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

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

Elaine Hall (NPI 1578187399)

Field	Value
Entity Type	Individual
Organization	Elaine Hall
Address	4303 Trueman Blvd
City	Hilliard
State	OH
ZIP	43026
Taxonomy	Speech-Language Pathologist
NPI Enumerated	June 8, 2020

Payer Source	Total Paid
Medicare	$37.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	210	$60	$11.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	60	$170	$10.1K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	110	$60	$7.1K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	310	$20	$5K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	110	$20	$1.7K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	20	$70	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Elaine Hall — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97130	18	20	1,360	$20	$20.2K
92526	16	20	230	$60	$15.9K
92507	18	50	150	$50	$10.8K
97129	20	20	520	$20	$8.1K
92523	2	30	30	$170	$4.9K
92610	6	20	20	$60	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liza Verne	OH	Occupational Therapist	$468.4K	$0
Elizabeth Owens	OH	Physical Therapist	$461.7K	$0
Melissa Hans	OH	Physical Therapist	$239.8K	$0
Niraj Shah	OH	Occupational Therapist	$151.3K	$0
Tressa Kemer	OH	Physical Therapist	$127.1K	$0
Kelly Martino	OH	Occupational Therapist	$121.3K	$0
Leanne Bargaheiser	OH	Speech-Language Pathologist	$99.9K	$0
Colleen Sas	OH	Speech-Language Pathologist	$96K	$0
Janet Rosenhoffer	OH	Physical Therapist	$90.4K	$0
Alyssa Coreno	OH	Speech-Language Pathologist	$87.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minuteclinic Diagnostic Of Ohio LLC	OH	Family Nurse Practitioner	$0	$15.7M
Capital Homecare, Inc.	OH	Home Health Agency	$0	$12M
Columbus One Endoscopy LLC	OH	Ambulatory Surgical Clinic/Center	$56.2K	$755.3K
Norwich Township	OH	Ambulance	$282.5K	$528K
Ton Le	OH	Psychiatric/Mental Health Nurse Practitioner	$183.7K	$1.5K
Joshua Jones	OH	Family Medicine Physician	$179.5K	$0
Samuel Essandoh	OH	Pain Medicine Physician	$174.4K	$0
Robert Steensen	OH	Orthopaedic Surgery Physician	$148.9K	$0
Marc Schramm	OH	Clinical Psychologist	$43.4K	$58K
Pca-corrections LLC	OH	Long Term Care Pharmacy	$96.6K	$450

Elaine Hall — Billing Profile & Reimbursement Data

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Elaine Hall — 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