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

Why is the Medicaid comparison limited to Nevada 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. Nevada (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 Siran-loughery Otr/l Inc. (NPI 1356435044)

Field	Value
Entity Type	Organization
Organization	Karen Siran-loughery Otr/l Inc.
Address	9011 Sierra Palms Way
City	Henderson
State	NV
ZIP	89074
Taxonomy	Occupational Therapist
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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.	44,940	$90	$4.1M
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…	36,000	$60	$2.2M
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	50	$140	$7.2K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	60	$80	$4.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Karen Siran-loughery Otr/l Inc. — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	8	150	1,060	$50	$482K
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.	11	310	680	$50	$373.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	20	40	50	$120	$57.6K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	40	50	250	$10	$14.5K

Nearby Providers

Other providers in the same ZIP code as Karen Siran-loughery Otr/l Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rbr Management LLC	NV	Ambulance	$4.1M	$21.6M
Independence Lifestyles Inc	NV	In Home Supportive Care Agency	$0	$4.9M
Satish K Sharma Md PC	NV	Pain Medicine Physician	$0	$4.4M
Robert Toledo Do Ltd	NV	Family Medicine Physician	$0	$3.8M
Henderson Hospital	NV	Emergency Care Clinic/Center	$0	$2.7M
Aldis Therapy Services	NV	Clinical Social Worker	$0	$2.4M
Tri-star Pediatrics Services Co	NV	Pediatrics Physician	$0	$2.1M
Anthony Nguyen	NV	Hematology & Oncology Physician	$1.8M	$0
Nocturna Sleep Center, LLC	NV	Sleep Disorder Diagnostic Clinic/Center	$270.2K	$1.4M
Miller Hansen, PLLC	NV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.6M

Karen Siran-loughery Otr/l Inc. — Billing Profile & Reimbursement Data

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Karen Siran-loughery Otr/l Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References