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

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

Leigh Wilson (NPI 1255889523)

Field	Value
Entity Type	Individual
Organization	Leigh Wilson
Address	4921 Parkview Pl
City	Saint Louis
State	MO
ZIP	63110
Taxonomy	Physical Therapist
NPI Enumerated	September 15, 2016

Payer Source	Total Paid
Medicare	$6.4K
Medicaid	$0

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
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…	180	$20	$3K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	30	$80	$2.5K
97760	In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In…	20	$30	$790

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. Missouri Distribution

Leigh Wilson — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	880	1,130	420	$20	$12K
97161	148	400	30	$70	$2.7K
97760	7	10	20	$30	$750

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carrie Mosley	MO	Speech-Language Pathologist	$46K	$0
Hannah Schweickart	MO	Physical Therapist	$30.3K	$0
Deborah Priluck	MO	Physical Therapist	$19.9K	$0
Joan Scacciaferro	MO	Occupational Therapist	$19.8K	$0
Luu Wong	MO	Hand Occupational Therapist	$13.8K	$0
Emily Pitassi	MO	Occupational Therapist	$9.4K	$0
Timothy Pemberton	MO	Occupational Therapist	$6.7K	$0
Logan Pewitt	OH	Hand Occupational Therapist	$4.8K	$0
Lauren Mione	MO	Occupational Therapist	$4.1K	$0
Carla Walker	MO	Occupational Therapist	$2.8K	$0

Leigh Wilson — Billing Profile & Reimbursement Data

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Leigh Wilson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References