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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Gemma Pedraza-hetalia (NPI 1952574956)

Field	Value
Entity Type	Individual
Organization	Gemma Pedraza-hetalia
Address	1 Degraw Ave
City	Teaneck
State	NJ
ZIP	07666
Taxonomy	Physical Therapist
NPI Enumerated	April 10, 2008

Payer Source	Total Paid
Medicare	$83.5K
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…	2,700	$20	$54K
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…	930	$20	$16.7K
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…	930	$10	$9.3K
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…	40	$70	$2.6K

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. New Jersey Distribution

Gemma Pedraza-hetalia — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	302	4,430	780	$20	$20.9K
97140	679	3,500	420	$20	$10.3K
97032	8	50	160	$10	$3.9K
97161	618	1,750	30	$80	$3.1K

Nearby Providers

Other providers in the same ZIP code as Gemma Pedraza-hetalia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holy Name Medical Center Inc.	NJ	General Acute Care Hospital	$0	$107.1M
Awca Home Care Agency, Inc.	NJ	Home Health Agency	$0	$25.2M
Care-4-me,llc	NJ	Home Health Agency	$0	$18.1M
Excelcare Medical Associates, PA	NJ	Internal Medicine Physician	$0	$10M
Friendly Urgent Care, LLC	NJ	Urgent Care Clinic/Center	$0	$8.6M
New Jersey Laser Dentistry	NJ	Dental Clinic/Center	$0	$8.5M
Vincent Ho	NJ	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Holy Name Ems	NJ	Land Ambulance	$1.3M	$919K
Tamara Lenis	NJ	Ophthalmology Physician	$1.7M	$0
Neil Gonter	NJ	Rheumatology Physician	$1.6M	$0

Gemma Pedraza-hetalia — Billing Profile & Reimbursement Data

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Gemma Pedraza-hetalia — 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