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

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

Hildy Scholar (NPI 1659515021)

Field	Value
Entity Type	Individual
Organization	Hildy Scholar
Address	16200 19 Mile Rd
City	Clinton Township
State	MI
ZIP	48038
Taxonomy	Occupational Therapist
NPI Enumerated	April 28, 2009

Payer Source	Total Paid
Medicare	$1.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	80	$20	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Hildy Scholar — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97542	4	10	90	$20	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Macomb Oakland Regional Center Inc.	MI	Community/Behavioral Health Agency	$0	$343.1M
Easterseals Morc Health Care, Inc.	MI	Psychiatry Physician	$0	$188.2M
John Head	MI	Psychiatry Physician	$186.1K	$0
Prameela Baddigam	CA	Psychiatry Physician	$164.4K	$0
Duren Gutierrez	MI	Psychiatric/Mental Health Nurse Practitioner	$36K	$0
Kimberly Jeroue	MI	Occupational Therapist	$2.6K	$0
Kerri Gonda	MI	Speech-Language Pathologist	$1.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Macomb Hospital Corporation	MI	General Acute Care Hospital	$0	$40.9M
Integrated Living, Inc.	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.5M
Henry Ford Cornerstone Medical Group	MI	Family Medicine Physician	$0	$14.2M
Morc Home Care Inc.	MI	Case Management Agency	$0	$7.6M
Henry Ford Macomb Hospital Corporation	MI	Advanced Practice Midwife	$0	$7.3M
Professional Emergency Care, PC	MI	Emergency Medicine Physician	$0	$5.6M
Brian Loder	MI	Foot & Ankle Surgery Podiatrist	$2M	$0
Clinton Partners, LLC	MI	Ambulatory Surgical Clinic/Center	$886.1K	$0
Mohammadreza Kahnamouei	MI	Adult Medicine Physician	$545.6K	$0
Wei Su	MI	Dermatopathology Physician	$528.1K	$0

Hildy Scholar — Billing Profile & Reimbursement Data

Sign up for Hildy Scholar — Billing Profile & Reimbursement Data policy alerts

Hildy Scholar — Billing Profile & Reimbursement Data

Sign up for Hildy Scholar — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References