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

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

Kelsey Constant (NPI 1275244485)

Field	Value
Entity Type	Individual
Organization	Kelsey Constant
Address	5420 W 151st St
City	Leawood
State	KS
ZIP	66224
Taxonomy	Occupational Therapist
NPI Enumerated	December 8, 2022

Payer Source	Total Paid
Medicare	$24K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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.	380	$30	$9.4K
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…	380	$20	$6.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	310	$20	$6.3K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	20	$70	$1.3K
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	20	$20	$380

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

Kelsey Constant — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	331	650	390	$20	$14K
97110	466	740	560	$20	$13.3K
97535	25	60	160	$20	$9.9K
97165	21	30	30	$70	$3.2K
97750	8	10	40	$20	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lyndsey Boyer	MO	Occupational Therapist	$62.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colonial Oaks Leawood LLC	KS	Assisted Living Facility	$0	$2M
Ironhorse Dental Group, LLC	KS	Dentist	$0	$909.8K
Nancy Israel	KS	Psychiatry Physician	$124.9K	$101.3K
Joseph Varriano	KS	Diagnostic Radiology Physician	$63.9K	$0
Stephen Rosenberg	KS	Physical Medicine & Rehabilitation Physician	$53.4K	$0
Peter Jones	KS	Clinical Social Worker	$49.3K	$0
Jeffrey Dillow	KS	Plastic and Reconstructive Surgery Physician	$38.9K	$0
Kansas Cvs Pharmacy, L.L.C.	KS	Pharmacy	$34.4K	$0
Jacqueline Meirink	KS	Family Nurse Practitioner	$13.6K	$0
Caroline Eisenhart	KS	Nurse Practitioner	$7.2K	$0

Kelsey Constant — Billing Profile & Reimbursement Data

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Kelsey Constant — 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

Nearby Providers

Frequently Asked Questions

References