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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Katherine Cooper (NPI 1750680161)

Field	Value
Entity Type	Individual
Organization	Katherine Cooper
Address	Cmr 402
City	Apo
State	AE (Armed Forces Europe)
ZIP	09180
Taxonomy	Occupational Therapist
NPI Enumerated	March 24, 2011

Payer Source	Total Paid
Medicare	$48.9K
Medicaid	$0

Key Findings

KATHERINE COOPER has generated $48.9K in total Medicare revenue across an occupational therapy practice with no Medicaid billing on file, making her effectively a single-payer (Medicare-only) provider in the available dataset. The absence of any Medicaid claims is explicit: “none below” for Medicaid, so analyses and conclusions should be confined to Medicare activity and competitive standing within that program.

Revenue concentration is high: the precomputed top-three Medicare codes account for 82.3% of this provider’s total Medicare revenue, indicating that a small set of therapy procedures drives the overwhelming share of billing. The three highest-revenue codes are 97530 (48.0% of Medicare revenue), 97535 (17.1%), and 97110 (17.1%), which together form the backbone of the practice’s billed services.

The code mix (97530, 97535, 97110, plus supporting codes like 97112 and 97166) indicates an operations focus on direct functional activities, therapeutic instruction, and therapeutic exercise typical of outpatient occupational therapy practice. Heavy reliance on time-based therapeutic activity codes (97530 and 97110) suggests the provider’s workflow centers on repeated, billable treatment minutes and patient-level functional interventions.

In absolute scale, Medicare revenue is modest at $48.9K lifetime; within that envelope, 97530 is the single largest revenue driver with $23.6K (48.0% of Medicare revenue) from 814 claims and an average payment of $29 per claim. This concentration around a single high-volume time-based activity code suggests a steady throughput of therapy sessions but on a relatively small overall Medicare volume.

Competitive standing by national rank shows mixed positioning: for 97530 the provider ranks #13210 of 62717 (79th percentile), which places her above most peers on that code and indicates relatively strong volume nationally for delivering that service. By contrast, 97110 ranks at the 45th percentile (#43664 of 79999), and 97140 is at the 9th percentile (#59190 of 65133), so across commonly used codes her presence ranges from modest to relatively prominent depending on the specific procedure.

Some codes indicate more complex evaluation services are billed at lower volume but with higher average payments: 97166 produced $2.7K (5.5% of Medicare revenue) across 32 claims with an $84 avg paid/claim and sits in the 68th percentile nationally (#1285 of 4157). This suggests occasional use of higher-complexity evaluation visits alongside the routine therapy sessions.

Tenure: the NPI was enumerated on 2011-03-24 (~15 years ago), so this is an established provider with a long enumeration history in Medicare. The combination of long tenure and concentrated, routine therapy billing implies an ongoing outpatient therapy practice rather than a newly established or intermittent biller.

Given the absence of Medicaid activity, payer-mix risk is concentrated in Medicare; this provider should be considered effectively single-payer in the observed data. That concentration creates exposure to Medicare policy and reimbursement shifts for time-based therapy codes (especially 97530), since nearly half of lifetime Medicare revenue derives from that single code.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	810	$30	$23.6K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	400	$20	$8.4K
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…	420	$20	$8.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	170	$20	$3.8K
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…	30	$80	$2.7K
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	50	$20	$1.2K
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…	60	$20	$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 7 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Katherine Cooper — 4 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	1	10	150	$30	$6.5K
97110	1	10	250	$20	$4.9K
97535	1	10	110	$20	$3.8K
97112	3	10	140	$20	$3.3K
97166	1	10	30	$80	$2.7K
97140	3	10	60	$20	$1.4K
97750	1	10	40	$20	$760

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jude Momodu	AE (Armed Forces Europe)	Family Medicine Physician	$42.8K	$86.6K
Matthew Brice	AE (Armed Forces Europe)	Emergency Medicine Physician	$60.1K	$0
Steve Louvet	AE (Armed Forces Europe)	Emergency Medicine Physician	$11.6K	$40.3K
Eric Dahl	AE (Armed Forces Europe)	General Practice Physician	$44.8K	$0
Michael Sanzari	AE (Armed Forces Europe)	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$43.9K
Washeema Jones	AE (Armed Forces Europe)	Acute Care Nurse Practitioner	$29.6K	$0
Gregory Phillips	AE (Armed Forces Europe)	Neurology Physician	$22.7K	$0
Nicole Fee	AE (Armed Forces Europe)	Optometrist	$15.4K	$3.5K
Carlina Madelaire	AE (Armed Forces Europe)	Anatomic Pathology & Clinical Pathology Physician	$12.6K	$0
Chelsey Koehler	AE (Armed Forces Europe)	Physical Therapist	$10.9K	$0

Katherine Cooper — Billing Profile & Reimbursement Data

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Katherine Cooper — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References