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

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

Sheila Andrews (NPI 1659429975)

Field	Value
Entity Type	Individual
Organization	Sheila Andrews
Address	22321 Treefarm Ln Ne
City	Poulsbo
State	WA
ZIP	98370
Taxonomy	Gerontology Occupational Therapist
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicare	$103.5K
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
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	2,500	$20	$49.9K
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.	1,260	$20	$30.3K
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…	530	$20	$11.2K
97110	Therapeutic 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…	470	$20	$8.5K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	40	$80	$3.1K

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. Washington Distribution

Sheila Andrews — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	155	2,280	290	$20	$11.8K
97110	767	2,380	290	$20	$8.7K
97112	316	1,960	200	$20	$6.4K
97535	1	300	60	$20	$3K
97166	14	90	20	$80	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kitsap County Fire District 18	WA	Land Ambulance	$297.4K	$3M
North Kitsap Ambulatory Surgery Center, LLC	WA	Ambulatory Surgical Clinic/Center	$3.1M	$60.2K
Michael Jungkeit	WA	Specialist	$727.9K	$0
James Lin	WA	Ophthalmology Physician	$583.3K	$0
Dianne Levisohn	WA	Dermatology Physician	$324.7K	$0
Paetra Ruddy	WA	Dermatology Physician	$311.1K	$0
Andrea Smith	WA	Dermatology Physician	$291.1K	$0
Matthew Voorsanger	WA	Cardiovascular Disease Physician	$287.2K	$0
Manfred Henne	WA	Diagnostic Radiology Physician	$251.2K	$0
Jonathan Mendelsohn	WA	Family Medicine Physician	$180.3K	$0

Sheila Andrews — Billing Profile & Reimbursement Data

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Sheila Andrews — 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