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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Susan Rutherford (NPI 1700981008)

Field	Value
Entity Type	Individual
Organization	Susan Rutherford
Address	200 Tarpon Trl
City	Jacksonville
State	NC
ZIP	28546
Taxonomy	Clinical Social Worker
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicare	$34K
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
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	530	$50	$27.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	50	$90	$4.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	50	$40	$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. North Carolina Distribution

Susan Rutherford — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	7	260	70	$60	$7.1K
90791	92	480	20	$100	$3.8K
90847	3	10	50	$50	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Carolina Neuropsychiatric Center, PA	NC	Psychiatry Physician	$0	$32M
John Allahham	TN	Psychiatry Physician	$44.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jacksonville Children's And Multispecialty Clinic, PA	NC	Family Medicine Physician	$0	$44.6M
Onslow Memorial Hospital Inc	NC	General Acute Care Hospital	$0	$23.6M
Onslow Pediatric Associates, P.A.	NC	Pediatrics Physician	$0	$10.1M
Iquolioc Inc.	NC	Community/Behavioral Health Agency	$0	$9.9M
Womens Healthcare Associates PA	NC	Obstetrics & Gynecology Physician	$0	$8.2M
Integrated Family Services, PLLC	NC	Community/Behavioral Health Agency	$0	$7.1M
County Of Onslow	NC	Land Ambulance	$1.6M	$5.3M
Jacksonville Treatment Center	NC	Community/Behavioral Health Agency	$146.9K	$5.8M
Nagesh Jayaram	NC	Hematology & Oncology Physician	$1.8M	$0
Regional Health Diagnostics Inc	NC	Sleep Disorder Diagnostic Clinic/Center	$308.5K	$804.8K

Susan Rutherford — Billing Profile & Reimbursement Data

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Susan Rutherford — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References