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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter John Jacques
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    Peter John Jacques — Billing Profile & Reimbursement Data

    NPI 1952597486 · Appleton, WI · Physical Therapist

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    Peter John Jacques is a physical therapist provider located in Appleton, Wisconsin. This profile covers 0 Medicare and 14 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 TypeOrganization
    OrganizationPeter John Jacques
    AddressW4652 Glenn St
    CityAppleton
    StateWI
    ZIP54913
    TaxonomyPhysical Therapist
    NPI EnumeratedSeptember 18, 2007

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

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2028Specialized supply, not otherwise specified, waiver310$2,020$627.4K
    L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined3,840$70$257.2K
    L2820Addition to lower extremity orthosis, soft interface for molded plastic, below knee section1,860$70$124.5K
    L2270Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad2,250$40$85.4K
    L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, each830$60$53.2K
    L2280Addition to lower extremity, molded inner boot200$220$45K
    T1999Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"10$1,990$23.9K
    L1945Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated20$700$16.8K
    L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated70$230$15.1K
    L4210Repair of orthotic device, repair or replace minor parts330$40$13.8K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2028Specialized supply, not otherwise specified, waiver2340340$210$188.6K
    L1960Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated41040$230$100.7K
    T1999Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"6260610$40$97.4K
    L2280Addition to lower extremity, molded inner boot210200$230$78.6K
    L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined110170$70$69.2K
    L2820Addition to lower extremity orthosis, soft interface for molded plastic, below knee section210140$70$64.7K
    L2270Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad1101,090$40$42K
    K0739Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes1620220$20$21.1K
    L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, each110110$60$21K
    L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated31070$240$19.5K

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Peter John Jacques, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Partnership Community Health Center, IncWIFederally Qualified Health Center (FQHC)$0$41.6M
    Expressive Therapies LLCWIClinical Social Worker$0$5.2M
    Steven KleinWIPsychologist$0$1.8M
    Brooke PenoskeWIHealth & Wellness Coach$0$1.3M
    Carrie ChapmanWICardiovascular Disease Physician$432.8K$0
    Patrick MannebachWICardiovascular Disease Physician$373.8K$0
    Noah SmithWIDermatology Physician$364K$0
    Simon RoselaarWICardiovascular Disease Physician$328.7K$0
    Woodland Surgery Center LLCWIAmbulatory Surgical Clinic/Center$160.3K$0
    Peter KatzWIDermatology Physician$147.3K$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.

    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Peter John Jacques — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin