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

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

Marita Verhalen (NPI 1720447675)

Field	Value
Entity Type	Individual
Organization	Marita Verhalen
Address	3200 E Racine St
City	Janesville
State	WI
ZIP	53546
Taxonomy	Occupational Therapist
NPI Enumerated	February 21, 2016

Payer Source	Total Paid
Medicare	$27.1K
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.	690	$20	$13.8K
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…	390	$20	$5.9K
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…	290	$20	$4.9K
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…	20	$70	$1.3K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	20	$70	$1.1K

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. Wisconsin Distribution

Marita Verhalen — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	737	1,550	280	$20	$6.6K
97535	10	200	100	$20	$4K
97140	192	1,180	150	$20	$3.6K
97166	36	100	20	$70	$1.4K
97167	7	10	20	$70	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Rock	WI	Community/Behavioral Health Agency	$0	$26.5M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$23.1M
Ssm Health Care Of Wisconsin, Inc.	WI	General Acute Care Hospital	$0	$8.4M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$6.6M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$5.7M
Rock Valley Community Programs, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Maher Mourad	WI	Hospitalist Physician	$348.8K	$82.4K
Walgreen Co	WI	Pharmacy	$201.4K	$27.5K
Herbert Webb	WI	Optometrist	$30.4K	$132.2K
Monica Simionescu	WI	Neurology Physician	$106.8K	$46.9K

Marita Verhalen — Billing Profile & Reimbursement Data

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Marita Verhalen — 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