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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCaroline Wilson
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    Caroline Wilson — Billing Profile & Reimbursement Data

    NPI 1639889066 · Gorham, ME · Occupational Therapist

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    Caroline Wilson is a occupational therapist provider located in Gorham, Maine. This profile covers 6 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCaroline Wilson
    Address31 Laura Ln
    CityGorham
    StateME
    ZIP04038
    TaxonomyOccupational Therapist
    NPI EnumeratedNovember 28, 2022

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$61.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.1,580$20$31.6K
    97530The 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.710$30$17.7K
    97110Therapeutic 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…480$20$8.6K
    97166The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…30$80$2.4K
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…10$80$940
    97112Neuromuscular 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…40$20$650

    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

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9753041310240$20$9.4K
    97110119440300$20$7K
    97112336350240$20$6.4K
    97535314070$20$3.6K
    9716663020$70$1.8K
    97165233020$70$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Priscilla McleodMEOccupational Therapist$76.7K$0
    Alexander WheelwrightMEPhysical Therapist$73.2K$0
    Meaghan CartierMEPediatric Physical Therapist$68.3K$0
    Larissa BryantMEOccupational Therapist$67.1K$0
    Elizabeth BrophyMEOccupational Therapist$67K$0
    Danielle BatesMESpeech-Language Pathologist$65.5K$0
    Laurie BorrielloMAPhysical Therapist$64.6K$0
    Tessa RubioMESpeech-Language Pathologist$64.1K$0
    Caroline LandryMEPhysical Therapist$63.1K$0
    Sarah BlevinsMEOccupational Therapist$55.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bridge Support Services, LLCMEIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$56.7M
    Maine Family Services LLCMEAssisted Living Facility$0$22.5M
    Paradise Residential Services LLCMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.1M
    Golden Group Home Services, LLCMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$12.2M
    In Home Senior Services, Inc.MEIn Home Supportive Care Agency$0$10.5M
    Back In Motion Physical Therapy, LLCMEPhysical Therapist$0$2.5M
    Integrated Life LLCMEMental Health Clinic/Center (Including Community Mental Health Center)$0$1.1M
    Town Of Gorham Office Of TreasurerMELand Ambulance$154.9K$599.6K
    Maine Optometry PAMEOptometrist$0$497K
    Shima Care LLCMEChore Provider$0$454.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    Caroline Wilson — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine