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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Meredith Bumgarner (NPI 1578727897)

Field	Value
Entity Type	Individual
Organization	Meredith Bumgarner
Address	214 18th St Se
City	Hickory
State	NC
ZIP	28602
Taxonomy	Occupational Therapist
NPI Enumerated	July 16, 2008

Payer Source	Total Paid
Medicare	$23.1K
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
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…	100	$70	$7.5K
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…	420	$20	$6.7K
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…	230	$20	$4.3K
97763	At a subsequent encounter after the initial encounter, the provider meets face–to–face with the patient to manage or train the patient on the use of an upper or lower extremity or trunk orthotic or…	60	$40	$2.3K
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.	80	$30	$2K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	20	$10	$140

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. North Carolina Distribution

Meredith Bumgarner — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	1,655	1,960	270	$20	$11.4K
97110	1,747	2,470	390	$20	$11.1K
97140	504	2,020	220	$20	$5.3K
97165	6	140	30	$70	$2.8K
97763	4	20	30	$40	$1.4K
97035	113	120	80	$10	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forsyth Memorial Hospital, Inc.	NC	General Acute Care Hospital	$0	$40.9M
Brunswick Community Hospital, LLC	NC	General Acute Care Hospital	$0	$15M
Jose Hernandez	SC	Gastroenterology Physician	$160.9K	$0
Jared Carroll	NC	Physical Therapist	$89.9K	$0
William Chirico	SC	Physical Therapist	$63.8K	$0
Veronica Simmons	NC	Occupational Therapist	$30.1K	$0
Stuart Barry	NC	Occupational Therapist	$18.8K	$0
Aubrey Zechman	NC	Occupational Therapist	$12.7K	$0
Megan Russell	NC	Occupational Therapist	$11K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$40.4M
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$28.1M
Christopher H. Brown, Bs Dent, Dds,pa	NC	Oral and Maxillofacial Surgery (Dentist)	$0	$21.8M
Catawba Pediatric Associates, P.A.	NC	Pediatrics Physician	$0	$20.2M
Catawba Valley Medical Center	NC	General Acute Care Hospital	$0	$17.3M
Pediatric Therapy Network	NC	Pediatric Physical Therapist	$0	$12.2M
Urgent Care Of Mountain View PLLC	NC	Urgent Care Clinic/Center	$0	$11.5M
Childrens Neurotherapy Services	NC	Pediatric Occupational Therapist	$0	$9.8M
Creative Change Counseling	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Rafael Rivera, Jr, Dds, PLLC	NC	Dentist	$0	$8.8M

Meredith Bumgarner — Billing Profile & Reimbursement Data

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Meredith Bumgarner — 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