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    OpenPayerNPI Medicare & MedicaidNicolette Ingel
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    Nicolette Ingel — Billing Profile & Reimbursement Data

    NPI 1992316186 · Apo, AP · Physical Therapist

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    Nicolette Ingel is a physical therapist provider located in Apo, Armed Forces Pacific. This profile covers 3 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicolette Ingel
    Address8th Medical Group
    CityApo
    StateAP (Armed Forces Pacific)
    ZIP96264
    TaxonomyPhysical Therapist
    NPI EnumeratedAugust 12, 2020

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

    Payer SourceTotal Paid
    Medicaid$4.9K
    Medicare$2.1K

    Key Findings

    NICOLETTE INGEL is a Physical Therapist by taxonomy and the provider’s billed services are concentrated in hands-on therapy and exercise-based rehabilitation; the dominant codes are 97110 (therapeutic exercise) and 97140 (manual therapy), with adjunctive electrical stimulation reported under G0283 on Medicare and 97014 on Medicaid. These code choices and descriptions indicate a service line focused on one-on-one therapeutic exercise and manual techniques with occasional use of electrotherapy as part of the plan of care.

    Medicare revenue is small in absolute terms at $2.2K and is highly concentrated: the precomputed top 3 Medicare codes account for 100.0% of this provider’s Medicare revenue, driven by 97110 (51.4% of Medicare revenue), 97140 (43.0%), and G0283 (5.6%). This concentration signals that Medicare reimbursements for this NPI come almost exclusively from core PT modalities rather than from a broad array of CPT/HCPCS codes.

    Medicaid billing is larger than Medicare for this provider, with total Medicaid revenue of $4.9K and the top 3 Medicaid codes accounting for 100.0% of Medicaid revenue: 97140 (61.8%), 97110 (33.2%), and 97014 (5.0%). The Medicaid mix reinforces a focus on manual therapy and therapeutic exercise, and shows Medicaid is the larger payer for this NPI on a lifetime-revenue basis.

    Payer mix is skewed toward Medicaid: reported lifetime Medicaid revenue ($4.9K) exceeds Medicare revenue ($2.2K), indicating this NPI derives a greater share of billed revenue from Medicaid patients. Given the small absolute dollar amounts, the practice appears to operate at low scale overall, with Medicaid representing the primary payer relationship.

    On national Medicare competitive standing, the provider’s volumes for the two largest Medicare codes are described as typical and unremarkable: 97110 ranks #74441 of 79999 providers nationally (7th percentile; typical, unremarkable volume for this code) and 97140 ranks #58228 of 65133 providers nationally (10th percentile; typical, unremarkable volume for this code). G0283 similarly ranks near the bottom (#16017 of 16416, 2th percentile) and is also labeled typical, unremarkable volume; together these rankings characterize the provider as a modest, low-volume national participant for these CPT/HCPCS codes.

    For in-state Medicaid comparison, each top Medicaid code is reported as ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), meaning there are no state peers in the dataset for a direct volume benchmark. That absence of comparable state reporting prevents claims-based statements about local market dominance, even though the provider is the sole in-state reporter in the available data.

    Tenure: the NPI was enumerated 2020-08-12 (~6 years ago), indicating a relatively recent enrollment date. Coupled with the small lifetime Medicare ($2.2K) and Medicaid ($4.9K) revenues, the record is consistent with a lower-volume or newer independent PT practice rather than an established high-throughput clinic.

    Operationally, the code mix and average paid-per-claim differences suggest treatment sessions emphasize manual therapy and therapeutic exercise with lower-cost adjunctive electrotherapy: Medicare shows 97110 at $14 avg paid/claim and 97140 at $14 avg paid/claim, while Medicaid shows 97140 at a higher $22 avg paid/claim and 97110 at $10 avg paid/claim. This pattern implies routine, session-based PT delivery at community-level reimbursement rates rather than high-intensity procedural billing.

    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…80$10$1.1K
    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…70$10$920
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care20$10$120

    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. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    971103,35110140$20$4.6K
    971402,32910110$20$1.8K
    G02835540N/A$N/A$N/A

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…140$20$3K
    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…160$10$1.6K
    97014The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…20$10$250

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Pacific providers billing the same CPT/HCPCS codes. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Armed Forces Pacific median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…110140$20$3.1K
    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…110160$10$1.6K
    97014The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body…11020$10$250

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deana GuarneroDEPhysical Therapist$68.7K$0
    David MckennaPAHand Occupational Therapist$24.5K$0
    Hilary MealeWVOccupational Therapist$16.3K$1.4K
    Linda SchmidtPAOccupational Therapist$11K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxwell Simard—Family Medicine Physician$13.2K$0
    Lance McadamsAP (Armed Forces Pacific)Family Medicine Physician$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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Armed Forces Pacific Distribution
    Nicolette Ingel — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific
    Medicaid Revenue by Year vs. Armed Forces Pacific Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Pacific Distribution
    Nicolette Ingel — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific