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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Allison Walsh (NPI 1568925675)

Field	Value
Entity Type	Individual
Organization	Allison Walsh
Address	21 Market St
City	Vermillion
State	SD
ZIP	57069
Taxonomy	Mental Health Counselor
NPI Enumerated	April 8, 2019

Payer Source	Total Paid
Medicaid	$185.5K
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
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,910	$100	$185.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Allison Walsh — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	44	190	430	$90	$154.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sesdac, Inc.	SD	Developmentally Disabled Services Day Training Agency	$0	$26.2M
Sanford Health Network	SD	Family Medicine Physician	$0	$1.3M
Sesdac, Inc.	SD	Case Management Agency	$0	$422.8K
Sesdac, Inc.	SD	Case Management Agency	$0	$395.7K
Knutson Familty Dentistry LLP	SD	Dentist	$0	$306.6K
Houska Dental Clinic	SD	Dental Clinic/Center	$0	$303.3K
Sanford Health Network	SD	Critical Access Hospital	$0	$274.4K
Brown Optometric Clinic PC	SD	Optometrist	$0	$238.2K
Great Plains Therapy LLC	SD	Physical Therapy Clinic/Center	$0	$219.7K
City Of Vermillion	SD	Land Ambulance	$164.7K	$52.4K

Allison Walsh — Billing Profile & Reimbursement Data

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Allison Walsh — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References