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

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

Graeme Higgins (NPI 1790231272)

Field	Value
Entity Type	Individual
Organization	Graeme Higgins
Address	1909 Hinson Loop Rd
City	Little Rock
State	AR
ZIP	72212
Taxonomy	Physical Therapist
NPI Enumerated	August 25, 2016

Payer Source	Total Paid
Medicare	$50.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	1,160	$20	$19.6K
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…	500	$20	$11.4K
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…	660	$20	$10.5K
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.	160	$30	$4.2K
97161	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	$70	$3.1K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	190	$10	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Graeme Higgins — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	243	660	820	$20	$20.6K
97530	333	470	290	$20	$11.9K
97112	107	400	240	$20	$8.2K
97140	59	510	200	$20	$4.9K
97161	147	360	40	$70	$3.3K
97150	8	50	80	$10	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Arkansas	AR	Developmentally Disabled Services Day Training Agency	$0	$94.4M
Natural State Genomics LLC	AR	Clinical Medical Laboratory	$1.2M	$4.3M
Easter Seals Arkansas	AR	Physical Therapist	$0	$2.2M
Bp Anesthesia, PLLC	AR	Certified Registered Nurse Anesthetist	$0	$2M
Premier Gastroenterology Associates PLLC	AR	Ambulatory Surgical Clinic/Center	$1.3M	$242.8K
Endoscopy Center Of Little Rock,llc	AR	Ambulatory Surgical Clinic/Center	$420.1K	$2.2K
Battle Street Surgery Center, LLC	AR	Ambulatory Surgical Clinic/Center	$382.9K	$34.4K
Brent James	AR	Optometrist	$71.8K	$300.3K
Robert Svoboda	AR	Gastroenterology Physician	$352.9K	$0
David Mcelreath	AR	Gastroenterology Physician	$310.3K	$0

Graeme Higgins — 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