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

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

Taylor Newswanger (NPI 1730621202)

Field	Value
Entity Type	Individual
Organization	Taylor Newswanger
Address	244 N Queen St
City	Lancaster
State	PA
ZIP	17603
Taxonomy	Occupational Therapist
NPI Enumerated	November 15, 2016

Payer Source	Total Paid
Medicare	$24.5K
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
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	840	$20	$16.9K
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…	80	$80	$6.3K
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…	20	$70	$1.5K

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. Pennsylvania Distribution

Taylor Newswanger — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	54	670	90	$20	$5.2K
97166	6	220	30	$80	$2.4K
97165	84	160	20	$80	$2.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T.w. Ponessa & Associates Counseling Services, Inc.	PA	Community/Behavioral Health Agency	$0	$63.5M
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$21.2M
The County Of Lancaster	PA	Case Management Agency	$0	$17M
Lancaster Emergency Medical Services Association	PA	Land Ambulance	$2.1M	$10.9M
Ars Of Lancaster, LP	PA	Methadone Clinic	$163.8K	$8.3M
The County Of Lancaster	PA	Case Manager/Care Coordinator	$0	$8.2M
Childrens Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$0	$8.1M
Glenn Kline	PA	Surgery Physician	$743.4K	$460
Francis Manning	PA	Ophthalmology Physician	$526.4K	$0
Adam Thode	PA	Ophthalmology Physician	$395K	$0

Taylor Newswanger — Billing Profile & Reimbursement Data

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Taylor Newswanger — 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