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

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

Nicholas Lopez (NPI 1821463498)

Field	Value
Entity Type	Individual
Organization	Nicholas Lopez
Address	175 N Spring Valley Road Ext
City	Mc Murray
State	PA
ZIP	15317
Taxonomy	Physical Therapist
NPI Enumerated	December 8, 2015

Payer Source	Total Paid
Medicare	$116.2K
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
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…	2,120	$20	$33.9K
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…	1,330	$20	$29.2K
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…	1,200	$20	$20.4K
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.	580	$30	$15.1K
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…	110	$80	$8K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	750	$10	$5.2K
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…	60	$70	$4.1K

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. Pennsylvania Distribution

Nicholas Lopez — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	968	2,480	420	$30	$15.8K
97110	738	3,260	600	$20	$15.3K
97112	224	2,480	390	$20	$12.1K
97140	34	2,640	310	$20	$7.6K
97162	204	1,400	30	$70	$2.5K
97163	7	280	20	$70	$2.3K
G0283	78	910	180	$10	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$15.2M
Sunny Days In-home Care	PA	In Home Supportive Care Agency	$0	$11.5M
New Directions Mental Health, PC	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.3M
Mark Seraly	PA	Dermatology Physician	$168.8K	$0
Timothy Weyrich	PA	Urology Physician	$106.3K	$620
Manju Nath	PA	Anatomic Pathology & Clinical Pathology Physician	$46.4K	$6.6K
Rebecca Sally	PA	Physician Assistant	$50.6K	$0
Anthony Ricci	PA	Physical Medicine & Rehabilitation Physician	$41.5K	$0
Evgeniy Shchelchkov	PA	Neurology Physician	$41K	$0
Daniel Burgman	PA	Chiropractor	$30.4K	$10.3K

Nicholas Lopez — Billing Profile & Reimbursement Data

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Nicholas Lopez — 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