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

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

Karen Witters (NPI 1326372707)

Field	Value
Entity Type	Individual
Organization	Karen Witters
Address	324 E Pioneer
City	Puyallup
State	WA
ZIP	98372
Taxonomy	Occupational Therapist
NPI Enumerated	October 1, 2009

Payer Source	Total Paid
Medicare	$56.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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.	2,520	$20	$47.8K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	100	$50	$5.6K
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…	30	$70	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Karen Witters — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	30	2,280	290	$20	$11.8K
97165	50	160	20	$80	$2.4K
97168	1	10	30	$60	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$77.8M
Multicare Health System	WA	Community/Behavioral Health Agency	$0	$48.2M
Mt. Rainier Emergency Physicians, PLLC	WA	Emergency Medicine Physician	$0	$5M
Agata A Pikula Dds PLLC	WA	Dental Clinic/Center	$0	$4.8M
United Wound Healing Ps	WA	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$0	$2.8M
Mazen Dahan	WA	Pediatrics Physician	$0	$2.6M
Neospine Puyallup Spine Center, LLC	WA	Ambulatory Surgical Clinic/Center	$609.8K	$0
Nathan Bittner	WA	Radiation Oncology Physician	$568.9K	$0
Cris Perez	WA	Family Medicine Physician	$226.6K	$0
Mohammed Baccora	WA	Nephrology Physician	$195.3K	$0

Karen Witters — Billing Profile & Reimbursement Data

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Karen Witters — 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