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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Pranga (NPI 1043518897)

Field	Value
Entity Type	Individual
Organization	Karen Pranga
Address	3950 Red Bank Rd
City	Cincinnati
State	OH
ZIP	45227
Taxonomy	Hand Occupational Therapist
NPI Enumerated	March 3, 2011

Payer Source	Total Paid
Medicare	$22.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	530	$20	$8.4K
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…	240	$20	$4.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	140	$20	$3.4K
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…	40	$80	$2.9K
97760	In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In…	50	$30	$1.4K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	20	$70	$1.3K
97763	At a subsequent encounter after the initial encounter, the provider meets face–to–face with the patient to manage or train the patient on the use of an upper or lower extremity or trunk orthotic or…	10	$30	$440

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Karen Pranga — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,228	1,680	500	$20	$12.3K
97530	915	1,320	260	$20	$10K
97140	222	1,180	180	$10	$5.2K
97165	27	100	20	$70	$2.2K
97763	17	20	20	$30	$2.1K
97166	57	90	20	$70	$2.1K
97760	5	30	30	$30	$970

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trihealth G LLC	OH	Internal Medicine Physician	$0	$31M
Mohammad Diab	OH	Dermatology Physician	$318.1K	$0
Jennifer Walker	OH	MOHS-Micrographic Surgery Physician	$312K	$0
Emily Dixon	OH	Sports Medicine (Family Medicine) Physician	$303.5K	$0
Gaurang Gandhi	OH	Clinical Cardiac Electrophysiology Physician	$250.8K	$0
Marshall Winner	OH	Clinical Cardiac Electrophysiology Physician	$227K	$0
Kenrick Richardson	OH	Internal Medicine Physician	$222.7K	$0
Donald Carruthers	OH	Physical Medicine & Rehabilitation Physician	$212.1K	$0
Amy Schwartz	OH	Internal Medicine Physician	$198.3K	$0
Hemal Shah	OH	Clinical Cardiac Electrophysiology Physician	$195.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Children's Home Of Cincinnati Ohio, Inc	OH	Adolescent and Children Mental Health Clinic/Center	$0	$57.7M
Transitions Behavioral Health	OH	Community/Behavioral Health Agency	$0	$8.7M
In Home Health LLC	OH	Community Based Hospice Care Agency	$0	$8.2M
Haroon Chaudhry	OH	Ophthalmology Physician	$2.4M	$0
Slobodan Stanisic	OH	Hematology & Oncology Physician	$1.4M	$0
Hisham Arar	OH	Ophthalmology Physician	$476.8K	$0
Robert Cody	OH	Hematology & Oncology Physician	$427.3K	$0
Brian Mannion	OH	Hematology & Oncology Physician	$341.1K	$0
Susannah Becker	OH	Endocrinology, Diabetes & Metabolism Physician	$281.6K	$0
Patrick Kirk	OH	Orthopaedic Surgery Physician	$257K	$0

Karen Pranga — Billing Profile & Reimbursement Data

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Karen Pranga — 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