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

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

Amy Melton (NPI 1265861447)

Field	Value
Entity Type	Individual
Organization	Amy Melton
Address	350 Manor Ave
City	Langhorne
State	PA
ZIP	19047
Taxonomy	Speech-Language Pathologist
NPI Enumerated	November 7, 2013

Payer Source	Total Paid
Medicare	$94.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	480	$70	$33.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	420	$60	$23.3K
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.	600	$20	$13.7K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	540	$20	$9.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	40	$190	$7.3K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	240	$20	$4.5K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	30	$70	$2.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Amy Melton — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92526	12	60	300	$70	$19.4K
97530	951	2,480	420	$30	$15.8K
97130	30	50	770	$20	$15.6K
92507	9	80	180	$60	$12K
97129	30	50	280	$20	$6.2K
92523	20	60	30	$180	$6K
92610	24	50	30	$70	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bmg Circle Of Life, LLC	PA	Home Health Agency	$0	$15.3M
Family Service Association Of Bucks County	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.9M
Penndel Mental Health Center, Inc.	PA	Community/Behavioral Health Agency	$0	$11M
St Mary Medical Center	PA	General Acute Care Hospital	$0	$10.8M
Penndel Mental Health Center	PA	Community/Behavioral Health Agency	$0	$10.7M
Woods Services Inc	PA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$10.6M
Emergency Care Services Of Pennsylvania, P.C.	PA	Emergency Medicine Physician	$0	$9.2M
Pyramid Healthcare Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$8.6M
Woods Services, Inc	PA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$5.8M
Woods Services, Inc	PA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$5.6M

Amy Melton — Billing Profile & Reimbursement Data

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Amy Melton — 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