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

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

Heidi Bertoncin (NPI 1568666527)

Field	Value
Entity Type	Individual
Organization	Heidi Bertoncin
Address	8745 James A Reed Rd
City	Raytown
State	MO
ZIP	64138
Taxonomy	Occupational Therapist
NPI Enumerated	June 13, 2007

Payer Source	Total Paid
Medicare	$48.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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.	790	$20	$17.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	680	$20	$13K
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…	370	$20	$6.6K
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…	300	$20	$6.1K
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…	40	$80	$2.7K
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	80	$20	$1.4K
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…	70	$20	$1K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	10	$50	$680

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Heidi Bertoncin — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	204	990	360	$20	$13.8K
97110	623	1,130	420	$20	$12K
97112	457	970	290	$20	$8.9K
97535	23	160	110	$20	$6K
97140	699	810	210	$20	$5.3K
97542	8	20	80	$20	$2.2K
97166	20	70	20	$70	$2.1K
97168	11	10	20	$50	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karen Lafreniere	KS	Physical Therapist	$157.9K	$0
Keri Mogenson	KS	Occupational Therapist	$152.5K	$0
Kerry Smith	KS	Physical Therapist	$81.3K	$0
Dawn Albers	KS	Speech-Language Pathologist	$24.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Disability Services Of Jackson County - Eitas	MO	Case Management Agency	$0	$41.5M
Affinity America Home Care & Personal Services, LLC	MO	In Home Supportive Care Agency	$0	$5.5M
All About You Home Health Services, LLC	MO	In Home Supportive Care Agency	$0	$4.8M
Developmental Disability Services Of Jackson County - Eitas	MO	Bus	$0	$4.3M
Hannah Mcgehee	MO	Occupational Therapist	$83.3K	$0

Heidi Bertoncin — Billing Profile & Reimbursement Data

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Heidi Bertoncin — 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