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

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

Bruce Pauls (NPI 1922003359)

Field	Value
Entity Type	Individual
Organization	Bruce Pauls
Address	616 W Platt St
City	Maquoketa
State	IA
ZIP	52060
Taxonomy	Physical Therapist
NPI Enumerated	June 13, 2005

Payer Source	Total Paid
Medicare	$26.3K
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
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…	1,240	$20	$22.2K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	270	$10	$2.1K
97161	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…	20	$60	$1.4K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	100	$10	$770

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. Iowa Distribution

Bruce Pauls — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	73	990	430	$20	$9.6K
97161	260	420	30	$70	$2.7K
97032	2	10	100	$10	$1.4K
97035	29	90	70	$10	$770

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dac, Inc	IA	Community/Behavioral Health Agency	$0	$189.8M
Dac Inc.	IA	Community/Behavioral Health Agency	$0	$66.4M
Maquoketa Community School District	IA	Local Education Agency (LEA)	$0	$2.8M
Medical Associates Of Maquoketa, P.C.	IA	Family Medicine Physician	$0	$2.2M
Jackson County Public Hospital	IA	Critical Access Hospital	$0	$1.7M
Maquoketa Family Clinic	IA	Family Medicine Physician	$0	$1.1M
Roger Waller	IA	Family Medicine Physician	$140K	$1.5K
Walmart Inc.	IA	Community/Retail Pharmacy	$124.8K	$400
Kimberly Thompson	IA	Family Medicine Physician	$110.5K	$0
Alyssa Lakin	IA	Family Medicine Physician	$107.7K	$0

Bruce Pauls — Billing Profile & Reimbursement Data

Sign up for Bruce Pauls — Billing Profile & Reimbursement Data policy alerts

Bruce Pauls — Billing Profile & Reimbursement Data

Sign up for Bruce Pauls — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References