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

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

Mary Sommer (NPI 1790797926)

Field	Value
Entity Type	Individual
Organization	Mary Sommer
Address	5605 100th St Sw
City	Lakewood
State	WA
ZIP	98499
Taxonomy	Hand Occupational Therapist
NPI Enumerated	August 13, 2006

Payer Source	Total Paid
Medicare	$39.9K
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
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…	960	$20	$18.2K
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…	620	$20	$10K
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…	180	$30	$4.7K
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…	50	$70	$3.6K
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.	80	$30	$2.2K
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	$80	$1.4K

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. Washington Distribution

Mary Sommer — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	2,012	2,280	290	$20	$11.8K
97110	290	2,380	290	$20	$8.7K
97112	1,056	1,960	200	$20	$6.4K
97140	246	2,130	190	$20	$5K
97165	100	160	20	$80	$2.4K
97166	6	90	20	$80	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Richards	WA	Physical Therapist	$62.6K	$0
Rachel Munnett	ME	Physical Therapist	$53.1K	$0
Jillian Barry	WA	Occupational Therapist	$41.8K	$0
Erin Jackson	WA	Occupational Therapist	$29.9K	$0
Daniel Cammarata	WA	Physical Therapist	$22.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Lakes Mental Health Foundation Inc	WA	Mental Illness Community Based Residential Treatment Facility	$0	$56M
Rainier Internal Medicine LLC	WA	Primary Care Clinic/Center	$164.9K	$35.1M
Saint Clare Hospital	WA	General Acute Care Hospital	$0	$30M
Pediatric Services Of America, LLC	WA	Nursing Care Agency	$0	$22.4M
Capstone Medical LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$20.7M
Chen And Su, Ps	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$6.3M
Wchs Inc	WA	Methadone Clinic	$171.3K	$6M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Thi Nguyen	WA	General Practice Dentistry	$0	$3.7M
Asian American Chemical Dependency Treatment Services	WA	Community/Behavioral Health Agency	$0	$3.5M

Mary Sommer — Billing Profile & Reimbursement Data

Sign up for Mary Sommer — Billing Profile & Reimbursement Data policy alerts

Mary Sommer — Billing Profile & Reimbursement Data

Sign up for Mary Sommer — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References