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

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

Kathleen Fox (NPI 1780799817)

Field	Value
Entity Type	Individual
Organization	Kathleen Fox
Address	3716 Ridge Mill Drive
City	Columbus
State	OH
ZIP	43026
Taxonomy	Occupational Therapist
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicare	$9.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	250	$20	$4.2K
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	$1.2K
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…	70	$20	$1.2K
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.	40	$30	$1000
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	80	$10	$910
97022	The whirlpool method of treatment is a form of hydrotherapy that uses circulating water and air with varied temperature and pressure settings for the treatment of certain disorders. The whirlpool is…	90	$10	$700
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	40	$20	$600
97018	In this procedure, the provider applies the paraffin wax on the joints or dips the limb in the paraffin wax solution.	30	$1	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Kathleen Fox — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,604	1,680	500	$20	$12.3K
97530	1,259	1,320	260	$20	$10K
97140	468	1,180	180	$10	$5.2K
97535	274	390	70	$20	$3.9K
97166	57	90	20	$70	$2.1K
97150	165	330	80	$10	$1.3K
97022	6	20	60	$10	$600
97018	10	10	60	$1	$250

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Tann	OH	Orthopedic Physical Therapist	$79.9K	$0
Joshua Wiethe	WV	Physical Therapist	$67K	$0
Paige Current	OH	Occupational Therapist	$27.2K	$0
Jennifer Reeder	OH	Occupational Therapist	$18.6K	$0
Bridgette Kreuz	CA	Occupational Therapist	$17.1K	$0
Heather Biro	OH	Physical Rehabilitation Occupational Therapist	$10.9K	$0
Tracy Augustine	OH	Hand Occupational Therapist	$7.7K	$0
Logan Pewitt	OH	Hand Occupational Therapist	$4.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minuteclinic Diagnostic Of Ohio LLC	OH	Family Nurse Practitioner	$0	$15.7M
Capital Homecare, Inc.	OH	Home Health Agency	$0	$12M
Columbus One Endoscopy LLC	OH	Ambulatory Surgical Clinic/Center	$56.2K	$755.3K
Norwich Township	OH	Ambulance	$282.5K	$528K
Ton Le	OH	Psychiatric/Mental Health Nurse Practitioner	$183.7K	$1.5K
Joshua Jones	OH	Family Medicine Physician	$179.5K	$0
Samuel Essandoh	OH	Pain Medicine Physician	$174.4K	$0
Robert Steensen	OH	Orthopaedic Surgery Physician	$148.9K	$0
Marc Schramm	OH	Clinical Psychologist	$43.4K	$58K
Pca-corrections LLC	OH	Long Term Care Pharmacy	$96.6K	$450

Kathleen Fox — Billing Profile & Reimbursement Data

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Kathleen Fox — 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