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

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

Mary Guardia (NPI 1033128236)

Field	Value
Entity Type	Individual
Organization	Mary Guardia
Address	2921 78th Avenue Ct Nw
City	Gig Harbor
State	WA
ZIP	98335
Taxonomy	Hand Occupational Therapist
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicare	$72K
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
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…	3,340	$20	$60.1K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	100	$70	$7.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	110	$20	$2.4K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	20	$60	$1.3K

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. Washington Distribution

Mary Guardia — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	18	2,380	290	$20	$8.7K
97535	94	300	60	$20	$3K
97165	7	160	20	$80	$2.4K
97168	7	10	30	$60	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bond Enterprises Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$15.5M
Answers Counseling, Consultation And Case Mgt. Services	WA	Community/Behavioral Health Agency	$0	$4.4M
Charles Dale	WA	Optometrist	$34.3K	$394.4K
Kerri Robbins	WA	MOHS-Micrographic Surgery Physician	$392K	$0
Western Washington Endoscopy Centers LLC	WA	Ambulatory Surgical Clinic/Center	$322.9K	$0
Casey Pinch	WA	Medical Physician Assistant	$290.3K	$0
Philip Mclain	WA	Dermatology Physician	$277.7K	$0
Yi Soo Kim	WA	Vascular Surgery Physician	$234.2K	$0
William Bies	WA	Physician Assistant	$211.4K	$0
Jeffrey Harrison	WA	Family Medicine Physician	$146.5K	$0

Mary Guardia — Billing Profile & Reimbursement Data

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Mary Guardia — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References