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

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

Maria Theresa Baylon (NPI 1801800859)

Field	Value
Entity Type	Individual
Organization	Maria Theresa Baylon
Address	27136 B Paseo Espada
City	San Juan Capistrano
State	CA
ZIP	92675
Taxonomy	Physical Therapist
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicare	$848.7K
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
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.	14,350	$20	$330.1K
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…	14,380	$20	$258.8K
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…	14,360	$20	$229.8K
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…	180	$80	$15.4K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	80	$60	$4.7K

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. California Distribution

Maria Theresa Baylon — 4 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	3	5,200	380	$30	$19.2K
97110	3	6,720	490	$20	$17.1K
97112	2	5,210	310	$20	$12.6K
97162	49	3,440	30	$80	$3.6K
97164	144	1,160	30	$60	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
George Siegel	CA	Occupational Therapist	$891.6K	$0

Nearby Providers

Other providers in the same ZIP code as Maria Theresa Baylon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Nichols Institute	CA	Clinical Medical Laboratory	$5.6M	$39.9M
Camino Health Center	CA	Community Health Clinic/Center	$0	$29.7M
Pmdtc, LLC	CA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.3M	$2.6M
William Chang	CA	Pulmonary Disease Physician	$389.1K	$426K
Alerra, LLC	CA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$398.3K	$290K
Sanjivan Kohli	CA	Pulmonary Disease Physician	$504.4K	$0
Yen-hui Soong	CA	Pulmonary Disease Physician	$365.5K	$0
Ralf Reuland	CA	Family Medicine Physician	$151.8K	$0
Eric Loo	CA	Anatomic Pathology & Clinical Pathology Physician	$27K	$0

Maria Theresa Baylon — Billing Profile & Reimbursement Data

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Maria Theresa Baylon — 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