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

Why is the Medicaid comparison limited to New York 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 York (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.

Laura Wall (NPI 1629112776)

Field	Value
Entity Type	Individual
Organization	Laura Wall
Address	75 Beekman St
City	Plattsburgh
State	NY
ZIP	12901
Taxonomy	Occupational Therapist
NPI Enumerated	February 19, 2007

Payer Source	Total Paid
Medicare	$13K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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.	300	$20	$7K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	120	$30	$4.1K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	110	$20	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Laura Wall — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	2,766	4,600	420	$30	$19.2K
97112	4,371	5,070	370	$20	$14.3K
97533	10	10	200	$40	$10.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Champlain Valley Physicians Hospital Medical Center	NY	General Acute Care Hospital	$0	$35.9M
Champlain Valley Brace And Limb, L.L.C.	NY	Durable Medical Equipment & Medical Supplies	$0	$21M
Roy Arogyasami	NY	Ophthalmology Physician	$4.7M	$1.1M
Surgical Pain Center Of The Adirondacks, LLC	NY	Ambulatory Surgical Clinic/Center	$930K	$225.6K
Plattsburgh Asc LLC	NY	Ambulatory Surgical Clinic/Center	$623.9K	$21.1K
Craig Hurwitz	NY	Nephrology Physician	$445K	$178.5K
Joseph Rini	NY	Ophthalmology Physician	$543K	$51.2K
Champlain Toxicology Lab, LLC	NY	Clinical Medical Laboratory	$228.2K	$269K
Afterhours Imaging, LLC	NY	Diagnostic Radiology Physician	$371.4K	$16.4K
Walgreen Co	NY	Pharmacy	$330.9K	$0

Laura Wall — Billing Profile & Reimbursement Data

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Laura Wall — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References