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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Emily Russell (NPI 1124659982)

Field	Value
Entity Type	Individual
Organization	Emily Russell
Address	5601 Arringdon Park Dr
City	Morrisville
State	NC
ZIP	27560
Taxonomy	Occupational Therapist
NPI Enumerated	January 30, 2020

Payer Source	Total Paid
Medicare	$6.8K
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
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…	130	$20	$2.4K
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…	20	$80	$1.4K
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…	40	$30	$1.3K
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…	30	$30	$840
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	20	$20	$480
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	20	$20	$320

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. North Carolina Distribution

Emily Russell — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	2,067	2,470	390	$20	$11.1K
97140	2,001	2,020	220	$20	$5.3K
97535	379	450	70	$20	$3.8K
97166	50	80	20	$70	$2.2K
97763	8	20	30	$40	$1.4K
97760	19	30	40	$30	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unc Physicians Network LLC	NC	General Practice Physician	$0	$47M
Uwh Of The Carolinas, PLLC	NC	Obstetrics & Gynecology Physician	$0	$14.9M
Andor Labs LLC	NC	Clinical Medical Laboratory	$1.9M	$11.2M
Associated Health Services, Inc.	NC	Ambulatory Surgical Clinic/Center	$3.5M	$48.5K
Duke University Health System Inc	NC	Diagnostic Radiology Physician	$321.7K	$11.2K
National Mobile X-ray LLC	NC	Physiological Laboratory	$174.3K	$13.1K
Adedayo Ashana	NC	Orthopaedic Surgery Physician	$181K	$0
Matthew Plymyer	NC	Anatomic Pathology & Clinical Pathology Physician	$81.5K	$0
David Ruch	NC	Orthopaedic Hand Surgery Physician	$71.7K	$0
Marc Richard	NC	Orthopaedic Hand Surgery Physician	$56K	$0

Emily Russell — Billing Profile & Reimbursement Data

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Emily Russell — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References