at competitive standing versus national peers, utilization for the top revenue driver 97110 is reported at 2.1K claims/$20 avg paid/claim and ranks #6088 of 79999 providers nationally (92th percentile; typical, unremarkable volume for this code), indicating typical but non-dominant volume. The evaluation code 97162 ranks #2348 of 35551 (93th percentile; typical, unremarkable volume for this code), which suggests relatively stronger standing for moderate-complexity evaluations, while 97140 ranks #18786 of 65133 (71th percentile; typical, unremarkable volume for this code), reflecting moderate national presence for manual therapy.

There are small-value, low-utilization items in the mix: 97112 shows 25 claims/$27 avg paid/claim for $675 revenue (1.1%) and ranks #61214 of 61940 providers nationally (1th percentile; typical, unremarkable volume for this code), highlighting near-zero utilization of neuromuscular reeducation compared with peers despite appearing in the top-25 list. This suggests the practice’s treatment emphasis is not on 97112-type interventions or that those services are rarely billed by this clinician.

Claims volume and unit payment patterns show session-based, low-unit-value billing typical of outpatient PT: 97110 has 2.1K claims at $20 avg paid/claim, 97140 has 483 claims at $17 avg paid/claim, and 97162 has 84 claims at $81 avg paid/claim. These counts and payment levels are consistent with a clinician delivering many low-dollar therapy sessions and fewer higher-paid evaluation encounters, reinforcing the view of a small, clinically focused outpatient therapy operation rather than a high-throughput institutional provider.

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…	2,070	$20	$41.4K
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…	480	$20	$8.2K
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…	80	$80	$6.8K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	250	$10	$2K
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…	30	$30	$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. Guam Distribution

Isaias Santos — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1	10	720	$20	$20.5K
97140	1	10	200	$20	$4.1K
97162	1	10	20	$80	$3K
G0283	2	10	170	$10	$1.7K
97112	1	10	30	$30	$680

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Lee	GU	Dentist	$0	$10.9M
Guam Memorial Hospital	GU	General Acute Care Hospital	$0	$3.5M
Rsa - Tumon, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Robert Yang	GU	Dentist	$0	$2.4M
Antonio Garcia	GU	Pediatrics Physician	$0	$2.2M
Ma Gladys Linsangan	GU	Pediatrics Physician	$0	$2.2M
Ari Katerelos	GU	Radiation Oncology Physician	$2.1M	$0
Guam X-ray	GU	Vascular & Interventional Radiology Physician	$0	$2.1M
Sarah Clegg	GU	General Practice Dentistry	$0	$1.7M
Peter Kh Go	GU	Surgery Physician	$152.8K	$1.5M

Isaias Santos — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References