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

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

Denise Clark (NPI 1528198389)

Field	Value
Entity Type	Individual
Organization	Denise Clark
Address	12911 120th Ave Ne
City	Kirkland
State	WA
ZIP	98034
Taxonomy	Hand Occupational Therapist
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicare	$18.9K
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.	470	$20	$11.2K
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…	240	$20	$4.6K
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	$1.4K
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…	20	$90	$1.4K
97018	In this procedure, the provider applies the paraffin wax on the joints or dips the limb in the paraffin wax solution.	100	$1	$290

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. Washington Distribution

Denise Clark — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	748	2,280	290	$20	$11.8K
97112	846	1,960	200	$20	$6.4K
97165	119	160	20	$80	$2.4K
97166	47	90	20	$80	$1.9K
97018	9	20	60	$1	$310

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seattle Hand Surgery Group PC	WA	Ambulatory Surgical Clinic/Center	$322.1K	$0
William Wagner	WA	Orthopaedic Hand Surgery Physician	$215.1K	$0
Elizabeth Joneschild	WA	Orthopaedic Hand Surgery Physician	$59.4K	$0
John Miyano	WA	Orthopaedic Hand Surgery Physician	$58.2K	$0
Kerri Arenholz	WA	Hand Occupational Therapist	$17K	$0
Stephanie Kohlhase	AK	Occupational Therapist	$15.2K	$0
Caitlin Boulware	WA	Occupational Therapist	$12.5K	$0
Anna Christopherson	WA	Occupational Therapist	$7.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
King County Public Hospital District No. 2	WA	General Acute Care Hospital	$0	$31.5M
Bhc Fairfax Hospital Inc.	WA	Psychiatry Physician	$0	$9M
Evergreen Emergency Services, Ps	WA	Emergency Medicine Physician	$0	$4.1M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Puget Sound Gastroenterology, PLLC	WA	Ambulatory Surgical Clinic/Center	$497.1K	$2.4K
Harry Yu	WA	Cardiovascular Disease Physician	$254.6K	$0
Sarah Dick	WA	Dermatology Physician	$250.1K	$0
William Shoup	WA	Family Medicine Physician	$197.4K	$0
Adam Rothenberg	WA	Orthopaedic Surgery Physician	$184.2K	$0

Denise Clark — Billing Profile & Reimbursement Data

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Denise Clark — 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

Nearby Providers

Frequently Asked Questions

References