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

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

Sarah Ortiz (NPI 1801208368)

Field	Value
Entity Type	Individual
Organization	Sarah Ortiz
Address	177 Huntington Ave
City	Boston
State	MA
ZIP	02115
Taxonomy	Physical Therapist
NPI Enumerated	June 2, 2014

Payer Source	Total Paid
Medicare	$22.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	410	$20	$9K
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…	380	$20	$6.8K
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.	140	$30	$4K
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…	20	$60	$1K
98977	The provider supplies one or more devices for remote therapeutic monitoring (RTM) of the musculoskeletal system for monitoring that occurs for 16 to 30 days in a 30–day period.	20	$40	$720
98980	The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…	20	$40	$650
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	20	$10	$270

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Sarah Ortiz — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,179	2,060	460	$20	$13.5K
97530	1,176	1,580	300	$30	$12.7K
97112	573	1,650	280	$20	$9.3K
97535	517	580	70	$20	$3.7K
97162	627	780	30	$80	$3K
98980	7	10	20	$40	$1.7K
98977	7	10	20	$40	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kerina Maharaja	NY	Physical Therapist	$61.6K	$0
Ikechukwu Igbo	TX	Specialist	$59.9K	$0
Lindsey Van Den Dungen	MA	Physical Therapist	$47.9K	$0
Vaishali Patel	NJ	Occupational Therapist	$45K	$0
Ashley Robinson	FL	Physical Therapist	$38.2K	$0

Sarah Ortiz — Billing Profile & Reimbursement Data

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Sarah Ortiz — 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

Frequently Asked Questions

References