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    OpenPayerNPI Medicare & MedicaidShearon Craig
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    Shearon Craig — Billing Profile & Reimbursement Data

    NPI 1891901120 · Athens, AL · Physical Therapist

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    Shearon Craig is a physical therapist provider located in Athens, Alabama. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShearon Craig
    Address22423 Us Highway 72
    CityAthens
    StateAL
    ZIP35613
    TaxonomyPhysical Therapist
    NPI EnumeratedMay 15, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$89.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic 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…1,640$20$24.6K
    97112Neuromuscular 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…790$20$15K
    97530The 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.630$20$13.9K
    97113The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.640$20$12.2K
    97140Manual 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…570$10$8K
    97161The 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…70$70$5K
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care770$10$4.6K
    97162The 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…40$70$2.5K
    97016In this procedure, the provider applies the vasopneumatic device to an extremity for the purpose of reducing edema, or swelling.390$10$2.4K
    97035Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.110$10$770

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110891,180430$20$10.9K
    975302271,060330$20$10.4K
    97113620490$20$10.2K
    97112125990300$20$8.3K
    971401711,030250$10$5K
    971619855040$70$3.1K
    9716218845030$70$2.6K
    G028361720240$10$2.1K
    970355214080$10$1.1K
    9701616310130$10$1.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Encore Rehabilitation, IncALPhysical Therapy Clinic/Center$0$8.3M
    Encore Rehabilitation, Inc.ALPhysical Therapy Clinic/Center$0$2.6M
    William StringfellowALPhysical Therapist$258.8K$0
    Barry QuirkMSPhysical Therapist$143.3K$0
    Jason YarberMSPhysical Therapist$133.1K$0
    Jessika JonesMSPhysical Therapist$131.2K$0
    Drew WhitfieldALPhysical Therapist$96.4K$0
    Sherrill BackstromMSPhysical Therapist$76.7K$0
    Angela HooperALPhysical Therapist$63.8K$0
    Jordan PackALOccupational Therapist$44.3K$14.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hometown Pediatrics LLCALPediatrics Physician$0$4.3M
    Lindsey Rodriguez Dmd, LLCALPediatric Dentistry$0$1.1M
    John BoyettALOrthopaedic Surgery Physician$303.8K$0
    Stevon BoyettALPhysical Medicine & Rehabilitation Physician$274.1K$0
    Diagnostic Health Mri Of Gadsden, LLCALRadiology Clinic/Center$205.4K$0
    Joseph BoyettALSports Medicine (Orthopaedic Surgery) Physician$196K$0
    Eric HatfieldALSports Medicine (Family Medicine) Physician$152.6K$0
    James StanfordALSports Medicine (Orthopaedic Surgery) Physician$144.2K$0
    William LawrenceALOrthopaedic Surgery Physician$135.3K$0
    Paul PapajohnALSpecialist$75.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Shearon Craig — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama