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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Gabriel Hallancia (NPI 1386177632)

Field	Value
Entity Type	Individual
Organization	Gabriel Hallancia
Address	140 Tokeena Rd
City	Seneca
State	SC
ZIP	29678
Taxonomy	Occupational Therapist
NPI Enumerated	April 4, 2017

Payer Source	Total Paid
Medicare	$128K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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.	3,870	$20	$77.4K
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…	2,310	$20	$34.6K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	710	$20	$12.1K
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…	60	$80	$4.5K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	30	$20	$580

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Gabriel Hallancia — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	16	1,250	600	$20	$20K
97110	152	1,390	710	$20	$19.2K
97112	834	870	250	$20	$8.2K
97535	24	250	100	$20	$4.5K
97166	5	80	30	$70	$2.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Issaqueena Pediatric Dentistry P.A.	SC	Pediatric Dentistry	$0	$15.3M
Oconee Pediatrics	SC	Rural Health Clinic/Center	$0	$8.5M
Blue Ridge Pediatrics LLC	SC	Rural Health Clinic/Center	$0	$5.6M
Keowee Primary Care & Internal Medicine PC	SC	Internal Medicine Physician	$0	$2M
Crossroads Treatment Center Of Seneca, PC	SC	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.9M
Childrens Therapy Center, Inc.	SC	Pediatric Occupational Therapist	$0	$1.6M
Tauqueer Alam	SC	Internal Medicine Physician	$652.5K	$26K
The Blue Ridge Clemson Orthopaedic Asc LLC	SC	Ambulatory Surgical Clinic/Center	$553.6K	$0
Jared Richardson	SC	Family Medicine Physician	$489.3K	$0
Osman Hicklin	SC	Diagnostic Radiology Physician	$381.3K	$0

Gabriel Hallancia — Billing Profile & Reimbursement Data

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Gabriel Hallancia — 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