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

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

Marci Wilkinson (NPI 1114476124)

Field	Value
Entity Type	Individual
Organization	Marci Wilkinson
Address	90 Howard Dr
City	Shelbyville
State	KY
ZIP	40065
Taxonomy	Occupational Therapist
NPI Enumerated	October 3, 2016

Payer Source	Total Paid
Medicare	$72.8K
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
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.	2,580	$20	$51.6K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	850	$20	$15.3K
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…	40	$70	$2.7K
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…	150	$20	$2.5K

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. Kentucky Distribution

Marci Wilkinson — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	6	840	360	$20	$11.7K
97110	755	950	420	$20	$11K
97535	9	290	70	$20	$2.9K
97166	8	60	20	$70	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kyle Salsbury	KY	Physical Therapist	$155K	$0
Lee Ross	IN	Occupational Therapist	$122.9K	$0
Lauren Baker	KY	Occupational Therapist	$99.8K	$0
Carrie Wiles	KY	Physical Therapist	$97.5K	$0
Megan Redmond	KY	Physical Therapist	$96.3K	$0
Natalie Bault	KY	Occupational Therapist	$92.6K	$0
Megan Fuller	KY	Physical Therapist	$82.8K	$0
Remsing Kimbell	KY	Physical Therapist	$82.3K	$0
Brandon Simpson	KY	Occupational Therapist	$81K	$0
Ella Flowers	SC	Physical Therapist	$80.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associates In Pediatric Therapy, LLC	KY	Rehabilitation Clinic/Center	$0	$30.7M
Uofl Health-shelbyville Inc	KY	General Acute Care Hospital	$0	$18.5M
Vcmy Ii Corporation	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$6.2M
Stephens Behavior Consulting, LLC	KY	Behavior Analyst	$0	$3.7M
Shelby County Emergency Medical Services	KY	Land Ambulance	$598.3K	$1.3M
Mhd Chaker	KY	Pulmonary Disease Physician	$262.6K	$1M
Alice Creque	KY	Physical Therapist	$167.8K	$0
Marie Hettinger	KY	Physical Therapist	$150.2K	$0
Kenneth Gravett	KY	Family Medicine Physician	$27.3K	$118K
Ron Creque	KY	Family Medicine Physician	$143.2K	$0

Marci Wilkinson — Billing Profile & Reimbursement Data

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Marci Wilkinson — 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