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

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

Susan Painton (NPI 1114216306)

Field	Value
Entity Type	Individual
Organization	Susan Painton
Address	1 Heidelberg Dr
City	Wernersville
State	PA
ZIP	19565
Taxonomy	Speech-Language Pathologist
NPI Enumerated	March 29, 2011

Payer Source	Total Paid
Medicare	$58.6K
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…	590	$60	$33.7K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	290	$70	$18.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	30	$180	$5.3K
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…	20	$70	$1K

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. Pennsylvania Distribution

Susan Painton — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92526	30	60	300	$70	$19.4K
92507	3	80	180	$60	$12K
92523	27	60	30	$180	$6K
92610	38	50	30	$70	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Vein Restoration Nj LLC	NJ	Vascular Surgery Physician	$0	$9.6M
Tamara Liburd	TX	Occupational Therapist	$633.1K	$0
Traci Mccloskey	TX	Physical Therapist	$302.1K	$0
Annette Romero	FL	Physical Therapist	$213.7K	$0
Adrianna D'aurora	MA	Occupational Therapist	$210.1K	$0
Powerback Rehabilitation LLC	NH	Rehabilitation Clinic/Center	$0	$156.3K
Maria Malaver-reyes	GA	Physical Therapist	$155.6K	$0
Pamela Mack-rainey	IL	Occupational Therapist	$137.1K	$0
Malgorzata Kaczmarski	NJ	Occupational Therapist	$135.8K	$0
Nancy Sulak	TX	Physical Therapist	$127K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kirah Iovanna	PA	Psychiatric/Mental Health Nurse Practitioner	$198.7K	$0
Brandilen Sklanka	PA	Nurse Practitioner	$122.3K	$2K
Jennifer Fernandez	PA	Clinical Psychologist	$69.9K	$11.2K
Kelly Eberly	PA	Physical Rehabilitation Occupational Therapist	$67K	$0

Susan Painton — Billing Profile & Reimbursement Data

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Susan Painton — 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