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.

Tonya Estep (NPI 1952453243)

Field	Value
Entity Type	Individual
Organization	Tonya Estep
Address	3104 Pine Top Rd
City	London
State	KY
ZIP	40741
Taxonomy	Physical Therapist
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicare	$29K
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
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…	810	$20	$14.5K
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…	450	$20	$6.8K
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…	50	$70	$3.5K
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.	90	$20	$2.3K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	150	$10	$1.1K
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…	20	$50	$830

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. Kentucky Distribution

Tonya Estep — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	734	840	360	$20	$11.7K
97110	257	950	420	$20	$11K
97140	214	800	250	$10	$5.5K
97164	101	130	40	$50	$2.2K
97163	7	90	20	$70	$1.6K
G0283	109	230	140	$10	$1.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Joseph Health System, Inc	KY	Rural Acute Care Hospital	$0	$83.7M
Forever Care Dba Independent Opportunities	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$79M
Brock Medical, LLC	KY	Nurse Practitioner	$0	$63.5M
Recover Together, Inc.	KY	Adult Mental Health Clinic/Center	$0	$36.6M
Pinnacle Treatment Centers Ky-i, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$33.5M
London Women's Care, LLC	KY	Obstetrics & Gynecology Physician	$0	$16M
Inspired Living	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12M
Rrj Solutions, LLC	KY	Community/Behavioral Health Agency	$0	$8.6M
Cherished Care LLC	KY	Internal Medicine Physician	$0	$7M
Fuse Medical	KY	Nurse Practitioner	$0	$7M

Tonya Estep — Billing Profile & Reimbursement Data

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Tonya Estep — 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