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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Sarah Mcneill (NPI 1114252897)

Field	Value
Entity Type	Individual
Organization	Sarah Mcneill
Address	1272 W Main Rd Bldg 2
City	Middletown
State	RI
ZIP	02842
Taxonomy	Occupational Therapist
NPI Enumerated	October 13, 2009

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

4 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.	17,830	$80	$1.4M
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	1,460	$80	$109.2K
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…	90	$30	$2.2K
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…	10	$50	$640

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Sarah Mcneill — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	303	360	520	$30	$89.2K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	3	10	500	$70	$77.1K
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.	4	260	320	$40	$56K
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…	8	10	20	$120	$24.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newport County Community Mental Health Center, Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.9M
Child And Family Services Of Newport County	RI	Clinic/Center	$0	$4.3M
Royal Middletown Nursing Center LLC	RI	Skilled Nursing Facility	$0	$4.2M
Aquidneck Pediatrics LLC	RI	Pediatrics Physician	$0	$2.4M
Newport County Community Mental Health Center	RI	Community/Behavioral Health Agency	$0	$1.9M
Visiting Nurse Services Of Newport And Bristol Counties	RI	Nursing Care Agency	$0	$1.1M
Jason Michaels	RI	MOHS-Micrographic Surgery Physician	$982.9K	$59.5K
Kenneth Kehew	RI	Dentist	$0	$709.5K
Town Of Middletown	RI	Land Ambulance	$324K	$162.5K
Robert Semco	RI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$471.3K

Sarah Mcneill — Billing Profile & Reimbursement Data

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Sarah Mcneill — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References