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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Sheniah Campbell (NPI 1316552243)

Field	Value
Entity Type	Individual
Organization	Sheniah Campbell
Address	4006 Estate Diamond Ste 103
City	St Croix
State	VI
ZIP	00820
Taxonomy	Occupational Therapist
NPI Enumerated	September 8, 2020

Payer Source	Total Paid
Medicare	$22.5K
Medicaid	$0

Key Findings

This provider’s Medicare activity is small in dollar terms: total Medicare revenue is $22.5K and there is no Medicaid billing on file, making the practice effectively single‑payer with Medicare as the sole source of reported public payer revenue. The absence of any Medicaid claims suggests the provider either does not participate in Medicaid or has not billed it during the period covered by these data.

Revenue concentration is extremely high: the precomputed top three Medicare codes account for 93.8% of this provider’s total Medicare revenue, indicating that a very small set of services drives nearly all Medicare receipts. The three highest‑revenue codes are 97110 (63.6% of Medicare revenue), 97140 (17.8%), and 97166 (12.4%), showing a narrow service mix.

The code mix aligns with hands‑on outpatient therapy and occupational therapy evaluation services. High share from 97110 (Therapeutic exercise) and 97140 (Manual therapy) combined with meaningful revenue from 97166 (OT evaluation) implies an operation focused on direct therapeutic interventions and structured OT assessments rather than broad multidisciplinary services.

Clinical/operational detail by code: 97110 appears as the dominant service with 755 claims at $19 avg paid/claim and $14.3K revenue, while 97140 reported 251 claims at $16 avg paid/claim and $4K revenue, and 97166 had 40 claims at $70 avg paid/claim generating $2.8K. These volumes and average payments suggest routine, repeated therapy visits (97110/97140) supplemented by episodic, higher‑unit‑value evaluations (97166).

Competitive standing across national Medicare peers is modest to mixed: 97110 ranks #27253 of 79999 (66th percentile) and is described as typical, unremarkable volume; 97140 ranks #33990 of 65133 (48th percentile) and is also typical; by contrast, 97166 ranks #836 of 4157 (79th percentile), indicating relatively higher national standing for OT evaluations compared with peers. Overall, the provider is not a dominant national player in general therapy volume but has comparatively stronger placement on the occupational therapy evaluation code.

Secondary codes contribute only modestly: 97035 generated $1.4K (174 claims at $8 avg paid/claim) and is ranked in the typical range (71th percentile as reported), reinforcing that most revenue is concentrated in a few therapy and evaluation codes rather than a broad set of modalities. This pattern is consistent with a small outpatient therapy practice offering a limited suite of modalities.

Tenure and credentialing context: the NPI was enumerated on 2020-09-08 (~6 years ago), so the provider has a multi‑year presence in Medicare billing data but is relatively recent compared with many long‑tenured national providers. The timeframe suggests the current billing profile reflects an established but still comparatively young Medicare practice.

From a payer‑mix and strategic perspective, the lack of Medicaid billing means any payer diversification would have to come from adding commercial or Medicaid contracts; currently, Medicare alone accounts for all reported public payer revenue of $22.5K. Analysts seeking competitors or referral patterns should therefore focus on other Medicare therapy providers and local outpatient OT/PT practices rather than in‑state Medicaid networks.

Medicare: Complete Services Breakdown

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

4 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…	760	$20	$14.3K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	250	$20	$4K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	40	$70	$2.8K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	170	$10	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Sheniah Campbell — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	10	20	710	$20	$16.8K
97140	7	20	200	$20	$4.2K
97166	1	10	30	$70	$1.9K
97035	1	10	170	$10	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Hunter Garrison	VI	Physical Therapist	$82.6K	$0
Cheryl Finn	VI	Physical Therapist	$41.4K	$0
Kelsey Roberts	VI	Physical Rehabilitation Occupational Therapist	$22.4K	$0
Kniquiah Hughes	VI	Occupational Therapist	$18K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M

Sheniah Campbell — Billing Profile & Reimbursement Data

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Sheniah Campbell — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References