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

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

Lisa Fowler (NPI 1609873777)

Field	Value
Entity Type	Individual
Organization	Lisa Fowler
Address	437 W Thurber Rd
City	Tucson
State	AZ
ZIP	85705
Taxonomy	Occupational Therapist
NPI Enumerated	July 5, 2005

Payer Source	Total Paid
Medicare	$33.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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.	1,330	$20	$27.8K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	320	$10	$2.5K
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…	20	$80	$1.7K
97018	In this procedure, the provider applies the paraffin wax on the joints or dips the limb in the paraffin wax solution.	230	$1	$680
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	$550

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Lisa Fowler — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	249	1,820	460	$20	$16.6K
97165	68	90	30	$70	$3.3K
97035	18	110	90	$10	$1.8K
97168	36	40	30	$50	$1.7K
97018	4	20	120	$1	$460

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Collins	AZ	Occupational Therapist	$24K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Ambulance Of Tucson Inc	AZ	Land Ambulance	$3.8M	$98.5M
Arizona's Children Association	AZ	Adolescent and Children Mental Health Clinic/Center	$0	$61.4M
Danville Services Of Arizona, L.L.C.	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$32.3M
Rural Metro Corporation	AZ	Land Ambulance	$886K	$26.6M
Casa De Los Ninos	AZ	Community/Behavioral Health Agency	$0	$24.2M
Cope Community Services, Inc.	AZ	Community/Behavioral Health Agency	$0	$14.2M
Cope Community Services, Inc.	AZ	Adult Mental Health Clinic/Center	$0	$11.7M
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$10.1M
Total Care Connections	AZ	In Home Supportive Care Agency	$0	$9.9M
H B Automotive Services, LLC	AZ	Non-emergency Medical Transport (VAN)	$0	$6.7M

Lisa Fowler — Billing Profile & Reimbursement Data

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Lisa Fowler — 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