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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

Mallory Woodard (NPI 1215436266)

Field	Value
Entity Type	Individual
Organization	Mallory Woodard
Address	Unit 2060
City	Apo
State	AP (Armed Forces Pacific)
ZIP	96278
Taxonomy	Occupational Therapist
NPI Enumerated	February 6, 2018

Payer Source	Total Paid
Medicare	$4.2K
Medicaid	$0

Key Findings

This provider is an Occupational Therapist (MALLORY WOODARD) based in APO, AP. The Medicare billing is dominated by CPT 97530, a time-based therapeutic activity code used for direct patient contact to improve functional performance, which indicates the practice operates with a time-unit, activity-focused rehabilitation workflow rather than procedure- or device-driven services.

Revenue is highly concentrated: the precomputed top-3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, and the available detail shows 97530 alone represents $4.1K of Medicare revenue. That concentration means analysts should treat any change to utilization of 97530 as having an outsized effect on the provider's reported Medicare revenue.

The payer mix is effectively single-payer: lifetime Medicare revenue is $4.2K while there is no Medicaid billing on file. Because there is no Medicaid activity to benchmark, comparisons and network-placement decisions should be based primarily on Medicare performance and other non-Medicaid datasets if available.

Scale of Medicare activity is modest in absolute terms: lifetime Medicare revenue totals $4.2K from 180 claims at a $23 avg paid/claim, which implies many relatively low-dollar, time-unit therapy claims. For business development or utilization review, this pattern is consistent with frequent short-duration therapy encounters rather than a small number of high-value procedures.

On competitive standing for the principal code, the provider ranks #44231 of 62717 providers nationally (29th percentile; typical, unremarkable volume for this code). That ranking characterizes the provider as a modest participant at the national level for 97530 rather than a high-volume or dominant provider of this service.

Tenure: the NPI was enumerated on 2018-02-06 (~8 years ago), so the provider has an established enrollment history but a low cumulative Medicare revenue profile over that period. Analysts should consider the gap between enrollment duration and low Medicare receipts when assessing market presence or referral-network influence.

Data limitations constrain inference: only one Medicare CPT appears in the top-25 listing and there is no Medicaid billing on file, so downstream conclusions about service mix, payer diversification, and growth trajectory are limited. Any benchmarking or trend analysis should flag the sparse billing footprint and seek supplemental sources (claims over time, commercial payer data, or practice-level information) before drawing strong operational or competitive conclusions.

Medicare: Complete Services Breakdown

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

1 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.	180	$20	$4.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

Mallory Woodard — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	2	10	130	$30	$3.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tyler Rust	AP (Armed Forces Pacific)	Diagnostic Radiology Physician	$76.1K	$0
Christopher Pitotti	AP (Armed Forces Pacific)	Emergency Medicine Physician	$5.2K	$23.1K
Steven Gautreaux	AP (Armed Forces Pacific)	Certified Registered Nurse Anesthetist	$9.3K	$0
Kevin Phelan	AP (Armed Forces Pacific)	Surgery Physician	$7.1K	$0

Mallory Woodard — Billing Profile & Reimbursement Data

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Mallory Woodard — 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

Nearby Providers

Frequently Asked Questions

References