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.

Mary Mccullough (NPI 1881636389)

Field	Value
Entity Type	Individual
Organization	Mary Mccullough
Address	2631 W 8th St
City	Erie
State	PA
ZIP	16505
Taxonomy	Physical Therapist
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicare	$125.4K
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
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…	5,040	$20	$95.7K
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…	230	$50	$12K
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…	670	$20	$11.4K
97755	In this procedure, the provider performs an assessment of a patient with a disability to decide the best assistive technology. Assistive technology devices are devices that assist a patient who has a…	160	$30	$3.9K
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…	30	$70	$1.8K
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…	10	$70	$960

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. Pennsylvania Distribution

Mary Mccullough — 3 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,509	3,260	600	$20	$15.3K
97112	3	2,480	390	$20	$12.1K
97755	1	10	140	$20	$3.2K
97164	6	580	30	$50	$2.6K
97162	753	1,400	30	$70	$2.5K
97163	231	280	20	$70	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michelle Mioduszewski	PA	Occupational Therapist	$102.1K	$0
Jessica London	PA	Speech-Language Pathologist	$32.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$10.4M
Stairways Behavioral Health	PA	Case Management Agency	$0	$10M
Voices For Independence	PA	Voluntary or Charitable Agency	$0	$9.9M
Stairways Behavioral Health	PA	Community/Behavioral Health Agency	$0	$8.6M
Stairways Behavioral Health	PA	Public Health or Welfare Agency	$0	$7.8M
Community Resources For Independence Inc	PA	In Home Supportive Care Agency	$0	$6.4M
Safe Harbor Behavioral Health Of Upmc Hamot	PA	Clinic/Center	$0	$5.8M
Jack Anon	PA	Otolaryngic Allergy Physician	$35.3K	$252.6K
Sidney Lipman	PA	Otolaryngic Allergy Physician	$110.9K	$72.4K
Ruthann Lipman	PA	Otolaryngology/Facial Plastic Surgery Physician	$74K	$97.9K

Mary Mccullough — Billing Profile & Reimbursement Data

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Mary Mccullough — 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