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

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

Alaina Gotwalt (NPI 1134648314)

Field	Value
Entity Type	Individual
Organization	Alaina Gotwalt
Address	43850 Heatherstone Terrace
City	Leesburg
State	VA
ZIP	20176
Taxonomy	Speech-Language Pathologist
NPI Enumerated	September 19, 2017

Payer Source	Total Paid
Medicare	$62.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	1,470	$20	$24.9K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	320	$70	$20.9K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	550	$20	$9.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	30	$170	$5.2K
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…	30	$70	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Alaina Gotwalt — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92526	7	40	90	$70	$11.5K
97130	1	20	580	$20	$10.4K
92523	11	40	20	$180	$4.6K
97129	1	40	70	$20	$2.6K
92610	9	20	20	$70	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inova Health Care Services	VA	General Acute Care Hospital	$0	$46.9M
County Of Loudoun, Virginia	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$34.9M
Loudoun Medical Group, PC	VA	Internal Medicine Physician	$0	$12.4M
Commonwealth Emergency Physicians PC	VA	Emergency Medicine Physician	$0	$12M
Amor Home Health Care LLC	VA	Home Health Agency	$0	$9.6M
Minuteclinic Diagnostic Of Virginia LLC	VA	Family Nurse Practitioner	$0	$9M
Northspring Behavioral Healthcare, Inc.	VA	Psychiatric Residential Treatment Facility	$0	$7.8M
Inova Loudoun Ambulatory Surgery	VA	Ambulatory Surgical Clinic/Center	$1.3M	$82.6K
Ajay Dar	VA	Medical Oncology Physician	$1.3M	$0
Rangappa Rajendra	VA	Medical Oncology Physician	$1.3M	$0

Alaina Gotwalt — 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