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

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

Teresa Hall (NPI 1073668760)

Field	Value
Entity Type	Individual
Organization	Teresa Hall
Address	12772 Hamilton Crossing Blvd
City	Carmel
State	IN
ZIP	46032
Taxonomy	Occupational Therapy Assistant
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicare	$20.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	520	$20	$9.9K
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…	50	$70	$3.8K
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…	50	$70	$3K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	180	$10	$1.6K
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…	40	$30	$1.2K
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…	20	$30	$780

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Teresa Hall — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	38	260	90	$20	$4.6K
97165	18	90	30	$70	$2.6K
97166	19	110	20	$70	$2.1K
97760	11	30	30	$30	$1.7K
97763	10	20	20	$30	$1.6K
97032	6	10	160	$10	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel Boggus	OH	Pain Medicine (Anesthesiology) Physician	$272.6K	$0
Brian Paquette	IN	Neurology Physician	$262.6K	$0
Dmitry Arbuck	IN	Specialist	$175.6K	$0
Kenneth Krueger	IN	Podiatrist	$136.2K	$0
Nicole Curl	IN	Surgical Physician Assistant	$76.5K	$0
Amber Fleming	IN	Rehabilitation Psychologist	$53.1K	$0
Ari Gleckman	IN	Clinical Psychologist	$18K	$0

Teresa Hall — Billing Profile & Reimbursement Data

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Teresa Hall — 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