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.

Shelby Rapp (NPI 1750812996)

Field	Value
Entity Type	Individual
Organization	Shelby Rapp
Address	1526 Lombard St
City	Philadelphia
State	PA
ZIP	19146
Taxonomy	Occupational Therapist
NPI Enumerated	March 21, 2017

Payer Source	Total Paid
Medicare	$86K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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.	1,100	$30	$27.5K
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…	1,170	$20	$20K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	890	$20	$17K
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…	760	$20	$16K
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…	60	$80	$4.3K
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	$60	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Shelby Rapp — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	388	2,480	420	$30	$15.8K
97110	758	3,260	600	$20	$15.3K
97112	619	2,480	390	$20	$12.1K
97535	49	670	90	$20	$5.2K
97166	110	220	30	$80	$2.4K
97167	3	40	20	$80	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fox Rehabilitation Services Inc	DE	Physical Therapist	$0	$306.1K
Melissa Valesky	PA	Speech-Language Pathologist	$167.4K	$0
Madeline Kim	PA	Physical Therapist	$156.8K	$0
Mathew Forsyth	NJ	Physical Therapist	$153.3K	$0
Brianna Madden	PA	Occupational Therapist	$121.7K	$0
Andrea Pandya	PA	Speech-Language Pathologist	$119.5K	$0
Aaron Oquendo	PA	Physical Therapist	$117.9K	$0
Alexandra Mahon	PA	Occupational Therapist	$107.3K	$0
Andrea Boucher	PA	Speech-Language Pathologist	$102.4K	$0
Lindsay Amorosi	DE	Occupational Therapist	$101.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Philadelphia Health Action Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$22M
Citizen's Acting Together Can Help, Inc.	PA	Adult Mental Health Clinic/Center	$0	$20.4M
Gaudenzia, Inc.	PA	Community/Behavioral Health Agency	$0	$12.1M
Bethanna	PA	Community/Behavioral Health Agency	$0	$8.1M
Thomas Jefferson University	PA	Public Health or Welfare Agency	$0	$7.5M
Aloknath Pandya	PA	Internal Medicine Physician	$250.8K	$2K
Vincent Lam	PA	Ophthalmology Physician	$170.3K	$23.8K
Christopher Masiello	PA	Physical Therapist	$127.1K	$0
City Of Philadelphia	PA	Clinical Medical Laboratory	$40.4K	$4.3K
Morgan Ettlinger	PA	Speech-Language Pathologist	$38.4K	$0

Shelby Rapp — Billing Profile & Reimbursement Data

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Shelby Rapp — 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