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    OpenPayerNPI Medicare & MedicaidSheridyn Tolbert
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    Sheridyn Tolbert — Billing Profile & Reimbursement Data

    NPI 1659028322 · Morganton, NC · Occupational Therapist

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    Sheridyn Tolbert is a occupational therapist provider located in Morganton, North Carolina. This profile covers 9 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
    OrganizationSheridyn Tolbert
    Address139 Fiddlers Run Blvd
    CityMorganton
    StateNC
    ZIP28655
    TaxonomyOccupational Therapist
    NPI EnumeratedMarch 3, 2022

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

    Payer SourceTotal Paid
    Medicare$23.8K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.440$20$10.4K
    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…350$20$6K
    97140Manual 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…160$20$2.5K
    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…30$70$2.4K
    97022The whirlpool method of treatment is a form of hydrotherapy that uses circulating water and air with varied temperature and pressure settings for the treatment of certain disorders. The whirlpool is…90$10$800
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.30$20$500
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care70$10$470
    97035Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.40$10$310
    97018In this procedure, the provider applies the paraffin wax on the joints or dips the limb in the paraffin wax solution.60$1$170

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    975306291,960270$20$11.4K
    971101,3322,470390$20$11.1K
    971401,2622,020220$20$5.3K
    9753535345070$20$3.8K
    971656014030$70$2.8K
    G0283189270130$10$1.5K
    970222240100$10$1.3K
    970359312080$10$1K
    9701891060$1$290

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain View Pediatrics PANCPediatrics Physician$0$22.4M
    Blue Ridge Healthcare Hospitals, Inc.NCGeneral Acute Care Hospital$0$20.1M
    A Caring Alternative, LLCNCCommunity/Behavioral Health Agency$0$19.7M
    One Love Periodic Services IncNCCommunity/Behavioral Health Agency$0$16.8M
    Catawba Valley Medical ServicesNCIn Home Supportive Care Agency$0$11.9M
    Total Home Care IncNCDurable Medical Equipment & Medical Supplies$0$10.7M
    Strategic Interventions, LLCNCCommunity/Behavioral Health Agency$0$9.7M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$9.1M
    A Caring Alternative, LLCNCCommunity/Behavioral Health Agency$0$7.9M
    S. Ross Penland, Dmd, Pa-morganton, P.L.L.CNCGeneral Practice Dentistry$0$7.2M

    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. North Carolina Distribution
    Sheridyn Tolbert — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina