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

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

Rita Sullivan (NPI 1417034794)

Field	Value
Entity Type	Individual
Organization	Rita Sullivan
Address	201 W Main St
City	Medford
State	OR
ZIP	97501
Taxonomy	Clinical Psychologist
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicare	$6.4K
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
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	50	$70	$3.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$130	$1.9K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	10	$90	$1.2K

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. Oregon Distribution

Rita Sullivan — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96131	4	10	70	$70	$16K
96130	10	10	30	$90	$5.9K
90791	95	140	20	$110	$3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Clinica Del Valle Family Health Care Center Inc.	OR	Federally Qualified Health Center (FQHC)	$0	$16.5M
Options For Southern Oregon	OR	Mental Illness Community Based Residential Treatment Facility	$0	$11.5M
Ontrack, Inc.	OR	Community/Behavioral Health Agency	$0	$9.6M
Soundview Medical Supply, LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$9.2M
Rogue Valley Transportation District	OR	Transportation Broker	$0	$5.7M
County Of Jackson	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Options For Southern Oregon	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Columbiacare Services Inc	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Rogue Pediatric Therapies, LLC	OR	Speech-Language Pathologist	$0	$3M
Providence Health & Services - Oregon	OR	Family Medicine Physician	$0	$2.7M

Rita Sullivan — Billing Profile & Reimbursement Data

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Rita Sullivan — 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