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

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

Brian Reilly (NPI 1942440367)

Field	Value
Entity Type	Individual
Organization	Brian Reilly
Address	2400 13th St
City	Ashland
State	KY
ZIP	41102
Taxonomy	Physical Therapist
NPI Enumerated	February 25, 2009

Payer Source	Total Paid
Medicare	$31.3K
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…	630	$20	$11.3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	960	$10	$10.5K
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…	70	$70	$5.3K
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…	80	$50	$3.9K

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. Kentucky Distribution

Brian Reilly — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	340	950	420	$20	$11K
97162	36	490	30	$70	$2.4K
97164	21	130	40	$50	$2.2K
97150	1	220	160	$10	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Francisco Rodriguez	NM	Physician Assistant	$103.5K	$0
Isaacc Nino	TX	Nurse Practitioner	$6.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caring Moore Homes	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21M
Ashland Integrative Medicine LLC	KY	Family Medicine Physician	$0	$19.4M
Crossroads Of Hope,inc.	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$17.3M
Kentucky Medical Logistics Inc	KY	Land Ambulance	$1M	$1.1M
Jordan Conley	KY	Optometrist	$68.7K	$406.5K
Jessica Slone	KY	Family Nurse Practitioner	$171.1K	$0
Kari Shields	KY	Family Medicine Physician	$167K	$0
M & G Neurophysiology Inc	KY	Specialist	$66.6K	$41.9K
Illena Boggs	KY	Family Nurse Practitioner	$104.3K	$0
Aaron Smith	KY	Clinical Psychologist	$69.4K	$0

Brian Reilly — Billing Profile & Reimbursement Data

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Brian Reilly — 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