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

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

Gianna James (NPI 1760961023)

Field	Value
Entity Type	Individual
Organization	Gianna James
Address	3488 Goni Rd
City	Carson City
State	NV
ZIP	89706
Taxonomy	Physical Therapist
NPI Enumerated	August 8, 2018

Payer Source	Total Paid
Medicare	$27.8K
Medicaid	$0

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…	680	$20	$12.2K
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…	520	$20	$8.3K
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…	50	$70	$3.7K
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…	120	$20	$2.6K
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…	10	$70	$920

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. Nevada Distribution

Gianna James — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	257	680	460	$20	$16.1K
97112	355	480	310	$20	$10.3K
97140	178	560	300	$20	$8.1K
97162	259	300	30	$70	$2.9K
97163	6	80	20	$70	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anwar Mack	NV	Pain Medicine (Anesthesiology) Physician	$538.8K	$0
Steven Berman	NV	Interventional Pain Medicine Physician	$175K	$0
Kenneth Pitman	NV	Specialist	$132.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vitality Unlimited	NV	Community/Behavioral Health Agency	$0	$9.9M
Nevada Health Centers Inc	NV	Federally Qualified Health Center (FQHC)	$0	$6.1M
Carson Medical Group Professional Corporation	NV	Family Medicine Physician	$0	$6.1M
Nevada Health Centers, Inc	NV	Federally Qualified Health Center (FQHC)	$0	$5.8M
State Of Nevada	NV	Public Health or Welfare Agency	$0	$5.5M
State Of Nv Aging & Disability Sevices Division- Fe Waiver	NV	PACE Provider Organization	$0	$4.7M
State Of Nevada	NV	Case Management Agency	$0	$3.2M
Carson Tahoe Physician Clinics	NV	Internal Medicine Physician	$0	$2.3M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
State Of Nv Aging And Disability Services Division - Atap	NV	Case Management Agency	$0	$1.7M

Gianna James — 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