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    OpenPayerNPI Medicare & MedicaidLeighton Peavler
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    Leighton Peavler — Billing Profile & Reimbursement Data

    NPI 1972940690 · Clearwater, FL · Physical Therapist

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    Leighton Peavler is a physical therapist provider located in Clearwater, Florida. This profile covers 3 Medicare and 0 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 TypeIndividual
    OrganizationLeighton Peavler
    Address3700 Ulmerton Rd Ste 204
    CityClearwater
    StateFL
    ZIP33762
    TaxonomyPhysical Therapist
    NPI EnumeratedJune 4, 2013

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

    Payer SourceTotal Paid
    Medicare$17.7K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing profile is narrowly focused on outpatient physical therapy services, with the top three codes 97110, 97140, and 97161 accounting for 100.0% of Medicare revenue. The mix—therapeutic exercise (97110), manual therapy (97140), and a low-complexity evaluation (97161)—is consistent with a practice primarily delivering hands-on PT treatment sessions and basic evaluations rather than high-complexity or procedural interventions.

    Revenue concentration is high: 97110 alone represents $11.7K (65.2% of Medicare revenue) and 97140 contributes $5.2K (28.6%), together making up 93.8% of this provider’s Medicare receipts. This level of concentration around two treatment codes suggests a business model dependent on repeat therapy visits and time-based treatment modalities.

    Payer mix is effectively single-payer at present: total Medicare revenue is $17.7K and there is no Medicaid billing on file. Analysts should treat this entity as Medicare-dependent for the observed lifetime revenue period, with no Medicaid activity to compare or offset Medicare volumes.

    Competitive standing on the two principal treatment codes is modest. For 97110 the provider ranks #32800 of 79999 (59th percentile), and for 97140 the provider ranks #28122 of 65133 (57th percentile), indicating typical, unremarkable national volume for both codes rather than dominance or specialized high-volume status.

    The evaluation code 97161 appears used infrequently relative to therapy codes: 15 claims produced $1.1K (6.2% of Medicare revenue) and the provider ranks #30154 of 35745 (13th percentile) for that code. The low percentile and small share of revenue imply the practice performs comparatively few low-complexity evaluations per Medicare benchmarks and primarily bills treatment units.

    NPI tenure shows the provider was enumerated on 2013-06-04, approximately 13 years ago, indicating a long-standing presence in the Medicare program. This longevity, combined with the focused code set, suggests a stable, small-scale outpatient PT operation rather than a recently established practice.

    Code-level statistical characterizations align with the provided labels: both 97110 and 97140 are described as typical, unremarkable volume relative to national peers, and 97161 likewise is labeled typical. There are no codes flagged as notable outliers above or below typical ranges, so the provider’s Medicare pattern fits within expected national variation for physical therapy providers.

    From a service-line perspective, the predominance of therapeutic exercise and manual therapy (97110 and 97140) indicates revenue is driven by direct treatment time and modality-based care delivery. Payers and network planners should view this provider as a standard outpatient PT resource focused on hands-on treatment rather than diagnostic or procedural specialty services.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic 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…620$20$11.7K
    97140Manual 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…320$20$5.2K
    97161The 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$80$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110123,870690$20$21.6K
    9714063,020290$20$9.1K
    9716161,81040$70$4.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Degc Enterprises (u.s.), Inc.FLDurable Medical Equipment & Medical Supplies$0$262.4M
    Symphony Diagnostic Services No 1 LLCFLPhysiological Laboratory$1.9M$3.2M
    Cindy SniderFLPhysical Therapist$175.3K$0
    Zarina KhodzhievaFLCertified Registered Nurse Anesthetist$11.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Leighton Peavler — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida