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.

Sheila Kirkman (NPI 1164902680)

Field	Value
Entity Type	Individual
Organization	Sheila Kirkman
Address	5028 Roberson Farm Rd
City	Kernersville
State	NC
ZIP	27284
Taxonomy	Occupational Therapist
NPI Enumerated	August 14, 2018

Payer Source	Total Paid
Medicare	$22.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	1,280	$20	$21.8K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	10	$70	$870

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Sheila Kirkman — 1 of 2 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

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	9	450	70	$20	$3.8K
97165	126	140	30	$70	$2.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eugene Wade	NC	Family Medicine Physician	$7.2M	$0
Advantis Laboratories LLC	NC	Clinical Medical Laboratory	$322.9K	$448.1K
Adnan Javaid	NC	Pulmonary Disease Physician	$199.7K	$392.2K
Guardian Pharmacy Of Eastern Nc, LLC	NC	Long Term Care Pharmacy	$203.4K	$8.4K
Digestive Health Specialists, PA	NC	Ambulatory Surgical Clinic/Center	$124.3K	$13.5K
Andrew Chow	NC	Internal Medicine Physician	$85.8K	$0
Davonia Michael	NC	Anatomic Pathology & Clinical Pathology Physician	$82.2K	$0
Alexander Powers	NC	Neurological Surgery Physician	$55.6K	$0
Stephen Cockburn	NC	Neurology Physician	$53K	$0
Kernersville Pharmacy LLC	NC	Community/Retail Pharmacy	$52.7K	$0

Sheila Kirkman — Billing Profile & Reimbursement Data

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Sheila Kirkman — 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