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

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

Sara Johnson (NPI 1407221674)

Field	Value
Entity Type	Individual
Organization	Sara Johnson
Address	575 N Sioux Point Rd
City	Dakota Dunes
State	SD
ZIP	57049
Taxonomy	Occupational Therapist
NPI Enumerated	December 14, 2015

Payer Source	Total Paid
Medicare	$16.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	320	$20	$5.4K
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…	260	$10	$3.7K
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	$2.1K
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.	80	$20	$1.9K
97022	The whirlpool method of treatment is a form of hydrotherapy that uses circulating water and air with varied temperature and pressure settings for the treatment of certain disorders. The whirlpool is…	200	$10	$1.6K
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…	20	$80	$1.5K

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

Claims Volume vs. South Dakota Distribution

Sara Johnson — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	227	320	630	$20	$12.9K
97530	169	210	250	$20	$10.5K
97140	132	250	280	$20	$5.5K
97165	13	20	40	$70	$3.2K
97166	11	10	30	$80	$2.4K
97022	2	10	190	$10	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cnos PC	SD	Orthopaedic Surgery Physician	$0	$3.6M
Raymond Kuwahara	SD	Dermatology Physician	$596.4K	$0
Kelly Delaney-nelson	SD	Rheumatology Physician	$463.5K	$0
Jon Grudem	SD	Neurology Physician	$402.6K	$0
Michelle Daffer	SD	Dermatology Physician	$362.4K	$0
Mei He	SD	Neurology Physician	$298.6K	$0
Alyssa Mrsny	SD	Physician Assistant	$237.3K	$0
William Andrews	SD	Neurology Physician	$233.6K	$0
Aaron Althaus	SD	Orthopaedic Surgery Physician	$204.5K	$0
Daniel Nelson	SD	Orthopaedic Surgery Physician	$167K	$0

Sara Johnson — Billing Profile & Reimbursement Data

Sign up for Sara Johnson — Billing Profile & Reimbursement Data policy alerts

Sara Johnson — Billing Profile & Reimbursement Data

Sign up for Sara Johnson — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References