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

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

Kelly Waugh (NPI 1255424602)

Field	Value
Entity Type	Individual
Organization	Kelly Waugh
Address	601 E 18th Ave Ste 130
City	Denver
State	CO
ZIP	80203
Taxonomy	Physical Therapist
NPI Enumerated	September 30, 2006

Payer Source	Total Paid
Medicare	$2.7K
Medicaid	$0

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
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	140	$20	$2.7K

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.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Kelly Waugh — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97542	3	10	100	$20	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Sparks Corp	CO	Assisted Living Facility	$0	$6.5M
Goodness Health, LLC	CO	Multi-Specialty Clinic/Center	$0	$4.4M
Jeffrey Richmond	CO	Psychiatry Physician	$232K	$0
Kelly Lowther	CO	Obesity Medicine (Family Medicine) Physician	$133.8K	$0
David Nowick	CO	Anesthesiology Physician	$35.2K	$0
Jack Betts	CO	Anesthesiology Physician	$31.5K	$0
Mark Katz	CO	Psychiatry Physician	$21.7K	$0
Suzette Suniga-brauch	CO	Anesthesiology Physician	$18.2K	$0
Andrew Smith	CO	Anesthesiology Physician	$15.2K	$0
Matthew Hall	CO	Anesthesiology Physician	$13.9K	$0

Kelly Waugh — Billing Profile & Reimbursement Data

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Kelly Waugh — 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