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

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

Jane Leno (NPI 1710255724)

Field	Value
Entity Type	Individual
Organization	Jane Leno
Address	1245 Washington Ave
City	Detroit Lakes
State	MN
ZIP	56501
Taxonomy	Occupational Therapist
NPI Enumerated	December 5, 2011

Payer Source	Total Paid
Medicare	$18.9K
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
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	80	$80	$6.3K
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…	270	$20	$5.1K
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.	150	$30	$4K
97140	Manual 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…	180	$20	$3.2K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	40	$10	$330

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. Minnesota Distribution

Jane Leno — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	738	1,650	240	$20	$5.9K
97530	266	820	100	$20	$4.6K
97140	335	1,070	110	$20	$3K
97165	5	180	20	$70	$2.2K
97035	85	120	60	$10	$620

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
St Marys Ems	MN	Land Ambulance	$2.1M	$8.6M
St Mary's Regional Health Center	MN	Family Medicine Physician	$0	$6.8M
Benjamin Smith	MN	Diagnostic Radiology Physician	$192.4K	$0
Max Disse	MN	Dermatology Physician	$173.8K	$0
Peggy Maasjo	MN	Nurse Practitioner	$134.5K	$0
Stephen Nordmark	MN	Internal Medicine Physician	$124.5K	$0
Jon Larson	MN	Family Medicine Physician	$122.3K	$0
Sanford Medical Center Fargo	MN	Ambulatory Surgical Clinic/Center	$110.9K	$970
Nicole Cox	MN	Internal Medicine Physician	$107.2K	$0

Jane Leno — Billing Profile & Reimbursement Data

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Jane Leno — 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