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

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

Stephanie Wright (NPI 1154654150)

Field	Value
Entity Type	Individual
Organization	Stephanie Wright
Address	333 S Beech St
City	Casper
State	WY
ZIP	82601
Taxonomy	Occupational Therapist
NPI Enumerated	September 9, 2009

Payer Source	Total Paid
Medicare	$255K
Medicaid	$0

Key Findings

This provider’s billed Medicare volume is modest in absolute dollars but highly concentrated: lifetime Medicare revenue is $255K while Medicaid revenue is none, making the practice effectively single‑payer (Medicare) on file. The precomputed top 3 Medicare codes account for 100.0% of this provider’s Medicare revenue, indicating near‑exclusive reliance on a very small set of services.

Revenue concentration is extreme at the procedure level: 97530 alone produces $244.4K in revenue (97.8% of the provider’s Medicare revenue) from 12.9K claims at $19 avg paid/claim, showing this code is the primary revenue driver. The next two codes, 97166 ($4.8K, 1.9%) and 97110 ($555, 0.2%), together contribute only a small fraction of Medicare revenue.

Service‑line implications from the code mix point to a hands‑on occupational therapy practice focused on timed, one‑to‑one treatment sessions and evaluations. The dominance of 97530 (direct skilled therapeutic activity) plus supplemental billing for evaluations (97166) and some therapeutic exercise (97110) suggests the operation bills primarily for face‑to‑face therapy time rather than a broad set of ancillary or procedural services.

97530 is an outlier nationally for this provider: it ranks #17 of 62717 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). That standing indicates unusually high national volume for timed OT treatment under 97530, which may reflect a high intensity of billed therapy sessions or a workflow that favors repeated timed units.

By contrast, 97166 (evaluation, moderate complexity) shows 73 claims and $66 avg paid/claim for $4.8K in revenue and ranks #173 of 4157 providers nationally (96th percentile; typical, unremarkable volume for this code). While it is used regularly, 97166 represents only 1.9% of Medicare revenue, so evaluations are present but not a major revenue source compared with treatment time.

97110 appears infrequently relative to peers: 37 claims at $15 avg paid/claim for $555 in revenue (0.2% of Medicare revenue) and ranks #78470 of 79999 providers nationally (2th percentile; typical, unremarkable volume for this code). This suggests limited use of therapeutic exercise billing compared with heavy use of timed treatment units under 97530.

The provider has a long enrollment history (NPI enumerated 2009-09-09 (~17 years ago)), which supports operational continuity and experience in Medicare billing patterns. That tenure combined with persistent concentration on 97530 points to an established therapy practice model that has been sustained over many years.

Operational and payer‑mix implications: reliance on Medicare and on a single dominant code (97530) creates revenue concentration risk if reimbursement policy or utilization review targets timed therapy units. The absence of any Medicaid billing on file (none) also means there is no Medicaid diversification on record, which could limit contracting leverage or expose the practice to shifts in Medicare policy or patient mix.

Medicare: Complete Services Breakdown

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

3 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.	12,860	$20	$244.4K
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…	70	$70	$4.8K
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…	40	$20	$560

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Stephanie Wright — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	351	350	690	$20	$17K
97530	1	270	330	$20	$13.5K
97166	2	20	20	$70	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elite Therapy Services	WY	Occupational Therapist	$0	$1.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M

Stephanie Wright — Billing Profile & Reimbursement Data

Sign up for Stephanie Wright — Billing Profile & Reimbursement Data policy alerts

Stephanie Wright — Billing Profile & Reimbursement Data

Sign up for Stephanie Wright — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References