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

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

Lee Darden (NPI 1477528370)

Field	Value
Entity Type	Individual
Organization	Lee Darden
Address	1201 11th Ave S
City	Birmingham
State	AL
ZIP	35205
Taxonomy	Hand Occupational Therapist
NPI Enumerated	February 22, 2006

Payer Source	Total Paid
Medicare	$7.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50	$70	$3.2K
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…	140	$20	$2.6K
97763	At a subsequent encounter after the initial encounter, the provider meets face–to–face with the patient to manage or train the patient on the use of an upper or lower extremity or trunk orthotic or…	30	$40	$1.1K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	40	$20	$720

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Lee Darden — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,001	1,180	430	$20	$10.9K
97535	165	290	50	$20	$2.2K
97165	13	80	20	$70	$2.1K
97763	2	10	30	$30	$870

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Appell	AL	Orthopaedic Surgery Physician	$209.3K	$0
Robert Sorrell	AL	Orthopaedic Surgery Physician	$142.6K	$0
Joseph Sherrill	AL	Orthopaedic Surgery Physician	$83.3K	$0
Kavita Iyengar	FL	Orthopaedic Foot and Ankle Surgery Physician	$41.4K	$0
Rebecca Moul	AL	Orthopaedic Surgery Physician	$32.5K	$0
Jennifer Rawlings	AL	Surgical Physician Assistant	$16K	$0
Victoria Wicks	AL	Hand Occupational Therapist	$6.4K	$0

Lee Darden — Billing Profile & Reimbursement Data

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Lee Darden — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References