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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Kelsey Roberts (NPI 1154982981)

Field	Value
Entity Type	Individual
Organization	Kelsey Roberts
Address	201-202 Estate Ruby
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Physical Rehabilitation Occupational Therapist
NPI Enumerated	June 24, 2019

Payer Source	Total Paid
Medicare	$22.4K
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only outpatient rehabilitation practitioner: total Medicare revenue is $22.4K and there is no Medicaid billing on file. The absence of Medicaid activity means payer exposure is concentrated entirely in Medicare for the billing represented here.

Revenue concentration is high: the precomputed top 3 Medicare codes (97110, 97530, 97535) account for 83.0% of this provider's total Medicare revenue, with 97110 alone representing $9.7K or 43.0% of Medicare revenue. Dependence on a very small set of session-based therapy codes suggests performance and financial results are sensitive to changes in utilization or reimbursement for those codes.

The code mix and unit-level details point to a high-volume, direct-treatment practice model: 97110 shows 537 claims at $18 avg paid/claim, 97530 has 200 claims at $23 avg paid/claim, and 97535 has 232 claims at $19 avg paid/claim. These are typical low-dollar, high-claim therapy payments consistent with repeated therapeutic exercise and functional activities rather than a business driven by high-dollar evaluations.

Evaluation activity is limited relative to treatment sessions: 97166 appears 16 times for $1.1K revenue (4.8% of Medicare revenue) at $67 avg paid/claim, indicating this provider bills substantially more for ongoing treatment codes than for higher-paid evaluation codes. That pattern suggests the operation is focused on delivering course-of-care therapy visits rather than front-end evaluation volume.

Competitive standing is modest on a national scale for most codes: 97110 ranks #36756 of 79999 providers nationally (54th percentile; typical, unremarkable volume for this code), 97530 ranks #42358 of 62717 (32th percentile; typical, unremarkable volume), and 97112 ranks #44318 of 61940 (28th percentile; typical, unremarkable volume). These ranks indicate the provider is not a dominant national player for these CPTs and sits around or below median volume for several common therapy codes.

One code shows relatively stronger utilization versus peers: 97535 ranks #3504 of 16743 providers nationally (79th percentile; typical, unremarkable volume), which means 97535 activity is higher than most peers even though the dataset labels it "typical, unremarkable volume," so it should be seen as comparatively active for that specific functional training/instruction service.

Tenure is modest: the NPI was enumerated 2019-06-24 (~7 years ago), so observed billing activity comes from a practitioner with several years of enrollment but not a decades-long presence. That tenure combined with the narrow payer footprint suggests any growth or shifts in service mix could materially change this small Medicare revenue base.

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
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…	540	$20	$9.7K
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.	200	$20	$4.6K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	230	$20	$4.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	150	$20	$2.8K
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	$70	$1.1K

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. U.S. Virgin Islands Distribution

Kelsey Roberts — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	13	20	710	$20	$16.8K
97530	5	10	180	$20	$10.5K
97112	8	10	160	$20	$5.8K
97166	2	10	30	$70	$1.9K
97535	1	10	30	$20	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Hunter Garrison	VI	Physical Therapist	$82.6K	$0
Cheryl Finn	VI	Physical Therapist	$41.4K	$0
Sheniah Campbell	VI	Occupational Therapist	$22.5K	$0
Kniquiah Hughes	VI	Occupational Therapist	$18K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M

Kelsey Roberts — Billing Profile & Reimbursement Data

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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