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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Karen Davis (NPI 1023049566)

Field	Value
Entity Type	Individual
Organization	Karen Davis
Address	4001 Derby Ln
City	Rapid City
State	SD
ZIP	57701
Taxonomy	Speech-Language Pathologist
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicare	$25.5K
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
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	240	$60	$14K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	110	$70	$7.4K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	40	$70	$2.7K
96125	In this procedure, the provider performs standardized cognitive performance testing, which is a functional assessment test for a person with memory loss.	20	$80	$1.4K

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. South Dakota Distribution

Karen Davis — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	3	10	170	$50	$8.1K
96125	1	10	80	$80	$5.8K
92526	1	0	N/A	$N/A	$N/A
92610	1	0	N/A	$N/A	$N/A

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tell Suckut	WY	Physical Therapist	$143.6K	$0
Marcus Sickler	ND	Occupational Therapist	$98.3K	$0
Alex Fontaine	ND	Physical Therapist	$95.3K	$0
Laura Marquardt	ND	Physical Therapist	$86.8K	$0
Mark Bau	SD	Physical Therapist	$80.9K	$0
Mark Mincinski	WY	Occupational Therapist	$75.6K	$0
Alaina Young	SD	Occupational Therapist	$72.7K	$0
Heidi Mehlhoff	SD	Occupational Therapist	$62.5K	$0
Deming Haugland	SD	Physical Therapist	$61.8K	$0
Kelly Whelan	WY	Speech-Language Pathologist	$60.9K	$0

Karen Davis — Billing Profile & Reimbursement Data

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Karen Davis — 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

Frequently Asked Questions

References