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

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

Rhett Polka (NPI 1801989983)

Field	Value
Entity Type	Individual
Organization	Rhett Polka
Address	1694 Topaz Dr
City	Loveland
State	CO
ZIP	80537
Taxonomy	Physical Therapist
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicare	$137K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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.	3,700	$20	$88.7K
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…	1,880	$20	$35.7K
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…	170	$70	$12.2K
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…	70	$20	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Rhett Polka — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	4	1,530	260	$30	$10.1K
97110	1,675	1,840	310	$20	$8.3K
97112	16	1,610	240	$20	$7.7K
97162	5	860	20	$70	$2.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peoplecare Of Northern Colorado, LLC	CO	In Home Supportive Care Agency	$0	$13.9M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$12.7M
Total Longterm Care, Inc.	CO	PACE Provider Organization	$0	$6.8M
The Dental Team Of Loveland	CO	General Practice Dentistry	$0	$5.8M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$4.2M
Family Caregiver Agency LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.5M
Horizon Laboratory LLC	CO	Clinical Medical Laboratory	$966.9K	$91.7K
Loveland Endoscopy Center, LLC	CO	Ambulatory Surgical Clinic/Center	$879.3K	$300
Lewis Strong	CO	Gastroenterology Physician	$357.1K	$0
Crystal North	CO	Gastroenterology Physician	$353.2K	$0

Rhett Polka — Billing Profile & Reimbursement Data

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Rhett Polka — 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