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

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

Leah Hall (NPI 1497050686)

Field	Value
Entity Type	Individual
Organization	Leah Hall
Address	705 Pleasant Ave S
City	Park Rapids
State	MN
ZIP	56470
Taxonomy	Occupational Therapist
NPI Enumerated	January 19, 2011

Payer Source	Total Paid
Medicare	$12.2K
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
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…	330	$20	$6.3K
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…	40	$80	$3.3K
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	$1.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	40	$20	$740
97760	In this service, the provider trains a patient on the use of an orthotic device on the upper extremity, lower extremity, and/or trunk. He may also assess and adjust the fit for the device. In…	20	$30	$670

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. Minnesota Distribution

Leah Hall — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	573	1,650	240	$20	$5.9K
97165	32	180	20	$70	$2.2K
97535	263	450	40	$20	$1.9K
97166	71	100	20	$70	$1.6K
97760	7	20	20	$30	$710

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Mary's Regional Health Center	MN	Rural Health Clinic/Center	$0	$21.5M
Lake Country Associates, Inc.	MN	Community/Behavioral Health Agency	$0	$5.6M
St. Joseph's Area Health Services	MN	Critical Access Hospital	$0	$4.7M
Walgreen Co	MN	Pharmacy	$159K	$0
Megan Bollinger	MN	Physical Therapist	$47.5K	$0
Jamie Kueber	MN	Optometrist	$41.4K	$0
Paul Funk	MN	Physical Therapist	$37.3K	$0
Paula Kitzmann	MN	Clinical Social Worker	$36.1K	$0
Clifford Lafreniere	MN	Physical Therapist	$23.8K	$0
Daniel Smith	MN	Surgery Physician	$21.3K	$0

Leah Hall — Billing Profile & Reimbursement Data

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Leah Hall — 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