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

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

Scott Staszak (NPI 1306244736)

Scott Staszak is a occupational therapist provider located in Bay City, Michigan. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Scott Staszak
Address	3727 Wilder Rd Ste A&b
City	Bay City
State	MI
ZIP	48706
Taxonomy	Occupational Therapist
NPI Enumerated	December 17, 2014

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	50,840	$180	$8.9M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	13,980	$160	$2.2M
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	9,630	$140	$1.4M
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…	9,940	$90	$874.5K
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.	3,110	$80	$255K
H0032	Mental health service plan development by non-physician	2,280	$100	$216.7K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	2,350	$70	$171.3K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	50	$550	$29.5K
92524	The provider, typically a speech language pathologist, evaluates a patient for the quality of voice, nasality, and vocal behavior of the patient.	80	$90	$6.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$200	$2.4K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

Claims Volume vs. Michigan Distribution

Scott Staszak — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	22	130	11,590	$190	$7.6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	23	130	3,170	$180	$2.2M
H0032	Mental health service plan development by non-physician	86	180	2,030	$170	$1.2M
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…	31	160	2,030	$60	$407.6K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	48	60	200	$380	$398.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	25	100	910	$90	$283.6K
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.	148	390	1,660	$40	$281.8K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	2	30	790	$80	$181.9K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	50	50	250	$120	$94.4K
92524	The provider, typically a speech language pathologist, evaluates a patient for the quality of voice, nasality, and vocal behavior of the patient.	3	10	80	$50	$20.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mpa Group Nfp, Ltd.	MI	Mental Health Counselor	$0	$11.3M
Encompass Therapy Center, LLC	MI	Behavior Analyst	$0	$11.2M
Great Lakes Bay Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$5.9M
Muwaffaq Salameh	MI	Nephrology Physician	$392.1K	$0
Erik Voogd	MI	Pain Medicine (Anesthesiology) Physician	$372.7K	$0
Subbarao Chavali	MI	Cardiovascular Disease Physician	$279.7K	$15.1K
Tim Pan	MI	Ophthalmology Physician	$168.2K	$0
Charlotte Yang	MI	Family Medicine Physician	$146.3K	$19.9K
Jeffrey Potts	MI	Internal Medicine Physician	$143.2K	$3.7K
Terrence Cherwin	MI	Orthopaedic Surgery Physician	$137.4K	$0

Scott Staszak — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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