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    OpenPayerNPI Medicare & MedicaidDebra Scheenstra
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    Debra Scheenstra — Billing Profile & Reimbursement Data

    NPI 1366611766 · Seattle, WA · Occupational Therapist

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    Debra Scheenstra is a occupational therapist provider located in Seattle, Washington. This profile covers 6 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDebra Scheenstra
    Address3800 Linden Ave N Apt 5
    CitySeattle
    StateWA
    ZIP98103
    TaxonomyOccupational Therapist
    NPI EnumeratedFebruary 29, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$27.5K
    Medicaid$270

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97542In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.660$20$13.2K
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…130$80$10.7K
    97166The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…20$70$1.7K
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.70$20$1.4K
    98972Using online communication technologies, a nonphysician qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code covers…20$30$490
    97530The 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.10$20$340

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    975302,2742,280290$20$11.8K
    9753513730060$20$3K
    9754211060$20$2.5K
    97165316020$80$2.4K
    97166349020$80$1.9K
    9897211020$30$490

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97542In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.20$10$150
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…10$10$120

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Washington median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…6270150$40$18.3K
    97542In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.1110120$30$13.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kristin McvayORGeriatric Physical Therapist$97.8K$0
    Angela StainbrookWAPhysical Therapist$86.3K$0
    Nicole ElledgeOROccupational Therapist$72.4K$0
    Jenny ArcinasIAOrthopedic Physical Therapist$71.3K$0
    Stephanie WaltonNEOccupational Therapist$69K$0
    Obadiah JohnsonNEPhysical Therapist$62K$0
    Kenneth McconneheyWAPhysical Therapist$57.3K$0
    Angela HouserWAPhysical Therapist$45.4K$0
    Laura HoffNEPhysical Therapist$34.3K$0
    Kristin OkumuraKYPhysical Therapist$33.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neighborcare HealthWAFederally Qualified Health Center (FQHC)$0$3.4M
    Norco, IncWADurable Medical Equipment & Medical Supplies$0$2.5M
    Puget Sound Gastroenterology, PLLCWAAmbulatory Surgical Clinic/Center$756.5K$0
    Proliance Surgeons, Inc., P.s.WAAmbulatory Surgical Clinic/Center$236.9K$0
    Charles PetersonWAOrthopaedic Surgery Physician$192.5K$0
    Philip DownerWAOrthopaedic Surgery Physician$113.3K$0
    Keith HarperWADiagnostic Radiology Physician$113K$0
    Cassandra FreelandWACertified Registered Nurse Anesthetist$50.6K$0
    Steven KussickWASpecialist$35.7K$0
    David NgWAHematology (Pathology) Physician$10.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    Debra Scheenstra — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Debra Scheenstra — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington