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

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

Kiley Henderson (NPI 1104108463)

Field	Value
Entity Type	Individual
Organization	Kiley Henderson
Address	98 Bangor St Ste A
City	Houlton
State	ME
ZIP	04730
Taxonomy	Occupational Therapist
NPI Enumerated	September 13, 2011

Payer Source	Total Paid
Medicare	$20.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	450	$20	$10.4K
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…	500	$20	$8K
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	$70	$2.6K

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.

View: State1 / 2

Claims Volume vs. Maine Distribution

Kiley Henderson — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	82	310	240	$20	$9.4K
97110	108	440	300	$20	$7K
97165	2	30	20	$70	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Doucette	ME	Physical Therapist	$84.2K	$0
Mackenzie Turner	ME	Physical Therapist	$66.3K	$0
Amie Belyea	ME	Physical Therapist	$51.4K	$0
Tricia Rossignol	ME	Physical Therapist	$44.3K	$0
Matthew Michaud	ME	Physical Therapist	$43.8K	$0
Mark Rossignol	ME	Physical Therapist	$37.9K	$0
Amanda Fitzpatrick	ME	Physical Therapist	$35.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Association	ME	Nursing Care Agency	$0	$30.4M
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$22.5M
Houlton Regional Hospital	ME	Rural Health Clinic/Center	$0	$7M
Houlton Band Of Maliseet Indians	ME	Clinic/Center	$0	$4.3M
Houlton Regional Hospital	ME	Critical Access Hospital	$0	$4.1M
A New Start LLC	ME	Social Worker	$0	$3.5M
Houlton Regional Hospital	ME	Rural Health Clinic/Center	$0	$3.1M
Town Of Houlton	ME	Land Ambulance	$243.2K	$1.6M
Abc Behave LLC	ME	Developmental Therapist	$0	$1.4M
Southern Aroostook Ems Authority	ME	Land Ambulance	$126.7K	$343.9K

Kiley Henderson — Billing Profile & Reimbursement Data

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Kiley Henderson — 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