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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Carol Andrew (NPI 1558476671)

Field	Value
Entity Type	Individual
Organization	Carol Andrew
Address	442 Us Route 4
City	Enfield
State	NH
ZIP	03748
Taxonomy	Pediatric Occupational Therapist
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$69.4K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	320	$220	$69.4K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

Carol Andrew — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1	10	30	$190	$17.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cecilia Clemans	NH	Gynecology Physician	$3.8K	$0
Colleen Sullivan	NH	Pediatric Physical Therapist	$3.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keene Medical Products, LLC	NH	Durable Medical Equipment & Medical Supplies	$0	$10.4M
Visions For Creative Housing Solutions, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$2.6M
Lincare Inc	NH	Durable Medical Equipment & Medical Supplies	$0	$456.4K
Mascoma Valley Regional School District	NH	Local Education Agency (LEA)	$0	$415.9K
Matthew Holcomb	NH	Clinical Neuropsychologist	$17K	$0

Carol Andrew — Billing Profile & Reimbursement Data

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Carol Andrew — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References