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

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

Eric Spears (NPI 1982655882)

Field	Value
Entity Type	Individual
Organization	Eric Spears
Address	825 Sagebrush Lane Ste 1
City	Deer Lodge
State	MT
ZIP	59722
Taxonomy	Physical Therapist
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicare	$94.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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…	3,110	$20	$62.2K
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…	1,690	$20	$28.7K
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…	70	$70	$4.8K

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

Claims Volume vs. Montana Distribution

Eric Spears — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	4	480	410	$20	$10.9K
97140	3	450	230	$20	$5.1K
97161	25	260	30	$70	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Performance Physical Therapy, PC	MT	Physical Therapy Clinic/Center	$0	$446.6K
Butte Orthopedic And Fracture Clinic PC	MT	Orthopaedic Surgery Physician	$0	$317.2K
Anthony Russo	MT	Orthopaedic Surgery of the Spine Physician	$166.5K	$0
Nick Blavatsky	MT	Orthopaedic Surgery Physician	$59.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deer Lodge School District	MT	Local Education Agency (LEA)	$0	$882.3K
Dustin Rubink	MT	Dentist	$0	$604K
Powell County Memorial Hospital Association Inc	MT	Critical Access Hospital	$0	$320.7K
Powell Emergency Medical Service	MT	Land Ambulance	$137.1K	$15.3K
James Oser	MT	Family Medicine Physician	$39.5K	$0
Dana Beck	MT	Physical Therapist	$30.6K	$0

Eric Spears — Billing Profile & Reimbursement Data

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Eric Spears — 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