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.

Regina Middaugh (NPI 1528475761)

Field	Value
Entity Type	Individual
Organization	Regina Middaugh
Address	1801 E Upriver Dr
City	Spokane
State	WA
ZIP	99207
Taxonomy	Occupational Therapist
NPI Enumerated	July 21, 2014

Payer Source	Total Paid
Medicare	$60.9K
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.	1,770	$20	$42.5K
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…	890	$20	$16.1K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	70	$20	$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	$50	$870
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…	20	$10	$150

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

Regina Middaugh — 1 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	18	2,280	290	$20	$11.8K
97110	170	2,380	290	$20	$8.7K
97140	500	2,130	190	$20	$5K
97535	26	300	60	$20	$3K
97165	4	160	20	$80	$2.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Spokane Pediatrics, PLLC	WA	Pediatric Nurse Practitioner	$0	$10.6M
Norco, Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$6.8M
Abilia Healthcare LLC	WA	Primary Care Clinic/Center	$0	$5.3M
Doctors Clinic Of Spokane	WA	Family Medicine Physician	$0	$2.9M
Russell Legg	WA	Pain Medicine (Anesthesiology) Physician	$84.2K	$0
Duncan Lahtinen	WA	Family Medicine Physician	$84K	$0
Kurt Fullmer	WA	Medical Physician Assistant	$64.8K	$0
Craig Bone	WA	Orthopaedic Surgery Physician	$54K	$0
Cheryl Jones	WA	Hand Occupational Therapist	$53.2K	$0
John Long	WA	Physical Medicine & Rehabilitation Physician	$50.3K	$0

Regina Middaugh — Billing Profile & Reimbursement Data

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Regina Middaugh — 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