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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Cynthia Allyn (NPI 1265956569)

Field	Value
Entity Type	Individual
Organization	Cynthia Allyn
Address	Vilseck Army Health Clinic
City	Vilseck
State	ZZ (Unspecified Location)
ZIP	92249
Taxonomy	Occupational Therapist
NPI Enumerated	July 28, 2017

Payer Source	Total Paid
Medicaid	$1.2K
Medicare	$0

Key Findings

This provider has no Medicare billing on file (none) and a very small Medicaid footprint of $1.2K in lifetime revenue, making its billings effectively single‑payer and concentrated in Medicaid rather than split between Medicare and Medicaid. The absence of any Medicare CPT/HCPCS activity means there is no Medicare-based competitive or service-line signal to evaluate for this NPI.

Medicaid revenue is highly concentrated in just a couple of services: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with 97530 representing $945 (78.2%) and 97010 representing $264 (21.8%) of the $1.2K total. This concentration indicates the provider’s Medicaid revenue depends almost entirely on these therapy-related codes.

Code-level mix points to core occupational therapy delivery: 97530 describes direct activities to improve functional performance and is the dominant revenue driver, while 97010 is a modality (hot/cold pack) typically used adjunctively. Together these codes suggest the provider’s billed services focus on hands-on functional therapy complemented by simple physical modalities rather than a broader set of procedures.

Volume metrics show modest claim counts and low per-claim payments: 97530 appears on 27 claims at $35 avg paid/claim for $945 revenue, and 97010 appears on 66 claims at $4 avg paid/claim for $264 revenue. These counts and the $1.2K lifetime Medicaid total signal small operational scale in Medicaid billing rather than high-volume practice.

Competitive standing in-state is minimal for both reported codes: for 97530 the provider ranks #2 of 2 in-state and for 97010 it likewise ranks #2 of 2, each at the 0th percentile with the plain-English characterization provided as “typical, unremarkable volume for this code.” These rank/percentile markers indicate this provider is a modest participant in the state market for these services, not a dominant player.

The NPI has been enumerated since 2017-07-28 (~9 years ago), so the low lifetime Medicaid billing ($1.2K) reflects limited Medicaid-reimbursed activity over a multi-year tenure rather than a newly listed NPI. This temporal context suggests the provider either bills minimally to Medicaid, bills under other NPIs/entities, or engages in care settings that do not bill Medicaid frequently.

Operational implications: because 100.0% of Medicaid revenue comes from a narrow set of therapy codes (97530 and 97010) with modest claim volumes, payers and network managers should treat this NPI as a narrowly focused occupational therapy biller. The pattern is consistent with hands-on functional therapy provision supplemented by simple modalities and does not indicate a broader set of billed services that would affect network capacity planning.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 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.	30	$40	$950
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	70	$1	$260

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Unspecified Location providers billing the same CPT/HCPCS codes. Note: "ZZ" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

Claims Volume vs. Unspecified Location Distribution

Cynthia Allyn — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. Unspecified Location median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	2	10	2,550	$10	$25K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	2	10	1,780	$10	$17.3K

Cynthia Allyn — Billing Profile & Reimbursement Data

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Cynthia Allyn — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References