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.

Outside The Lines, LLC (NPI 1609123462)

Field	Value
Entity Type	Organization
Organization	Outside The Lines, LLC
Address	100 Main St
City	Dover
State	NH
ZIP	03820
Taxonomy	Pediatric Occupational Therapist
NPI Enumerated	August 12, 2012

Payer Source	Total Paid
Medicaid	$412.5K
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
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.	4,690	$90	$412.5K

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

Outside The Lines, LLC — 0 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
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.	61	200	1,650	$20	$108.5K

Nearby Providers

Other providers in the same ZIP code as Outside The Lines, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Case Management Agency	$0	$169.8M
Living Innovations Support Services, LLC	NH	Developmentally Disabled Services Day Training Agency	$0	$147.3M
Living Innovations Support Services, LLC	NH	Developmentally Disabled Services Day Training Agency	$0	$129.3M
Wentworth Douglass Hospital	NH	General Acute Care Hospital	$0	$30.6M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$17.9M
Living Innovations Support Services, LLC	NH	Community/Behavioral Health Agency	$0	$11.2M
Work Opportunities Unlimited Contracts, Inc.	NH	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Behavioral Health And Developmental Services Of Strafford County, Inc	NH	Early Intervention Provider Agency	$0	$5M
Seacoast Emergency Physicians, PC	NH	Emergency Medical Services (Emergency Medicine) Physician	$0	$4.5M
Southeastern New Hampshire Alcohol And Drug Abuse Services	NH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.7M

Outside The Lines, LLC — Billing Profile & Reimbursement Data

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Outside The Lines, LLC — Billing Profile & Reimbursement Data

Sign up for Outside The Lines, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References